Snakebite Prevention and First Aid Through Community Engagement

NCT05872373 | Unknown DMC

• 1 other identifier: D02550
• Study Type: interventional
• Target: 180,000
• Locations: 1 country
• Sites: 1

Brief Summary

This study will be a community trial conducted in two Upazila (sub-district) of Bangladesh- Kalapara, Patuakhali district and Shibganj, Chapainawabganj district. Kalapara upazila will be the intervention area and Shibganj will be the control area. From both the control and intervention areas, 30 community clinics will be randomly selected. Each community clinic serves 6,000 people and consists of 3 'wards'. So, the sample size will be 1,80,000 in the control and intervention areas, respectively. We would first perform formative research and survey to comprehend the burden and the community's perception of managing and preventing snakebite incidents. Data gathered through this assessment will contribute to finalizing our study interventions. The major goals of these interventions are to enhance community involvement and first aid awareness. Community participation will be addressed through 'Uthan Boithok' (courtyard meeting), health education sessions in schools, community clinics, and Upazila Health Complex (UHC) by displaying/using IEC (Information, Education, and Communication) materials (posters, flip charts, leaflets etc.), traditional songs on snakebite prevention and first aid management. Other interventions will include short audiovisual clips and community radio broadcasts, the development of Snakebite Support Groups (SBSG), and speedy referral responses. These interventions will be evaluated through a baseline survey, a midline process evaluation, and an end-line survey. The final assessment process will be completed by comparing the findings of the baseline and end-line surveys as well as by using the hospital surveillance system. Estimated cases per year and the number of patients who attended the hospital for treatment will be the main assessment criteria. In this trial, the primary outcome, the incidence of snakebite cases, will be modelled using a mixed effects Poisson regression model to obtain incidence rate ratios (IRRs) comparing the intervention to the control group. Therefore, this proposed project's community participation and health system-building initiatives will also help to build community awareness and quick treatment response in rural communities which in the long run will reduce the morbidity and mortality from snakebite incidence in Bangladesh.

Conditions

Snakebite

Keywords

Snake envenomation; Community engagement; Prevention of snakebite; First aid

Outcome Measures

Primary Outcomes (1)

• People are knowledgeable about the prevention of snakebite, engaged in proper management of snakebite, communities are empowered to address snakebite in their areas.

  The outcome will be measured by the following metrics- reduce the visit to the traditional healer, reduce the use of tourniquets, increase the practice of immobilization after bites, reduce the mean time between bite to hospital, and the mean time from home to the hospital.

  2 years

Secondary Outcomes (1)

• A comprehensive integrated snakebite prevention and management program developed

  2 years

Study Arms (1)

Intervention Group

EXPERIMENTAL

Cases are the community people in the study area where interventions will be provided to measure the outcome of the study.

Behavioral: Snakebite prevention and first aid

Interventions

Snakebite prevention and first aid BEHAVIORAL

The study will offer a communication strategy to develop an effective narrative by using a mix-media campaign, where IEC materials would be chiefly localized.

Intervention Group

Eligibility Criteria

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

You may qualify if:

• People living within the study area

You may not qualify if:

• People not giving consent

Sponsors & Collaborators

• Toxicology Society of Bangladesh: lead
• Centre for Injury Prevention and Research Bangladesh: collaborator
• Ministry of Health & Family Welfare, Bangladesh: collaborator

Study Sites (1)

Kalapara Upazila and Upazila Health Complex

Patuakhali, 8650, Bangladesh

Location

MeSH Terms

Conditions

Snake Bites

Interventions

First Aid

Condition Hierarchy (Ancestors)

Bites and Stings; Poisoning; Chemically-Induced Disorders; Wounds and Injuries

Intervention Hierarchy (Ancestors)

Emergency Treatment; Therapeutics

Study Officials

• Aniruddha Ghose, FCPS

  Chittagong Medical College and Hospital

  STUDY CHAIR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: NA
• Masking: NONE
• Purpose: PREVENTION
• Intervention Model: SINGLE GROUP
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: President

Model Details: This study is a community trial for better community engagement and creating awareness of the first aid management and prevention of snakebites through different IEC materials.

Study Record Dates

• First Submitted: May 14, 2023
• First Posted: May 24, 2023
• Study Start: September 1, 2022
• Primary Completion: August 30, 2024
• Study Completion: August 30, 2024
• Last Updated: May 24, 2023

Record last verified: 2023-05

Locations

BA (1)