Pneumonia Clinical Trial
Official title:
To Document Pneumonia Case Management Practices in Selected Communities in Pakistan; A Qualitative Study
NCT number | NCT03869099 |
Other study ID # | AC18006 |
Secondary ID | |
Status | Completed |
Phase | |
First received | |
Last updated | |
Start date | May 1, 2018 |
Est. completion date | July 30, 2019 |
Verified date | February 2020 |
Source | University of Edinburgh |
Contact | n/a |
Is FDA regulated | No |
Health authority | |
Study type | Observational |
Pneumonia in Pakistan continues to be the leading killer of children under five. Although various national and provincial programs have tried to tackle this but they have not been able to achieve the desired outcomes. Additionally, there has been limited in depth evaluation of the practices of pneumonia management at various levels of the community. The investigators, therefore, aim to establish an understanding of pneumonia case management at three levels of healthcare - community, first level care facility and practitioner level. This will be conducted through observations of pneumonia case managements practices of healthcare providers at these three levels across the country by simulated patients. Observation checklists will be developed incorporating settings and behaviors. Observation sites will be randomly selected with 32 observations made in each province. The results of this study will yield the ground reality of pneumonia case management in Pakistan. Based on the results of this study, strategies can be devised to improve case management within the community with models of regular monitoring and supervision.
Status | Completed |
Enrollment | 160 |
Est. completion date | July 30, 2019 |
Est. primary completion date | June 30, 2019 |
Accepts healthy volunteers | No |
Gender | All |
Age group | 1 Month to 5 Years |
Eligibility |
Inclusion Criteria for Disguised Caretakers: - Caregivers of children under five years of age. These are those individuals who provide direct care to the child. These could either be a mother, father, grandmother or guardian. - The child under five under that caregiver's household must have symptoms of pneumonia/severe pneumonia - Caregivers consenting to be a part of the study. Exclusion Criteria for Disguised Caretakers: • Caregivers of children under five suffering from co-morbidity with pneumonia. Inclusion Criteria for Healthcare Professionals under Observation: For LHWs: - Those who have been practicing as LHWs for more than one year as identified by talking to the community. - Those who belong to the catchment area of the selected study sites For BHUs: • Functional BHUs with at least one licensed healthcare provider. For RHC: • Functional RHCs with at least one licensed healthcare provider. Public Practitioners: - Paediatricians working in a government tertiary healthcare facility as a full time employee. - In case the facility/location does not have specialist paediatricians, then general physicians working full time within that facility. Private Practitioners: - Full time/part time private paediatric practitioners working in either their private clinics or in private hospitals. - In case the facility/location does not have specialist paediatricians, then general physicians working within that facility. Exclusion Criteria for Healthcare Professionals under Observation: • BHUs or RHCs run by non -licensed healthcare professionals as there are certain locations whereby due to lack of licensed healthcare professional's facility technicians tend to attend to the patients based on their experience. |
Country | Name | City | State |
---|---|---|---|
Pakistan | MNCHRN | Islamabad | Federal |
Lead Sponsor | Collaborator |
---|---|
University of Edinburgh | Maternal, Neonatal and Child Health Research Network |
Pakistan,
Type | Measure | Description | Time frame | Safety issue |
---|---|---|---|---|
Primary | To assess number of healthcare providers providing standard pneumonia case management to under five children. | Standard case management practices regarding pediatric pneumonia comprising of components of history taking, examination, diagnosis and treatment across all provinces of Pakistan will be assessed. An observation checklist will be used to collect both qualitative and quantitative data. Quantitative data will be analyzed through descriptive and inferential statistics which will include province-wise reported frequencies of healthcare providers providing standard pneumonia case management to children under five. Whereas; qualitative data will be assessed through thematic analysis. | 13 months |
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