Clinical Evaluation of the Use of an mHealth Intervention on Quality of Care

Malaria Clinical Trial

Official title:

Clinical Evaluation of the Use of an mHealth Intervention on Quality of Care Provided by Community Health Workers in Southwest Niger

Clinical Trial Details — Status: Completed

Administrative data

• NCT number: NCT03874143
• Other study ID #: 001
• Status: Completed
• Phase: N/A
• Start date: March 1, 2016
• Est. completion date: October 1, 2016

Study information

• Verified date: March 2019
• Source: World Vision Canada
• Contact: n/a
• Is FDA regulated: No
• Study type: Interventional

Clinical Trial Summary

Under the World Health Organization's (WHO) integrated community case management (iCCM) Rapid Access Expansion Program (RAcE), World Vision Niger and Canada supported the Niger Ministry of Public Health to implement iCCM in four health districts in Niger in 2013. Community health workers (CHWs), known as Relais Communautaire (RCom), were deployed in their communities to diagnose and treat children under five years of age presenting with diarrhea, malaria and pneumonia and refer children with severe illness to the higher-level facilities. Two of the districts piloted RCom using smartphones equipped with an application to support quality case management and provide good timely clinical data. A two-arm cluster randomized trial assessed the impact of use of the mHealth application mainly on quality of care (QoC), but also on motivation, retention and supervision

Recruitment information / eligibility

• Status: Completed
• Enrollment: 520
• Est. completion date: October 1, 2016
• Est. primary completion date: October 1, 2016
• Accepts healthy volunteers: No
• Gender: All
• Age group: 2 Months to 59 Months

Eligibility

Inclusion Criteria:

• children presenting symptoms of illness

Exclusion Criteria:

Related Conditions & MeSH terms

• Acute Respiratory Infection
• Diarrhea
• Malaria
• Respiratory Tract Infections

Intervention

Other:
• mHealth Intervention for Quality of Care
Does use of a specially equipped smartphone make a difference in the diagnosis and treatment by RCom of malaria, pneumonia and diarrhea in children aged 2 to 59 months

Locations

Country	Name	City	State
n/a

Sponsors (5)

Lead Sponsor	Collaborator
World Vision Canada	Global Affairs Canada, Ministry of Public Health Niger, Ryerson University, World Health Organization

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Quality of Care (QoC) provided by RCom	The maximum QoC score was 31 points; the score was weighted with two-thirds of the score allocated to screening questions and correct identification of the danger signs and signs/symptoms of serious conditions A perfect score was achieved when RComs asked all 10 health screening questions and correctly classified 4 major danger signs and 6 serious symptoms, made appropriate referral, and provided advice to caregivers.	30 weeks