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CompletedNCT00673166Updated Jan 26, 2017

Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

An interventional study of Staff incentive & supervision and Staff motivation in Hospital Mortality and Malaria, sponsored by London School of Hygiene and Tropical Medicine. Completed at 1 site in Guinea-Bissau. Open to participants aged Up to 59 Months. Per ClinicalTrials.gov, last updated 2017-01-26.

Sponsored by London School of Hygiene and Tropical Medicine · Not applicable, Interventional, and Health services research

Phase
Not applicable
Study type
Interventional
Enrollment
900
Allocation
Not applicable
Ages
Up to 59 Months
Sex
All
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Study summary

We observed in a randomised intervention trial in Bissau that mortality due to malaria could be reduced by half by adding a small monetary incentive to the staff and strict follow-up of a standard protocol for available drugs. The Government and donors are not able to sustain such incentives. We intend to evaluate whether strict organisation of a cost recovery system and the use of part of the funds for staff incentives would improve performance of the staff and contribute to reduction of hospital and post-discharge mortality.

Read the detailed description

A committee will organise collection and use of the money, and decide on incentives to be paid to the staff based on performance indicators. All children \< 5 years of age admitted to the ward will be registered and followed-up until two months after the consultation. Data on the level of mortality before and after the study period will be collected. Furthermore, interviews on quality perception of the parents will be carried out before and after the study.

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Conditions studied

  • Hospital Mortality
  • Malaria

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Keywords

  • Staff motivation
  • Hospital mortality
  • Perception of quality of care
03

In context

Malaria

1,299 studies on the registry are indexed under Malaria; 86 are open to participants now.

This study's enrollment of 900 is above the median of 220 across 1,027 interventional studies indexed under Malaria.

Browse Malaria studies →

Lead sponsor

London School of Hygiene and Tropical Medicine is the lead sponsor of 296 studies on the registry; 15 are open to participants now.

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

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Who can participate

Ages eligible
Up to 59 Months
Sexes eligible
All
Accepts healthy volunteers
No

Eligibility criteria

Inclusion Criteria:

  • Children under five years of age admitted to the ward
  • Parents of these children
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Study design

Phase
Not applicable
Primary purpose
Health services research
Allocation
Not applicable
Intervention model
Single group
Masking
None (open label)
Enrollment
900 participants (actual)

Interventions

  • ProcedureStaff incentive & supervision

    Control \& management of funds for incentive of staff; supervision

  • BehavioralStaff motivation

    Supervision, control of funds

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What researchers measure

Primary outcomes

  1. Overall hospital and malaria mortality

    Time frame: One year

Secondary outcomes

  1. Parent's perception of the quality of care received

    Time frame: One year

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Study locations

1 site
  • Paediatric department at the national hospital
    Bissau, 50, Guinea-Bissau
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References and documents

Publications

  • Biai S, Rodrigues A, Gomes M, Ribeiro I, Sodemann M, Alves F, Aaby P. Reduced in-hospital mortality after improved management of children under 5 years admitted to hospital with malaria: randomised trial. BMJ. 2007 Oct 27;335(7625):862. doi: 10.1136/bmj.39345.467813.80. Epub 2007 Oct 22. PubMed 17954513 ↗
  • Sodemann M, Veirum J, Biai S, Nielsen J, Bale C, Skytte Jakobsen M, Gustafson P, Aaby P. Reduced case fatality among hospitalized children during a war in Guinea-Bissau: a lesson in equity. Acta Paediatr. 2004 Jul;93(7):959-64. PubMed 15303813 ↗
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Updates

Tracking since Sep 25, 2026
No changes since tracking began. The registry record was last updated on Jan 26, 2017, before this site started recording changes on Sep 25, 2026. Its history is on ClinicalTrials.gov ↗
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Registry details

Key details

Study ID
NCT00673166
Lead sponsor
London School of Hygiene and Tropical Medicine
Collaborators
Statens Serum Institut
Responsible party
Brian Greenwood (Professor, London School of Hygiene and Tropical Medicine) — Principal investigator
First posted
May 7, 2008
Start date
Jan 2008
Primary completion
Dec 2008
Completion
Dec 2008
Last update
Jan 26, 2017

Study contacts

Amabelia Rodrigues, PhD
principal investigator · Bandim Health Project & Gates Malaria Partnership

Oversight

Data monitoring committee
No
View the source record on ClinicalTrials.gov ↗

Not currently enrolling

This study is completed, as verified in Jan 2017. You cannot join it, but the record below documents what was studied.

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