NCT00673166

Brief Summary

We observed in a randomised intervention trial in Bissau that mortality due to malaria could be reduced by half by adding a small monetary incentive to the staff and strict follow-up of a standard protocol for available drugs. The Government and donors are not able to sustain such incentives. We intend to evaluate whether strict organisation of a cost recovery system and the use of part of the funds for staff incentives would improve performance of the staff and contribute to reduction of hospital and post-discharge mortality.

Trial Health

87
On Track

Trial Health Score

Automated assessment based on enrollment pace, timeline, and geographic reach

Enrollment
900

participants targeted

Target at P75+ for not_applicable

Timeline
Completed

Started Jan 2008

Geographic Reach
1 country

1 active site

Status
completed

Health score is calculated from publicly available data and should be used for screening purposes only.

Trial Relationships

Click on a node to explore related trials.

Study Timeline

Key milestones and dates

Study Start

First participant enrolled

January 1, 2008

Completed
4 months until next milestone

First Submitted

Initial submission to the registry

May 1, 2008

Completed
6 days until next milestone

First Posted

Study publicly available on registry

May 7, 2008

Completed
7 months until next milestone

Primary Completion

Last participant's last visit for primary outcome

December 1, 2008

Completed
Same day until next milestone

Study Completion

Last participant's last visit for all outcomes

December 1, 2008

Completed
Last Updated

January 26, 2017

Status Verified

January 1, 2017

Enrollment Period

11 months

First QC Date

May 1, 2008

Last Update Submit

January 25, 2017

Conditions

Keywords

Staff motivationHospital mortalityPerception of quality of care

Outcome Measures

Primary Outcomes (1)

  • Overall hospital and malaria mortality

    One year

Secondary Outcomes (1)

  • Parent's perception of the quality of care received

    One year

Interventions

Control \& management of funds for incentive of staff; supervision

Supervision, control of funds

Eligibility Criteria

AgeUp to 59 Months
Sexall
Healthy VolunteersNo
Age GroupsChild (0-17)

You may qualify if:

  • Children under five years of age admitted to the ward
  • Parents of these children

Contact the study team to confirm eligibility.

Sponsors & Collaborators

Study Sites (1)

Paediatric department at the national hospital

Bissau, Bissau Region, 50, Guinea-Bissau

Location

Related Publications (2)

  • Biai S, Rodrigues A, Gomes M, Ribeiro I, Sodemann M, Alves F, Aaby P. Reduced in-hospital mortality after improved management of children under 5 years admitted to hospital with malaria: randomised trial. BMJ. 2007 Oct 27;335(7625):862. doi: 10.1136/bmj.39345.467813.80. Epub 2007 Oct 22.

    PMID: 17954513BACKGROUND
  • Sodemann M, Veirum J, Biai S, Nielsen J, Bale C, Skytte Jakobsen M, Gustafson P, Aaby P. Reduced case fatality among hospitalized children during a war in Guinea-Bissau: a lesson in equity. Acta Paediatr. 2004 Jul;93(7):959-64.

    PMID: 15303813BACKGROUND

MeSH Terms

Conditions

Malaria

Interventions

Organization and Administration

Condition Hierarchy (Ancestors)

Protozoan InfectionsParasitic DiseasesInfectionsMosquito-Borne DiseasesVector Borne Diseases

Intervention Hierarchy (Ancestors)

Health Services Administration

Study Officials

  • Amabelia Rodrigues, PhD

    Bandim Health Project & Gates Malaria Partnership

    PRINCIPAL INVESTIGATOR

Study Design

Study Type
interventional
Phase
not applicable
Allocation
NA
Masking
NONE
Purpose
HEALTH SERVICES RESEARCH
Intervention Model
SINGLE GROUP
Sponsor Type
OTHER
Responsible Party
PRINCIPAL INVESTIGATOR
PI Title
Professor

Study Record Dates

First Submitted

May 1, 2008

First Posted

May 7, 2008

Study Start

January 1, 2008

Primary Completion

December 1, 2008

Study Completion

December 1, 2008

Last Updated

January 26, 2017

Record last verified: 2017-01

Locations