The Impact of Involving Informal Health Providers for Tuberculosis Control in Sudan

NCT01841541 | Completed DMC

• 1 other identifier: 11.03RS
• Study Type: interventional
• Target: 380
• Locations: 1 country
• Sites: 1

Brief Summary

Training and engaging of unpaid informal providers (such as tea-sellers, women's groups, youth clubs, small traders and religious groups) from poorer localities in TB disease recognition, referral and community awareness raising will increase the access of TB patients to formal health facilities and decrease their delay in initiating TB treatment.

Conditions

Tuberculosis

Keywords

Tuberculosis; Informal providers; Informal carers; Barriers to health system

Outcome Measures

Primary Outcomes (1)

• Total number of TB patients registered and start receiving treatment in formal health care facilities

  This will be measured by comparing Data from routine patients registered in formal TB management units in the intervention arm and compare it with the same routine data from the control arm. similar data for the previous year will undergo the same comparison as time control for both arms

  12 months

Study Arms (2)

Ombda Locality: informal providers

EXPERIMENTAL

Ombda locality is located in Western Khartoum and populated with population size of 988,163. Intervention: 380 unpaid Informal providers trained to recognise TB symptoms and to refer presumptive TB cases to formal health care facilities within the area.

Behavioral: Referral of presumptive of TB cases by informal providers

Jabal Awlia Locality

NO INTERVENTION

The control arm: A locality in south eastern site of Khartoum state populated with 942,429. No intervention took place

Interventions

Referral of presumptive of TB cases by informal providers BEHAVIORAL

Training of informal providers to effectively refer TB suspects in the community to the primary health care system

Ombda Locality: informal providers

Eligibility Criteria

• Age: 14 Years+
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Access point for health seeking by the poor and vulnerable
• Active and well known in community
• Intervention activities can be confined to intervention area
• Based in community/locality
• Longevity; long standing
• Present in control and intervention areas
• Able and willing to complete the training to be Triage-Plus providers (ie giving formal consent)

You may not qualify if:

• Formal health providers, e.g. clinics, labs, hospitals (MOH, NGO or private)
• Internationally funded organizations, e.g. international NGOs
• Civil servants e.g. teachers

Sponsors & Collaborators

• Liverpool School of Tropical Medicine: lead
• The Epidemiological Laboratory (EpiLab), Khartoum-Sudan.: collaborator
• The Norwegian Heart and Lung Patients Association (LHL): collaborator

Study Sites (1)

The Epidemiological Laboratory (EpiLab)

Khartoum, Khartoum State, Sudan

Location

MeSH Terms

Conditions

Tuberculosis

Condition Hierarchy (Ancestors)

Mycobacterium Infections; Actinomycetales Infections; Gram-Positive Bacterial Infections; Bacterial Infections; Bacterial Infections and Mycoses; Infections

Study Officials

• S. Bertel ("Bertie") Squire, MB BChir, MD

  Liverpool School of Tropical Medicine

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: April 24, 2013
• First Posted: April 26, 2013
• Study Start: January 1, 2009
• Primary Completion: March 1, 2012
• Study Completion: April 1, 2012
• Last Updated: April 26, 2013

Record last verified: 2013-04

Locations

SU (1)