The Impact of Involving Informal Health Providers for Tuberculosis Control in Sudan (Triage-Plus)
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|ClinicalTrials.gov Identifier: NCT01841541|
Recruitment Status : Completed
First Posted : April 26, 2013
Last Update Posted : April 26, 2013
|Condition or disease||Intervention/treatment||Phase|
|Tuberculosis||Behavioral: Referral of presumptive of TB cases by informal providers||Not Applicable|
Barriers to accessing health services faced by poor and vulnerable populations are numerous in developing countries. These include; geography, income poverty, lack of trust in the quality of public health services, and lack of empowerment of women and adolescent girls (as patients and carers) to mobilize adequate and timely resources to access these services.
The project aims to test if TB case detection can be increased by engaging informal health care providers in active case finding. In one urban district of Khartoum, these providers will be trained to work as first point of entry to the health system using a comprehensive package that includes disease recognition, health communication, and patient referral. In a comparator urban district of Khartoum, no attempts will be made to engage informal providers.
By comparing data of TB patients and Lab registers between the intervention and comparator districts in Khartoum, this project aims to test if, and to what extent, these expected effects can be realized.
Overall this is a trial of a health policy so individual patients will not be recruited or randomized to one intervention or the other. Rather the policy is being applied in one district while the other district is being used as a comparator.
|Study Type :||Interventional (Clinical Trial)|
|Actual Enrollment :||380 participants|
|Intervention Model:||Parallel Assignment|
|Masking:||None (Open Label)|
|Primary Purpose:||Health Services Research|
|Official Title:||Triage Plus for TB: Improving Community‐Based Provision for TB in Africa. The Impact of Involving Informal Health Providers for Tuberculosis Control in Sudan|
|Study Start Date :||January 2009|
|Actual Primary Completion Date :||March 2012|
|Actual Study Completion Date :||April 2012|
Experimental: Ombda Locality: informal providers
Ombda locality is located in Western Khartoum and populated with population size of 988,163.
Intervention: 380 unpaid Informal providers trained to recognise TB symptoms and to refer presumptive TB cases to formal health care facilities within the area.
Behavioral: Referral of presumptive of TB cases by informal providers
Training of informal providers to effectively refer TB suspects in the community to the primary health care system
No Intervention: Jabal Awlia Locality
The control arm: A locality in south eastern site of Khartoum state populated with 942,429. No intervention took place
- Total number of TB patients registered and start receiving treatment in formal health care facilities [ Time Frame: 12 months ]This will be measured by comparing Data from routine patients registered in formal TB management units in the intervention arm and compare it with the same routine data from the control arm. similar data for the previous year will undergo the same comparison as time control for both arms
To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.
Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT01841541
|The Epidemiological Laboratory (EpiLab)|
|Principal Investigator:||S. Bertel ("Bertie") Squire, MB BChir, MD||Liverpool School of Tropical Medicine|