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CompletedNCT00269178Updated Nov 26, 2024

Cluster Randomized Trial of Peer Health Education in Malaria in The Gambia

A Phase 3 interventional study of Peer Health Education Programme in Malaria, sponsored by London School of Hygiene and Tropical Medicine. Completed at 1 site in Gambia. Open to participants aged 15 Years and older, including healthy volunteers. Per ClinicalTrials.gov, last updated 2024-11-26.

Sponsored by London School of Hygiene and Tropical Medicine · Phase 3, Interventional, and Other

Phase
Phase 3
Study type
Interventional
Enrollment
960
Allocation
Randomized
Ages
15 Years and older
Sex
All
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Study summary

Health promotion in schools aims to improve the health and well being of students by empowering them with the knowledge, skills and confidence to take responsibility for their own health. We incorporated a malaria component to an established peer health education programme in schools in The Gambia, and evaluated its impact on knowledge attitudes and practice (KAP) of school students and their families using a cluster randomized design. Since malaria is a particular problem among children under 5 and pregnant women, students were encouraged to explain what they learned to their families, and we sought to evaluate whether the malaria messages were taken up by the students' families. Evaluation endpoints are KAP in students, and KAP in women living in the school students' home compound.

Read the detailed description

12 communities in The Gambia, each including an upper basic and/or a senior secondary school, were pair-matched on urban/rural location and school type, and one community in each pair randomly selected to receive the peer-health education programme immediately or after a delay, to permit evaluation. The intervention programme comprised training of peer health educators, teacher coordinators, and members of drama troupes, in key malaria messages and principles of health education. The peer educators then conducted a rolling programme of presentations to children and youth in their own schools using drama, puppetry, small group and in-class presentations about malaria, as well as community outreach programs targeting out-of-school youth and the general public. In each school a systematic sample of 75 students were interviewed 10 weeks and 6 months after the start of the programme, and in each school catchment area a sample of 80 women were interviewed at the same time, and bednet use by children under 5 yrs in their care was recorded. From the interviews scores were derived for knowledge about malaria treatment and prevention and knowledge scores and net coverage in children compared between intervention and control schools.

02

Conditions studied

  • Malaria

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Keywords

  • malaria
  • knowledge attitudes and practice (KAP)
  • bednets
  • peer health education
03

In context

Malaria

1,184 studies on the registry are indexed under Malaria; 79 are open to participants now.

This study's enrollment of 960 is above the median of 252 across 937 interventional studies indexed under Malaria.

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Lead sponsor

London School of Hygiene and Tropical Medicine is the lead sponsor of 298 studies on the registry; 15 are open to participants now.

Counted across the registry records on this site, refreshed daily.

04

Who can participate

Ages eligible
15 Years and older
Sexes eligible
All
Accepts healthy volunteers
Yes

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Inclusion criteria

  • Woman caring for a child under 5 years of age, living in the compound of one of the peer health educators
  • Student attending school

Exclusion criteria

Exclusion Criteria:

  • Not caring for a child under 5 years (for women)
  • Not living in a compound of a peer health educator (for women)
05

Study design

Phase
Phase 3
Primary purpose
Other
Allocation
Randomized
Intervention model
Parallel assignment
Masking
None (open label)
Enrollment
960 participants

Interventions

  • BehavioralPeer Health Education Programme
06

What researchers measure

Primary outcomes

  1. 1. Bednet use among children under 5yrs of age living in the household of peer health educators 10 wweks and 6 months after the start of the intervention

  2. 2. Malaria knowledge attitudes and practice among women in the family of peer health educators 10 week and 6 months after the start of the intervention

  3. 3. Malaria knowledge attitudes and practice among school students 10 weeks and 6 months after the start of the intervention

07

Study locations

1 site
  • Medical Research Council Laboratories
    Banjul, Gambia
08

Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Nov 26, 2024, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
09

Registry details

Key details

Study ID
NCT00269178
Collaborators
Medical Research Council Unit, The Gambia, Nova Scotia Gambia Association, The Gambia, Centre for Innovation Against Malaria, The Gambia
First posted
Dec 23, 2005
Start date
Aug 2003
Completion
Oct 2004
Last update
Nov 26, 2024

Study contacts

Paul JM Milligan, PhD
principal investigator · London School of Hygiene and Tropical Medicine
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Mar 2003. You cannot join it, but the record below documents what was studied.

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