Advancing the Health of Rural Communities in Uganda Through Strong Community Health Programs

NCT05176106 | Completed

• 1 other identifier: IRB00015042
• Study Type: interventional
• Target: 769
• Locations: 1 country
• Sites: 1

Brief Summary

The overarching goal of this study is to improve the health of women and children in rural areas of Uganda through strengthening of the community health workforce, which provides critical health services to the rural poor.

Conditions

Incentives; Health Behavior; Health Care Utilization

Keywords

Community Health Workers; Incentives; Uganda; Motivation; Retention; Performance

Outcome Measures

Primary Outcomes (5)

• Change in VHT Performance

  Measure change in average number of VHT visits made over the course of the 1-year intervention. Types of VHT visits include: average number of home visits, antenatal care visits, postnatal care visits, visits to support immunization of children, visits to talk about safe drinking water, visits to examine latrines and observe handwashing, and number of referrals made to the health facility over the last month.

  Measured monthly for 12 months

• Change in VHT Motivation

  Measure the percentage of VHTs who have improved motivation during the course of the 1-year intervention through use of the Close-To-Community (CTC) Provider Motivational Indicator Scale, which measures satisfaction, organizational commitment, community commitment, and work conscientiousness.

  Baseline (Month 1) and Endline (Month 12)

• Change in VHT Retention

  Measure the percentage of VHTs who report to the health facility over the course of the 1-year intervention.

  Measured monthly for 12 months

• Change in Maternal and Child Health Services Utilization

  Measure change in maternal and child health services utilization, which includes proportion of antenatal care coverage, proportion of immunization coverage, and proportion of children under 5 who have been visited by a VHT, over the course of the 1-year intervention.

  Measured monthly for 12 months

• Change in Adoption of Sanitary Practices

  Measure changes in the adoption of sanitary practices, which includes assessing the average number of households with latrines, improved latrines, handwashing facilities, safe drinking water, and are open defecation free over the course of the 1-year intervention.

  Measured monthly for 12 months

Study Arms (2)

Intervention-Randomized Parishes

EXPERIMENTAL

Parishes will be randomized in Masindi District to receive the intervention (i.e., an incentives package). VHTs who are active in that parish will thereby receive the incentives intervention.

Behavioral: CHW Incentives Intervention

Control-Randomized Parishes

NO INTERVENTION

Non-intervention randomized parishes will be the control parishes. Active VHTs in the control parishes will not receive the incentives intervention.

Interventions

CHW Incentives Intervention BEHAVIORAL

The intervention comprises of an incentives package provided to VHTs who are active in the intervention-randomized parishes. It will comprise of items that will motivate them and support their work as VHTs in the community.

Intervention-Randomized Parishes

Eligibility Criteria

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

You may qualify if:

• Must be an active VHT in Uganda's Masindi district.

Sponsors & Collaborators

• Johns Hopkins Bloomberg School of Public Health: lead
• Makerere University: collaborator

Study Sites (1)

Makerere University School of Public Health

Kampala, Uganda

Location

Related Publications (1)

• Agarwal S, Tweheyo R, Pandya S, Obuya E, Kiyomoto A, Mitra P, Schleiff M, Nagpal T, Macis M, Rutebemberwa E. Impact of a recognition package as an incentive to strengthen the motivation, performance, and retention of village health teams in Uganda: a study protocol for a cluster randomized controlled trial. Trials. 2023 Jun 23;24(1):428. doi: 10.1186/s13063-023-07426-6.

  PMID: 37353798 DERIVED

MeSH Terms

Conditions

Health Behavior; Patient Acceptance of Health Care

Condition Hierarchy (Ancestors)

Behavior; Treatment Adherence and Compliance

Study Design

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

Model Details: Parishes will be randomized to intervention or control. VHTs in the intervention parishes will receive the incentives package as part of the intervention.

Study Record Dates

• First Submitted: November 1, 2021
• First Posted: January 4, 2022
• Study Start: August 23, 2021
• Primary Completion: March 15, 2023
• Study Completion: March 15, 2023
• Last Updated: July 25, 2023

Record last verified: 2023-07

Data Sharing

• IPD Sharing: Will not share

Locations

UG (1)