Promoting Evidence-Based Decision-Making in India: District Evaluation Study on Health

NCT01003587 | Unknown

• 1 other identifier: SMH 09-049
• Study Type: interventional
• Target: 594
• Locations: 2 countries
• Sites: 2

Brief Summary

The purpose of this study is to assess the impact of disseminating information on comparative performance, along with actionable messages on how to improve health outcomes, to district-level decision-makers in India using a randomized, controlled design. This information should improve prioritization of health services by district health officers, budget allocation for health, and implementation of priority health services at the district level.

Conditions

Infectious Disease; Cardiovascular Disease

Keywords

India; evidence-based policy; knowledge translation; disease control priorities; decision-makers; health spending; health services delivery; maternal and child health; policy making; delivery of health care

Outcome Measures

Primary Outcomes (3)

• Percentage children 12-23 months vaccinated against measles

  Five years

• Percentage children <3 yrs with diarrhea in past 2 weeks given oral rehydration solution

  Five years

• Percentage facility-based births for the last child since 2007

  Five years

Secondary Outcomes (5)

• Percentage last child >3 yrs breast fed within 1 hr of birth

  Five years

• Percentage women given advice on breastfeeding and newborn thermal care during antenatal care

  Five years

• Percentage subcenters with oral rehydration solution available on day of survey and no stockouts for more than 10 days in last month

  Five years

• Percentage community health centres with at least 1 surgeon or ob/gyn

  Five years

• Percentage public health centres with reagents, light microscope and lab technician for malaria blood smear

  Five years

Other Outcomes (2)

• Differences in any of primary and secondary outcomes between Empowered Action Group and Assam (EAGA) states and non-EAGA states

  Five years

• Differences in any of primary and secondary outcomes between measles-focus states and non-measles-focus states

  Five years

Study Arms (2)

District health information package

EXPERIMENTAL

Behavioral: District health information package

No Intervention

NO INTERVENTION

Interventions

District health information package BEHAVIORAL

The intervention package consists of: * A report on disease burden, disease control priorities and health system performance in India * Condensed fact sheet based on the report * District health report cards (DRCs) comparing performance on key health indicators with other districts, information on causes of death in each district, and actionable messages to reduce deaths in the district * Customized speech for district level officials detailing key actions to reduce deaths * Reminder materials including poster version of the DRCs and video on key points and actionable messages

District health information package

Eligibility Criteria

• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• All districts in India in existence in 2001

You may not qualify if:

• All districts in India created after 2001
• Members of Parliament (MPs) who sit in the Lok Sabha (Lower House of Parliament) and represent constituencies that are contained within or overlap study districts
• Members of Legislative Assembly (MLAs) who represent constituencies that are contained within study districts
• District Collectors (DCs) who administrate study districts
• Zilla Parishad Chief Executive Officers (ZPCEOs) who administrate study districts
• District Health Officers (DHOs) who work in study districts
• MPs who sit in the Rajya Sabha (Upper House of Parliament), Lok Sabha MPs who represent constituencies not contained within or overlapping study districts, Lok Sabha MPs who represent constituencies that overlap both experimental and control study districts
• MLAs who represent constituencies not contained within study districts
• DCs who administrate non-study districts
• ZPCEOs who administrate non-study districts
• DHOs who work in non-study districts

Sponsors & Collaborators

• Unity Health Toronto: lead
• Canadian International Development Agency: collaborator
• Lombard Insurance Global Poverty Action Lab: collaborator
• St. John's Research Institute: collaborator

Study Sites (2)

Centre for Global Health Research, St. Michael's Hospital

Toronto, Ontario, M5C 1N8, Canada

Location

St. John's Research Institute

Bangalore, Karnataka, 560034, India

Location

Related Links

• Centre for Global Health Research
• St. John's Research Institute

MeSH Terms

Conditions

Communicable Diseases; Cardiovascular Diseases

Condition Hierarchy (Ancestors)

Infections; Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Onil Bhattacharyya, MD, PhD

  Unity Health Toronto

  PRINCIPAL INVESTIGATOR

• Prabhat Jha, MD, PhD

  Unity Health Toronto

  PRINCIPAL INVESTIGATOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: October 28, 2009
• First Posted: October 29, 2009
• Study Start: July 1, 2009
• Primary Completion: March 1, 2016
• Study Completion: July 1, 2016
• Last Updated: June 4, 2015

Record last verified: 2015-06

Locations

IN (1); CA (1)