Clinical Evaluation of the Use of an mHealth Intervention on Quality of Care

Not Applicable

Completed

• Conditions: Acute Respiratory Infection; Diarrhea; Malaria
• Interventions: Other: mHealth Intervention for Quality of Care

• Registration Number: NCT03874143
• Lead Sponsor: World Vision Canada

Brief Summary

Under the World Health Organization's (WHO) integrated community case management (iCCM) Rapid Access Expansion Program (RAcE), World Vision Niger and Canada supported the Niger Ministry of Public Health to implement iCCM in four health districts in Niger in 2013. Community health workers (CHWs), known as Relais Communautaire (RCom), were deployed in their communities to diagnose and treat children under five years of age presenting with diarrhea, malaria and pneumonia and refer children with severe illness to the higher-level facilities. Two of the districts piloted RCom using smartphones equipped with an application to support quality case management and provide good timely clinical data. A two-arm cluster randomized trial assessed the impact of use of the mHealth application mainly on quality of care (QoC), but also on motivation, retention and supervision

Detailed Description

Not available

Study Timeline

• Study Start: 2016-03-01
• Primary Completion: 2016-10-01
• Study Completion: 2016-10-01
• Study First Submitted: 2019-02-26
• Status Verified: 2019-03
• Study First Submitted QC: 2019-03-11
• Last Update Submitted: 2019-03-11
• Study First Posted: 2019-03-14
• Last Update Posted: 2019-03-14

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 520

Inclusion Criteria

• children presenting symptoms of illness

Exclusion Criteria

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
RCom equipped with a smartphone	mHealth Intervention for Quality of Care	-

Primary Outcome Measures

Name	Time	Method
Quality of Care (QoC) provided by RCom	30 weeks	The maximum QoC score was 31 points; the score was weighted with two-thirds of the score allocated to screening questions and correct identification of the danger signs and signs/symptoms of serious conditions A perfect score was achieved when RComs asked all 10 health screening questions and correctly classified 4 major danger signs and 6 serious symptoms, made appropriate referral, and provided advice to caregivers.