An interventional study of Guideline adherence and financial incentive in Mortality and Malaria, sponsored by Bandim Health Project. Completed at 1 site in Guinea-Bissau. Open to participants aged 3 Months to 5 Years. Per ClinicalTrials.gov, last updated 2007-04-25.
Sponsored by Bandim Health Project · Not applicable, Interventional, and Health services research
The study intend to evaluate whether the use of standardised malaria case management protocol plus financial incentives added to the availability of free drugs reduce the case-fatality at the paediatric ward.
Mortality at the national paediatric ward in Guinea-Bissau is very high. During a civil war in 1998/1999 the hospital case fatality (CF) decreased by more than 40%, increasing again after the the war. This was attributed to the available free drugs from the humanitarian aid and food incentives to the personnel. Free emergency kits for treatment of severe malaria was introduced, however the CF did not decline. Therefore, the ward was split into two groups of rooms: intervention and control. All the staff of the ward was trained in the use of a standardised guideline for treatment of severe malaria and randomly assigned to one of the groups. All children hospitalised for malaria received the drug emergency kits. The only difference in the intervention group were the small financial incentives and supervision for strict adherence to the guidelines procedures.
1,299 studies on the registry are indexed under Malaria; 86 are open to participants now.
This study's enrollment of 950 is above the median of 220 across 1,027 interventional studies indexed under Malaria.
Browse Malaria studies →Bandim Health Project is the lead sponsor of 59 studies on the registry; 5 are open to participants now.
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Exclusion Criteria:
In-hospital case-fatality
Cumulative post-discharge mortality on day 28 and length of hospitalisation
This study is completed, as verified in Apr 2007. You cannot join it, but the record below documents what was studied.
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Bandim Health Project