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

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT00673166
• Other study ID #: HMTV
• Secondary ID: GMP_P_II_5
• Status: Completed
• Phase: N/A
• First received: May 1, 2008
• Last updated: January 25, 2017
• Start date: January 2008
• Est. completion date: December 2008

Study information

• Verified date: January 2017
• Source: London School of Hygiene and Tropical Medicine
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

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.

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.

Recruitment information / eligibility

• Status: Completed
• Enrollment: 900
• Est. completion date: December 2008
• Est. primary completion date: December 2008
• Accepts healthy volunteers: No
• Gender: All
• Age group: N/A to 59 Months

Eligibility

Inclusion Criteria:

• Children under five years of age admitted to the ward

• Parents of these children

Related Conditions & MeSH terms

• Hospital Mortality
• Malaria

Intervention

Procedure:
• Staff incentive & supervision
Control & management of funds for incentive of staff; supervision

Behavioral:
• Staff motivation
Supervision, control of funds

Locations

Country	Name	City	State
Guinea-Bissau	Paediatric department at the national hospital	Bissau

Sponsors (2)

Lead Sponsor	Collaborator
London School of Hygiene and Tropical Medicine	Statens Serum Institut

Country where clinical trial is conducted

Guinea-Bissau, 

References & Publications (2)

Biai S, Rodrigues A, Gomes M, Ribeiro I, Sodemann M, Alves F, Aaby P. Reduced in-hospital mortality after improved management of children under 5 years admitted to hospital with malaria: randomised trial. BMJ. 2007 Oct 27;335(7625):862. — View Citation

Sodemann M, Veirum J, Biai S, Nielsen J, Bale C, Skytte Jakobsen M, Gustafson P, Aaby P. Reduced case fatality among hospitalized children during a war in Guinea-Bissau: a lesson in equity. Acta Paediatr. 2004 Jul;93(7):959-64. — View Citation

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Overall hospital and malaria mortality		One year
Secondary	Parent's perception of the quality of care received		One year