Universal Coverage Mode RCT

NCT04106921 | Completed

• 1 other identifier: 0219-0619
• Study Type: interventional
• Target: 199
• Locations: 1 country
• Sites: 1

Brief Summary

Community Health Workers that work in collaboration with the NGO Muso Health and the Malian government in both a peri-urban and a rural site in Mali, provide care proactively to the population they form part of. To work, they use a smartphone application that was developed as a job aid to support task management, panel management and clinical decision support functions. For this study, a tool called "Universal Health Coverage Mode" was designed to be integrated into the CHW application to help Community Health Workers visit every household at least twice per month. We hypothesize that Community Health Workers (CHWs) assigned to use Universal Health Coverage (UHC) Mode, a mobile application tool, will achieve higher coverage of homes visited (defined as being visited at least two times in a month) than those without this tool.

Conditions

Community Health Workers

Keywords

community health workers; primary health care; mobile applications

Outcome Measures

Primary Outcomes (1)

• Primary outcome

  The probability of a household receiving two or more visits per "workflow" month (a month being from the 26th of one month to the 25th of the next month).

  4 months

Secondary Outcomes (3)

• Secondary outcome 1

  4 months

• Secondary outcome 2

  4 months

• Secondary outcome 3

  4 months

Study Arms (2)

Universal Health Coverage Mode

EXPERIMENTAL

The NGOs Muso and Medic Mobile have partnered to develop Universal Health Coverage Mode, a smartphone app tool that provides visual cues to help CHWs track the quantity of household visits they have conducted at each household in a given month.

Other: Universal Health Coverage Mode

Work as usual

NO INTERVENTION

For the control arm, all households within the CHW's household list in the app will have the same appearance. There will be no visual differentiation between households on the list to indicate the frequency of home visits.

Interventions

Universal Health Coverage Mode OTHER

In the intervention arm, the CHW's household list will appear differently within the app in the following ways: The CHW will be able to filter and order households by the date of the most recent home visit. A color-coded visual icon will display the number of home visits in the past month for each household. A red exclamation mark will be displayed for every household that has not reached 2 visits in the past month (default at the start of every month). Text displayed below each household showing the date of last visit will turn red if more than 30 days have passed since last visit. When more than 60 days have passed since the most recent visit, the text displayed below each household showing the date of last visit will be changed to "date of last visit is unknown" in red. The family profile will also contain the date of last visit, and the visits they have received in that month

Universal Health Coverage Mode

Eligibility Criteria

• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Child (0-17), Adult (18-64), Older Adult (65+)

You may qualify if:

• Community Health Workers serving the Tori (n=27) and Yirimadio (n=172) catchment areas conducting proactive home visits will be eligible to participate in the study

You may not qualify if:

• CHWs involved in pilot-testing UHC Mode prior to the trial will be excluded from the trial.

Sponsors & Collaborators

• Ari Johnson, MD: lead
• Bill and Melinda Gates Foundation: collaborator
• Medic Mobile: collaborator

Study Sites (1)

Muso

Bamako, Mali

Location

Related Publications (18)

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• Yang JE, Lassala D, Liu JX, Whidden C, Holeman I, Keita Y, Djiguiba Y, N'Diaye SI, Fall F, Kayentao K, Johnson AD. Effect of mobile application user interface improvements on minimum expected home visit coverage by community health workers in Mali: a randomised controlled trial. BMJ Glob Health. 2021 Nov;6(11):e007205. doi: 10.1136/bmjgh-2021-007205.

  PMID: 34815242 DERIVED

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 INVESTIGATOR
• PI Title: MD

Model Details: Difference in differences parallel randomized controlled trial.

Study Record Dates

• First Submitted: September 25, 2019
• First Posted: September 27, 2019
• Study Start: February 1, 2019
• Primary Completion: July 26, 2019
• Study Completion: July 26, 2019
• Last Updated: September 27, 2019

Record last verified: 2019-09

Data Sharing

• IPD Sharing: Will not share

Locations

MA (1)