Measuring Attendance of Community Point Distribution of Insecticide-treated Bed Nets and the Impact of Community Health Worker Hang-up in Rural Zambia: A Randomized Controlled Trial and Cost Analysis
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Enrollment
- 560
- Primary Endpoint
- Community point distribution attendance
Study Overview
Brief Summary
All households in three zones in Zambia's Eastern Province were invited to attend a community point distribution of insecticide treated bed nets (ITNs). Households were then randomized to different intervals for a community health worker (CHW) hang-up visit.
Detailed Description
Households were asked to attend a community point distribution of ITNs in one of three zones in Zambia's Eastern Province. Households that had been registered to receive ITNs were then randomized to one of five groups that received a CHW visit at different intervals. Group 1 was visited 1-3 days after distribution, group 2 was visited 5-7 days after, group 3 was visited 10-12 days after, group 4 was visited 15-17 days after, and group 5 did not receive a hang-up visit. Groups 1-4 were categorized as having received a hang-up visit and group 5 was categorized as not having received a hang-up visit. All households in all five groups were visited at 7-11 weeks after the distribution and again at 5-6 months after the distribution to assess short- and medium-term ITN retention and usage.
Study Design
- Study Type
- Interventional
- Allocation
- Randomized
- Intervention Model
- Parallel
- Primary Purpose
- Prevention
- Masking
- None
Eligibility Criteria
- Sex
- All
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Household was pre-registered by the National Malaria Control Centre to receive ITNs ahead of the start of study activities.
- •Household was located in one of the three study areas of Mukonka, Lukwipa, and Chipeketi in Rufunsa District, Zambia
Exclusion Criteria
- •Household was not pre-registered to receive ITNs
- •Household was not located in one of the three study areas
Outcomes
Primary Outcomes
Community point distribution attendance
Time Frame: At time 0
The percentage of pre-registered households that collected ITNs at the community point distributions on November 14, 19, and 21, 2013.
Self-installation of ITNs
Time Frame: Each group is randomized to receive a community health worker visit after a different duration, an average of 7 days after the point distribution
The percentage of ITNs distributed to a household that the CHW found hanging at his/her visit.
Household ITN retention
Time Frame: An average of 5.5 months after community point distribution
The percentage of ITNs distributed to a household that were found still in the household at the 5-6 month follow-up.
Household percentage of ITNs hung
Time Frame: An average of 5.5 months after community point distribution
The percentage of ITNs distributed to a household that were found hanging during the 5-6 month follow-up.
Household percentage of sleeping spaces covered
Time Frame: An average of 5.5 months after community point distribution
The percentage of sleeping spaces in the household that were covered by an ITN distributed during the community point distribution at the 5-6 month follow-up.
Secondary Outcomes
No secondary outcomes reported