Addition of Zinc to the Current Case Management Package of Diarrhea in a Primary Health Care Setting
An Effectiveness Trial Examining the Addition of Zinc to the Current Case Management Package of Diarrhea in a Primary Health Care Setting.
1 other identifier
interventional
20,032
1 country
1
Brief Summary
Several studies have shown the beneficial effect of zinc treatment in acute diarrhea. There was a significant reduction in duration of the treated episodes and in their severity as measured by diarrheal stool output or frequency. Zinc is a potentially important immunomodulator or nutraceutical which may have great impact as therapeutic agent in conditions like diarrhea and pneumonia. The issue is whether and how zinc should be introduced in primary health care programs for treatment of acute diarrhea. A practical, sustainable intervention for introduction of zinc as treatment of acute diarrhoea in national programs is therefore required. This study aimed to address this issue.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2005
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2005
CompletedFirst Submitted
Initial submission to the registry
January 13, 2006
CompletedFirst Posted
Study publicly available on registry
January 18, 2006
CompletedPrimary Completion
Last participant's last visit for primary outcome
September 1, 2006
CompletedStudy Completion
Last participant's last visit for all outcomes
September 1, 2006
CompletedJune 16, 2015
June 1, 2015
1.7 years
January 13, 2006
June 15, 2015
Conditions
Keywords
Outcome Measures
Primary Outcomes (4)
To evaluate in a community based controlled effectiveness trial whether addition of zinc as a therapeutic modality for diarrhea delivered through existing channels, including at village level to the current case management package for under-five children
20 months (Jan 2005 to Sep 2006)
- Reduction in visits to health care providers for treatment of illness
20 months (Jan 2005 to Sep 2006)
- Reduction in drug use; antibiotics and other drugs during diarrheal illnesses
20 months (Jan 2005 to Sep 2006)
- Increase in ORS use during diarrhea in the intervention communities.
20 months (Jan 2005 to Sep 2006)
Secondary Outcomes (1)
- Reduction in all cause hospitalizations
20 months (Jan 2005 to Sep 2006)
Study Arms (2)
1
EXPERIMENTALZinc and ORS were promoted for treatment of diarrhea in underfive children
2
OTHERPromoted routine management of diarrhea in underfive with ORS
Interventions
Government and private providers and village health workers were trained to prescribe zinc and ORS for use in diarrheal episodes in 1 month to 5 years old children in intervention communities
Eligibility Criteria
You may qualify if:
- Children aged 1 month to 5 years with diarrhea
You may not qualify if:
- Illness requiring referral to hospital
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Society for Applied Studieslead
- Ministry of Science and Technology, Indiacollaborator
- United Nations Children's Fund, Delhicollaborator
- World Health Organizationcollaborator
Study Sites (1)
Society for Applied Studies
New Delhi, National Capital Territory of Delhi, 110017, India
Related Publications (1)
Bhandari N, Mazumder S, Taneja S, Dube B, Agarwal RC, Mahalanabis D, Fontaine O, Black RE, Bhan MK. Effectiveness of zinc supplementation plus oral rehydration salts compared with oral rehydration salts alone as a treatment for acute diarrhea in a primary care setting: a cluster randomized trial. Pediatrics. 2008 May;121(5):e1279-85. doi: 10.1542/peds.2007-1939.
PMID: 18450870RESULT
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Nita Bhandari, PhD
Society for Applied Studies
Study Design
- Study Type
- interventional
- Phase
- not applicable
- Allocation
- RANDOMIZED
- Masking
- NONE
- Purpose
- TREATMENT
- Intervention Model
- PARALLEL
- Sponsor Type
- OTHER
Study Record Dates
First Submitted
January 13, 2006
First Posted
January 18, 2006
Study Start
January 1, 2005
Primary Completion
September 1, 2006
Study Completion
September 1, 2006
Last Updated
June 16, 2015
Record last verified: 2015-06