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Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

Primary Purpose

Hospital Mortality, Malaria

Status

Completed

Phase

Not Applicable

Locations

Guinea-Bissau

Study Type

Interventional

Intervention

Staff incentive & supervision

Staff motivation

About this trial

This is an interventional health services research trial for Hospital Mortality focused on measuring Staff motivation, Hospital mortality, Perception of quality of care

Eligibility Criteria

undefined - 59 Months (Child)All SexesDoes not accept healthy volunteers

Inclusion Criteria:

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

Sites / Locations

Paediatric department at the national hospital

Outcomes

Primary Outcome Measures

Overall hospital and malaria mortality

Secondary Outcome Measures

Parent's perception of the quality of care received

Full Information

NCT ID

NCT00673166

First Posted

May 1, 2008

Last Updated

January 25, 2017

Sponsor

London School of Hygiene and Tropical Medicine

Collaborators

Statens Serum Institut

1. Study Identification

Unique Protocol Identification Number

NCT00673166

Brief Title

Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

Official Title

Evaluation of Local Mechanisms for Staff Motivation to Improve Treatment and Reduce Mortality Due to Malaria at the Paediatric Ward

Study Type

Interventional

2. Study Status

Record Verification Date

January 2017

Overall Recruitment Status

Completed

Study Start Date

January 2008 (undefined)

Primary Completion Date

December 2008 (Actual)

Study Completion Date

December 2008 (Actual)

3. Sponsor/Collaborators

Responsible Party, by Official Title

Principal Investigator

Name of the Sponsor

London School of Hygiene and Tropical Medicine

Collaborators

Statens Serum Institut

4. Oversight

Data Monitoring Committee

5. Study Description

Brief 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.

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.

6. Conditions and Keywords

Primary Disease or Condition Being Studied in the Trial, or the Focus of the Study

Hospital Mortality, Malaria

Keywords

Staff motivation, Hospital mortality, Perception of quality of care

7. Study Design

Primary Purpose

Health Services Research

Study Phase

Not Applicable

Interventional Study Model

Single Group Assignment

Masking

None (Open Label)

Allocation

N/A

Enrollment

900 (Actual)

8. Arms, Groups, and Interventions

Intervention Type

Procedure

Intervention Name(s)

Staff incentive & supervision

Intervention Description

Control & management of funds for incentive of staff; supervision

Intervention Type

Behavioral

Intervention Name(s)

Staff motivation

Intervention Description

Supervision, control of funds

Primary Outcome Measure Information:

Title

Overall hospital and malaria mortality

Time Frame

One year

Secondary Outcome Measure Information:

Title

Parent's perception of the quality of care received

Time Frame

One year

10. Eligibility

Sex

All

Maximum Age & Unit of Time

59 Months

Accepts Healthy Volunteers

Eligibility Criteria

Inclusion Criteria: Children under five years of age admitted to the ward Parents of these children

Overall Study Officials:

First Name & Middle Initial & Last Name & Degree

Amabelia Rodrigues, PhD

Organizational Affiliation

Bandim Health Project & Gates Malaria Partnership

Official's Role

Principal Investigator

Facility Information:

Facility Name

Paediatric department at the national hospital

City

Bissau

ZIP/Postal Code

Country

Guinea-Bissau

12. IPD Sharing Statement

Citations:

PubMed Identifier

17954513

Citation

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.

Results Reference

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PubMed Identifier

15303813

Citation

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.

Results Reference

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Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

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