Primary Health Care Delivery Models in Conflict Settings of Cameroon and Nigeria

Primary Health Care Clinical Trial

Official title:

Primary Health Care Landscape in Conflict Settings and Choices of Delivery Models in North West and South West Regions of Cameroon and North East Nigeria

Clinical Trial Details — Status: Recruiting

Administrative data

• NCT number: NCT05279105
• Other study ID #: Cambridge
• Status: Recruiting
• Start date: March 17, 2022
• Est. completion date: September 30, 2023

Study information

• Verified date: May 2022
• Source: University of Cambridge
• Contact: LUNDI-ANNE OMAM N BIBAA
• Phone: 0047849529803
• Email: laon2[@]cam.ac.uk
• Is FDA regulated: No
• Study type: Observational

Clinical Trial Summary

The overall objective of this research is to understand the PHC landscape in conflict-affected settings including choice of PHC delivery models and quality interventions used by humanitarian organisations

Description:

There is sparse evidence to guide the selection and design of primary health care (PHC) services that improves and maintains quality care in humanitarian settings. The Northwest and Southwest regions of Cameroon, and Northeast Nigeria have protracted humanitarian crises. Various models of PHC are used in these settings; ensuring quality of PHC models of care is essential to improve health outcomes. We aim to explore how PHC models are selected by humanitarian organizations and through stakeholder engagement design a toolkit for evaluation of quality in PHC care delivery across different models.

The specific objectives of the study are;

1. To map different primary health care delivery models used by public, private and humanitarian organization in the conflict affected settings of NWSW Cameroon and North East Nigeria by conducting a mapping survey

2. To explore the factors influencing the selection of primary health care delivery models used by humanitarian organizations to guide the selection of models of care and strengthening of programming efforts in conflict settings by conducting an exploratory qualitative study

3. To determine the coverage and gaps in services across the different PHC models to develop a pilot questionnaire to evaluate quality in conflict settings by conducting an exploratory qualitative study

The humanitarian crisis in North West and South West regions of Cameroon and North East Nigeria, has led to the closure of 269/933 and 617/2367 health facilities respectively with over 2.21 million IDPs and 350,000 returnees(2, 3), creating a huge gap in the availability and accessibility of health services to affected communities. The need to conduct this study becomes even more pertinent to inform program developers and donors on key considerations to make before using different models of care, and how quality can be improved to foster sustainability

Recruitment information / eligibility

• Status: Recruiting
• Enrollment: 200
• Est. completion date: September 30, 2023
• Est. primary completion date: March 30, 2023
• Accepts healthy volunteers: Accepts Healthy Volunteers
• Gender: All
• Age group: 21 Years and older

Eligibility

Inclusion Criteria:

• Male and female staff of humanitarian organisations, internally displaced persons (confirmed to be a resident of an IDP or host community);

• Age 21 years of age or older;

• Ability to provide informed consent or assent to participate in the research

Exclusion Criteria:

• Individuals who are mentally ill or with limitations to communicate well;

• Those who cannot speak or understand the local languages so that they cannot understand the interviewer.

• Those who refuse to provide consent to the study or who do not want to participate in the study

Related Conditions & MeSH terms

• Primary Health Care

Intervention

Behavioral:
• Program support
The intervention to be evaluated in this study is program design and selection considerations by humanitarian organisations. It will comprise of factors that motivate organisations to chose certain delivery models in providing health care in conflict-affected settings

Locations

Country	Name	City	State
Cameroon	Reach Out Cameroon	Buea	South West Region
Nigeria	Herwa Cdi	Maiduguri
United Kingdom	Lundi-Anne Omam Ngo Bibaa	Cambridge

Sponsors (6)

Lead Sponsor	Collaborator
University of Cambridge	Elrha, Herwa Community Development Initiative (HERWACDI), Reach Out Cameroon, University of Buea, University of Maiduguri

Countries where clinical trial is conducted

Cameroon,  Nigeria,  United Kingdom, 

Outcome

Type	Measure	Description	Time frame	Safety issue
Primary	Number of frameworks developed	Framework to guide humanitarian organizations in the selection of primary health care models will be collaboratively developed following the results from the study and stakeholders meeting	12 months
Secondary	Number of quality oversight toolkit developed	Following the development of a framework to inform the selection of models of care, an "oversight toolkit" for selecting models of care and monitoring a pragmatic set of quality interventions (QI) will be developed. The toolkit will include a composite score drawing from scores across all domains. This will be used to give an overall assessment score of quality.	12 months