Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

Malaria Clinical Trial

Official title: Evaluation of Local Mechanisms for Staff Motivation to Improve Treatment and Reduce Mortality Due to Malaria at the Paediatric Ward

Status Completed

Clinical Trial Summary

We observed in a randomised intervention trial in Bissau that mortality due to malaria could be reduced by half by adding a small monetary incentive to the staff and strict follow-up of a standard protocol for available drugs. The Government and donors are not able to sustain such incentives. We intend to evaluate whether strict organisation of a cost recovery system and the use of part of the funds for staff incentives would improve performance of the staff and contribute to reduction of hospital and post-discharge mortality.

Clinical Trial Description

A committee will organise collection and use of the money, and decide on incentives to be paid to the staff based on performance indicators. All children < 5 years of age admitted to the ward will be registered and followed-up until two months after the consultation. Data on the level of mortality before and after the study period will be collected. Furthermore, interviews on quality perception of the parents will be carried out before and after the study. ;

Related Conditions & MeSH terms

• Hospital Mortality
• Malaria

• NCT number: NCT00673166
• Study type: Interventional
• Source: London School of Hygiene and Tropical Medicine
• Status: Completed
• Phase: N/A
• Start date: January 2008
• Completion date: December 2008