Better Health Outcomes Through Mentoring and Assessment (BHOMA)

NCT01942278 | Completed

• 1 other identifier: CIDRZ 1229
• Study Type: interventional
• Target: 207,517
• Locations: 1 country
• Sites: 1

Brief Summary

BHOMA Interventions The purpose of this study is to assess the impact of the BHOMA intervention on health in 3 rural districts of Zambia.

Conditions

Patient Care

Keywords

Healthcare; Patients

Outcome Measures

Primary Outcomes (1)

• Age standardized mortality rates in those aged <60 years.

  The sample size is based on a mortality rate for those aged\<60 years of 20/1000 person years, each of 3 cross sectional surveys recruits 150 households of whom 6 members are aged \<60 years, and births and deaths within the household in the last 12 months are ascertained. For a values of k between 0.2 and 0.3 there is at least 90% power to detect a 35% reduction in mortality, and for k=0.35 there is approximately 87% power.

  4 years

Secondary Outcomes (1)

• Mortality in those aged <5 years.

  4 years

Study Arms (2)

Usual Care

NO INTERVENTION

Care is delivered according to baseline standard practice

BHOMA

EXPERIMENTAL

Care is delivered according to the BHOMA intervention

Other: BHOMA

Interventions

BHOMA OTHER

A complex health systems, clinical care, and community intervention to improve outcomes

BHOMA

Eligibility Criteria

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

You may qualify if:

• Intervention Sites The intervention will involve all of the health facilities in the Chongwe, Kafue and Luangwa districts.

You may not qualify if:

• All enumerated adults who are able to give written, informed consent. If an adult is illiterate they may be asked to give consent providing the information is read to them and it is established that they fully understand its contents and there is a witness available to witness the understanding of the information and the fingerprinting of the consent form.
• All adolescents 10-17 years and children 5 years or less who have a parent or responsible guardian who is able to give written, informed consent. If the parent or guardian is illiterate they may be asked to give consent providing the information is read to them and it is established that they fully understand its contents and there is a witness available to witness the understanding of the information and the fingerprinting of the consent form.
• Any adult who is unable to give informed consent due to mental or other disability
• Any adolescent or child who has no responsible parent or guardian
• Any household member who has been absent from the house for more than 72 hours

Sponsors & Collaborators

• University of North Carolina, Chapel Hill: lead
• Doris Duke Charitable Foundation: collaborator

Study Sites (1)

Center for Infectious Disease Research in Zambia

Lusaka, Zambia

Location

Related Publications (5)

• Mutale W, Ayles H, Lewis J, Bosompraph S, Chilengi R, Tembo MM, Sharp A, Chintu N, Stringer J. Protocol-driven primary care and community linkage to reduce all-cause mortality in rural Zambia: a stepped-wedge cluster randomized trial. Front Public Health. 2023 Aug 31;11:1214066. doi: 10.3389/fpubh.2023.1214066. eCollection 2023.

  PMID: 37727608 DERIVED

• Mutale W, Cleary S, Olivier J, Chilengi R, Gilson L. Implementing large-scale health system strengthening interventions: experience from the better health outcomes through mentoring and assessments (BHOMA) project in Zambia. BMC Health Serv Res. 2018 Oct 19;18(1):795. doi: 10.1186/s12913-018-3619-3.

  PMID: 30340583 DERIVED

• Mwanza M, Zulu J, Topp SM, Musonda P, Mutale W, Chilengi R. Use of Lot quality assurance sampling surveys to evaluate community health worker performance in rural Zambia: a case of Luangwa district. BMC Health Serv Res. 2017 Apr 17;17(1):279. doi: 10.1186/s12913-017-2229-9.

  PMID: 28416009 DERIVED

• Yan LD, Chirwa C, Chi BH, Bosomprah S, Sindano N, Mwanza M, Musatwe D, Mulenga M, Chilengi R. Hypertension management in rural primary care facilities in Zambia: a mixed methods study. BMC Health Serv Res. 2017 Feb 3;17(1):111. doi: 10.1186/s12913-017-2063-0.

  PMID: 28158981 DERIVED

• Mutale W, Stringer J, Chintu N, Chilengi R, Mwanamwenge MT, Kasese N, Balabanova D, Spicer N, Lewis J, Ayles H. Application of balanced scorecard in the evaluation of a complex health system intervention: 12 months post intervention findings from the BHOMA intervention: a cluster randomised trial in Zambia. PLoS One. 2014 Apr 21;9(4):e93977. doi: 10.1371/journal.pone.0093977. eCollection 2014.

  PMID: 24751780 DERIVED

Study Officials

• Jeffrey Stringer, MD

  UNC at Chapel Hill

  PRINCIPAL INVESTIGATOR

Study Design

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

Study Record Dates

• First Submitted: September 10, 2013
• First Posted: September 13, 2013
• Study Start: January 1, 2011
• Primary Completion: August 1, 2016
• Study Completion: August 1, 2016
• Last Updated: April 14, 2017

Record last verified: 2017-02

Locations

ZA (1)