Study of Post-Training Supports for Health Workers in Benin

NCT00510679 | Completed

• 1 other identifier: CDC-NCID-3279
• Study Type: interventional
• Target: 1,577
• Locations: 1 country
• Sites: 1

Brief Summary

The objective of this study was to determine the effectiveness and cost-effectiveness of a package of interventions to support health workers in Benin (in West Africa) who had been trained to use Integrated Management of Childhood Illness guidelines (i.e., guidelines intended to improve the treatment of childhood illnesses).

Conditions

Malaria; Pneumonia; Diarrhea; Measles; Malnutrition

Keywords

Benin; child health; developing country; health services research; health worker performance; Integrated Management of Childhood Illness

Outcome Measures

Primary Outcomes (3)

• Proportion of children with potentially life-threatening illnesses who received recommended treatment, according to Integrated Management of Childhood Illness guidelines.

  3 years

• Proportion of children with potentially life-threatening illnesses who received recommended treatment, according to Integrated Management of Childhood Illness guidelines, or adequate treatment.

  3 years

• Mean proportion of needed case management tasks that were performed during consultations.

  3 years

Secondary Outcomes (2)

• Proportion of children with pneumonia who received recommended treatment, according to Integrated Management of Childhood Illness guidelines.

  3 years

• Proportion of children with malaria who received recommended treatment, according to Integrated Management of Childhood Illness guidelines.

  3 years

Interventions

Health worker supports (supervision, job aids, incentives) BEHAVIORAL

Eligibility Criteria

• Age: 1 Week - 59 Months
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17)

You may not qualify if:

• Health facilities in which the level of care was not appropriate for use of Integrated Management of Childhood Illness (IMCI) guidelines(i.e., one referral hospital and one sub-specialty hospital).

Sponsors & Collaborators

• Centers for Disease Control and Prevention: lead
• Ministry of Health, Benin: collaborator

Study Sites (1)

All eligible health facilities

Entire Department of Oueme and Plateau, Oueme and Plateau, Benin

Location

Related Publications (7)

• Rowe AK, Onikpo F, Lama M, Deming MS. Risk and protective factors for two types of error in the treatment of children with fever at outpatient health facilities in Benin. Int J Epidemiol. 2003 Apr;32(2):296-303. doi: 10.1093/ije/dyg063.

  PMID: 12714553 BACKGROUND

• Rowe AK, Lama M, Onikpo F, Deming MS. Design effects and intraclass correlation coefficients from a health facility cluster survey in Benin. Int J Qual Health Care. 2002 Dec;14(6):521-3. doi: 10.1093/intqhc/14.6.521. No abstract available.

  PMID: 12515339 BACKGROUND

• Rowe AK, Lama M, Onikpo F, Deming MS. Health worker perceptions of how being observed influences their practices during consultations with ill children. Trop Doct. 2002 Jul;32(3):166-7. doi: 10.1177/004947550203200317. No abstract available.

  PMID: 12139161 BACKGROUND

• Rowe AK, Onikpo F, Lama M, Cokou F, Deming MS. Management of childhood illness at health facilities in Benin: problems and their causes. Am J Public Health. 2001 Oct;91(10):1625-35. doi: 10.2105/ajph.91.10.1625.

  PMID: 11574325 BACKGROUND

• Rowe AK, Onikpo F, Lama M, Deming MS. Evaluating health worker performance in Benin using the simulated client method with real children. Implement Sci. 2012 Oct 8;7:95. doi: 10.1186/1748-5908-7-95.

  PMID: 23043671 DERIVED

• Rowe AK, Onikpo F, Lama M, Deming MS. The rise and fall of supervision in a project designed to strengthen supervision of Integrated Management of Childhood Illness in Benin. Health Policy Plan. 2010 Mar;25(2):125-34. doi: 10.1093/heapol/czp054. Epub 2009 Nov 18.

  PMID: 19923206 DERIVED

• Osterholt DM, Onikpo F, Lama M, Deming MS, Rowe AK. Improving pneumonia case-management in Benin: a randomized trial of a multi-faceted intervention to support health worker adherence to Integrated Management of Childhood Illness guidelines. Hum Resour Health. 2009 Aug 27;7:77. doi: 10.1186/1478-4491-7-77.

  PMID: 19712484 DERIVED

MeSH Terms

Conditions

Malaria; Pneumonia; Diarrhea; Measles; Malnutrition

Interventions

Organization and Administration

Condition Hierarchy (Ancestors)

Protozoan Infections; Parasitic Diseases; Infections; Mosquito-Borne Diseases; Vector Borne Diseases; Respiratory Tract Infections; Lung Diseases; Respiratory Tract Diseases; Signs and Symptoms, Digestive; Signs and Symptoms; Pathological Conditions, Signs and Symptoms; Morbillivirus Infections; Paramyxoviridae Infections; Mononegavirales Infections; RNA Virus Infections; Virus Diseases; Nutrition Disorders; Nutritional and Metabolic Diseases

Intervention Hierarchy (Ancestors)

Health Services Administration

Study Officials

• Rowe K Alexander, MD, MPH

  Centers for Disease Control and Prevention

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: NONE
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: FED

Study Record Dates

• First Submitted: August 1, 2007
• First Posted: August 2, 2007
• Study Start: July 1, 1999
• Study Completion: October 1, 2004
• Last Updated: August 2, 2007

Record last verified: 2007-08

Locations

BE (1)