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Can Mass Media Campaigns Reduce Child Mortality

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ClinicalTrials.gov Identifier: NCT01517230
Recruitment Status : Completed
First Posted : January 25, 2012
Last Update Posted : May 20, 2015
Sponsor:
Collaborators:
Development Media International
Centre Muraz
Wellcome Trust
Planet Wheeler Foundation
Information provided by (Responsible Party):
London School of Hygiene and Tropical Medicine

Tracking Information
First Submitted Date  ICMJE January 9, 2012
First Posted Date  ICMJE January 25, 2012
Last Update Posted Date May 20, 2015
Study Start Date  ICMJE March 2012
Actual Primary Completion Date April 2015   (Final data collection date for primary outcome measure)
Current Primary Outcome Measures  ICMJE
 (submitted: January 20, 2012)
Post neonatal under-five all cause mortality [ Time Frame: 1 year ]
Original Primary Outcome Measures  ICMJE Same as current
Change History
Current Secondary Outcome Measures  ICMJE
 (submitted: January 30, 2012)
  • Under-5 child all cause mortality [ Time Frame: 1year ]
  • Preventive behaviours for main causes of under-five children mortality [ Time Frame: 1 year ]
    1. Antenatal consultations during the last pregnancy which lasts more than 6 months and place of delivery
    2. Breastfeeding practices for the youngest under-five child
    3. Behaviours to prevent cases of diarrhoea and malaria in the youngest under-five child
  • Knowledge [ Time Frame: 30-36 months after the start of the intervention ]
    1. Knowledge about danger signs during pregnancy, delivery and in young ill children
    2. Knowledge about preventive measure against malaria during pregnancy
    3. Knowledge about recommended breastfeeding behaviours
    4. Knowledge about transmission of malaria and diarrhoea
    5. Knowledge about health care seeking behaviours in young children suffering from diarrhoea, bad cough
  • Cost-effectiveness of mass media campaigns in terms of dollars per disability-adjusted life year (DALY) averted [ Time Frame: 1 year ]
  • Curative behaviours for main causes of under-five children mortality [ Time Frame: 15 days ]
    Health care behaviours to treat cases of diarrhoea, fever, cough and respiratory difficulties in the youngest under-five child during the 15 previous days
Original Secondary Outcome Measures  ICMJE
 (submitted: January 20, 2012)
  • Under-5 child all cause mortality [ Time Frame: 1year ]
  • Preventive behaviours for main causes of under-five children mortality [ Time Frame: 1 year ]
    1. Antenatal consultations during the last pregnancy which lasts more than 6 months and place of delivery
    2. Breastfeeding practices for the youngest under-five child
    3. Behaviours to prevent cases of diarrhoea and malaria in the youngest under-five child
  • Knowledge [ Time Frame: current day ]
    1. Knowledge about danger signs during pregnancy, delivery and in young ill children
    2. Knowledge about preventive measure against malaria during pregnancy
    3. Knowledge about recommended breastfeeding behaviours
    4. Knowledge about transmission of malaria and diarrhoea
    5. Knowledge about health care seeking behaviours in young children suffering from diarrhoea, bad cough
  • Cost-effectiveness of mass media campaigns in terms of dollars per disability-adjusted life year (DALY) averted [ Time Frame: 1 year ]
  • Curative behaviours for main causes of under-five children mortality [ Time Frame: 15 days ]
    Health care behaviours to treat cases of diarrhoea, fever, cough and respiratory difficulties in the youngest under-five child during the 15 previous days
Current Other Pre-specified Outcome Measures Not Provided
Original Other Pre-specified Outcome Measures Not Provided
 
Descriptive Information
Brief Title  ICMJE Can Mass Media Campaigns Reduce Child Mortality
Official Title  ICMJE Can Mass Media Campaigns Reduce Child Mortality
Brief Summary

A cluster-randomised trial will be undertaken in Burkina Faso to investigate whether a comprehensive mass media campaign using local radio stations can change behaviours on a scale large enough to result in measurable and sustainable reductions in under-five child mortality.

It is hypothesised that as a result of the scale and multi-pronged nature of the campaign, reductions of between 10% and 20% in child mortality will be achieved.

Detailed Description

The evaluation is conducted in 14 geographical locations throughout Burkina Faso. Seven of these 14 clusters have been randomly allocated to receive the mass media intervention while the remaining 7 clusters will serve as controls.

Data collection includes household surveys in all 14 clusters at three "key" times:

  • At baseline: Before the implementation of the intervention, between December 2011 and February 2012 to measure the current level of child mortality and evaluate current knowledge and behaviours of relevance to child health.
  • At midline: Fifteen months after implementation of the intervention to evaluate the coverage of the intervention (in the intervention clusters) and, in each cluster, knowledge and behaviours.
  • At endline: Two and a half years after implementation of the intervention to evaluate intervention coverage (in the intervention clusters), knowledge and behaviours and child mortality.
Study Type  ICMJE Interventional
Study Phase  ICMJE Not Applicable
Study Design  ICMJE Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: None (Open Label)
Condition  ICMJE
  • Diarrhoea
  • Malaria
  • Pneumonia
  • Breastfeeding
  • Under-nutrition
Intervention  ICMJE Behavioral: Local radio campaign to reduce under-five child mortality
The media campaign is designed by Development Media International. It includes short "spots" and long format programs broadcast by rural community radios. Major topics to be addressed include: diarrhoea, water and sanitation, acute respiratory infections, fever/malaria, antenatal consultations, delivery in health facilities, breastfeeding, and child nutrition. The intervention is planned to start in March 2012 after completion of fieldwork for the baseline survey and will continue for 2.5 years.
Study Arms  ICMJE
  • Active Comparator: intervention
    seven clusters where radio media campaign will be broadcast.
    Intervention: Behavioral: Local radio campaign to reduce under-five child mortality
  • No Intervention: control
    Seven clusters where radio media campaign won't be broadcast.
Publications *

*   Includes publications given by the data provider as well as publications identified by ClinicalTrials.gov Identifier (NCT Number) in Medline.
 
Recruitment Information
Recruitment Status  ICMJE Completed
Actual Enrollment  ICMJE
 (submitted: January 20, 2012)
100000
Original Estimated Enrollment  ICMJE Same as current
Actual Study Completion Date  ICMJE April 2015
Actual Primary Completion Date April 2015   (Final data collection date for primary outcome measure)
Eligibility Criteria  ICMJE

Inclusion Criteria:

  • Residence in study clusters

Exclusion Criteria:

  • None
Sex/Gender  ICMJE
Sexes Eligible for Study: All
Ages  ICMJE up to 5 Years   (Child)
Accepts Healthy Volunteers  ICMJE Yes
Contacts  ICMJE Contact information is only displayed when the study is recruiting subjects
Listed Location Countries  ICMJE Burkina Faso
Removed Location Countries  
 
Administrative Information
NCT Number  ICMJE NCT01517230
Other Study ID Numbers  ICMJE 2011-9-56
6028 ( Other Identifier: UK: Research ethics committee )
Has Data Monitoring Committee No
U.S. FDA-regulated Product Not Provided
IPD Sharing Statement  ICMJE Not Provided
Responsible Party London School of Hygiene and Tropical Medicine
Study Sponsor  ICMJE London School of Hygiene and Tropical Medicine
Collaborators  ICMJE
  • Development Media International
  • Centre Muraz
  • Wellcome Trust
  • Planet Wheeler Foundation
Investigators  ICMJE
Principal Investigator: Simon N Cousens, MA London School of Hygiene and Tropical Medicine
Principal Investigator: Nicolas Meda, MD, PhD Centre Muraz
Study Director: Sophie Sarrassat, PhD London School of Hygienne and Tropical Medicine
Study Director: Moctar Ouedraogo, MsD Centre MURAZ / AfricSanté, Burkina Faso
PRS Account London School of Hygiene and Tropical Medicine
Verification Date May 2015

ICMJE     Data element required by the International Committee of Medical Journal Editors and the World Health Organization ICTRP