Engaging Informal Health Care Providers on Case Detection and Treatment Initiation Rates for TB and HIV in Rural Malawi (Triage Plus)
Triage
1 other identifier
interventional
200,000
1 country
1
Brief Summary
The intervention consisted of training non-paid informal healthcare providers (such as store-keepers) in TB and HIV disease recognition, sputum specimen collection, referral to the public health system, and raising community awareness. Front line public health personnel and community leaders were sensitised to support the intervention.
Trial Health
Trial Health Score
Automated assessment based on enrollment pace, timeline, and geographic reach
participants targeted
Target at P75+ for not_applicable
Started Jan 2009
Longer than P75 for not_applicable
1 active site
Health score is calculated from publicly available data and should be used for screening purposes only.
Trial Relationships
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Study Timeline
Key milestones and dates
Study Start
First participant enrolled
January 1, 2009
CompletedPrimary Completion
Last participant's last visit for primary outcome
December 1, 2011
CompletedStudy Completion
Last participant's last visit for all outcomes
December 1, 2012
CompletedFirst Submitted
Initial submission to the registry
April 29, 2014
CompletedFirst Posted
Study publicly available on registry
May 1, 2014
CompletedMay 1, 2014
December 1, 2012
2.9 years
April 29, 2014
April 30, 2014
Conditions
Keywords
Outcome Measures
Primary Outcomes (1)
TB and HIV treatment initiation
the cumulative counts of patients initiating TB and HIV treatment per 10,000 adults aged 12 years and above each month over the intervention period
2 years
Secondary Outcomes (1)
TB and HIV diagnostic uptake rates.
2 years
Study Arms (2)
Early intervention
EXPERIMENTALEarly intervention arm engaging informal providers Received the intervention early in the first 12 months
Delayed intervention
ACTIVE COMPARATORDelayed intervention arm, engaging informal providers Received the intervention after one year
Interventions
Training non-paid informal healthcare providers (such as store-keepers) in TB and HIV disease recognition, sputum specimen collection, referral to the public health system, and raising community awareness. Front line public health personnel and community leaders were sensitised to support the intervention
Delayed intervention arm, engaging informal providers Received the intervention after one year
Eligibility Criteria
You may qualify if:
- People accessing informal providers with possible TB or HIV
You may not qualify if:
- children
- people already with a diagnosis of TB or HIV
Contact the study team to confirm eligibility.
Sponsors & Collaborators
- Liverpool School of Tropical Medicinelead
- Research for Equity And Community Health REACH Trustcollaborator
- Ministry of Health and Population, Malawicollaborator
- LHL International Tuberculosis Foundationcollaborator
- University of Warwickcollaborator
Study Sites (1)
REACH Trust
Lilongwe, Malawi
Related Publications (1)
Bello G, Faragher B, Sanudi L, Namakhoma I, Banda H, Malmborg R, Thomson R, Squire SB. The effect of engaging unpaid informal providers on case detection and treatment initiation rates for TB and HIV in rural Malawi (Triage Plus): A cluster randomised health system intervention trial. PLoS One. 2017 Sep 6;12(9):e0183312. doi: 10.1371/journal.pone.0183312. eCollection 2017.
PMID: 28877245DERIVED
MeSH Terms
Conditions
Interventions
Condition Hierarchy (Ancestors)
Intervention Hierarchy (Ancestors)
Study Officials
- PRINCIPAL INVESTIGATOR
Rachael Thomson, MSc
LSTM
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
April 29, 2014
First Posted
May 1, 2014
Study Start
January 1, 2009
Primary Completion
December 1, 2011
Study Completion
December 1, 2012
Last Updated
May 1, 2014
Record last verified: 2012-12