Sustainable Financial Incentives To Improve Prescription Practices For Malaria

NCT01809873 | Completed DMC

• 1 other identifier: Pro00035154
• Study Type: interventional
• Target: 14,862
• Locations: 1 country
• Sites: 1

Brief Summary

This project aims to test an innovative, sustainable financial incentive designed to reduce the number of non-malarial fevers that are treated inappropriately with antimalarial drugs.

Conditions

Malaria

Keywords

Malaria; Diagnostics; Health Services

Outcome Measures

Primary Outcomes (1)

• Proportion of children under 5 years of age who are treated with antimalarials following a negative malaria test

  The study is designed to detect a reduction in the proportion of children under 5 years of age who are prescribed antimalarials following a negative malaria diagnostic test between the intervention and comparison arms.

  At one year post-intervention

Study Arms (2)

Performance based incentives

EXPERIMENTAL

Performance based incentives: The Incentive arm will receive monthly visits and external quality assurance of malaria diagnostic accuracy, identical to the comparison. Incentive arm will also receive quarterly incentives linked to performance of the facility around six indicators of appropriate malaria case management

Behavioral: Performance based incentives

Comparison

NO INTERVENTION

The comparison arm will receive monthly visits and monthly external quality assurance of malaria diagnostic accuracy.

Interventions

Performance based incentives BEHAVIORAL

Facilities enrolled in the intervention arm will receive a financial incentive that is based on their diagnosis and prescription practices for malaria over that quarter. The intervention will last 12 months.

Performance based incentives

Eligibility Criteria

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

You may qualify if:

• Health facility (level 3) in Western or Rift valley province, within the Academic Model Providing Access to Healthcare (AMPATH) catchment area
• Consent from Provincial Medical Officer of Health, District Medical Officer of Health and Health facility in-charge
• Functioning laboratory including microscopic diagnosis of malaria and at least one laboratory technician.

You may not qualify if:

• Lack of consent from any level
• Lack of adequate laboratory infrastructure or personnel

Sponsors & Collaborators

• Duke University: lead
• Moi University: collaborator

Study Sites (1)

Moi University

Eldoret, Rift Valley Province, 30100, Kenya

Location

Related Publications (2)

• Menya D, Platt A, Manji I, Sang E, Wafula R, Ren J, Cheruiyot O, Armstrong J, Neelon B, O'Meara WP. Using pay for performance incentives (P4P) to improve management of suspected malaria fevers in rural Kenya: a cluster randomized controlled trial. BMC Med. 2015 Oct 16;13:268. doi: 10.1186/s12916-015-0497-y.

  PMID: 26472130 DERIVED

• Menya D, Logedi J, Manji I, Armstrong J, Neelon B, O'Meara WP. An innovative pay-for-performance (P4P) strategy for improving malaria management in rural Kenya: protocol for a cluster randomized controlled trial. Implement Sci. 2013 May 8;8:48. doi: 10.1186/1748-5908-8-48.

  PMID: 23656836 DERIVED

MeSH Terms

Conditions

Malaria

Condition Hierarchy (Ancestors)

Protozoan Infections; Parasitic Diseases; Infections; Mosquito-Borne Diseases; Vector Borne Diseases

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Purpose: HEALTH SERVICES RESEARCH
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Study Record Dates

• First Submitted: March 11, 2013
• First Posted: March 13, 2013
• Study Start: September 1, 2012
• Primary Completion: November 1, 2013
• Study Completion: March 1, 2014
• Last Updated: March 10, 2015

Record last verified: 2015-03

Locations

KE (1)