Expanding the Roles of Village Malaria Workers: Operational Research in Cambodia
试验速览
- 阶段
- 不适用
- 状态
- 已完成
- 入组人数
- 7,191
- 试验地点
- 1
- 主要终点
- The number of VMW consultations by patients
研究概览
简要总结
This project will conduct pragmatic operational research in rural communities served by approximately 12 health centres and 120 village malaria workers in Battambang/Pailin, western Cambodia.
This study is funded by Global Fund/Regional Artemisinin Initiative (RAI3E). The grant reference number is QSE-M-UNOPS-MORU-20864-007-42
详细描述
This is an integration of activities with the South and Southeast Asian Community-based Trials Network (SEACTN) that is ongoing in Lao PDR and Bangladesh. The SEACTN study aims to identify the most relevant ways in which village health worker roles can be expanded to include management of community febrile illness. A number of SEACTN activities will also be conducted in Cambodia alongside this project.
For this project, the study team will test specific examples of expanded roles of VMWs including testing for other causes of fever in people who are malaria negative and assessing the feasibility of diagnostics other than malaria RDTs at health centres. Quantitative and qualitative data will be collected to determine acceptability, a mixed-methods approach will be used for the assessment:
• Quantitative method
Participants with febrile illness attending village malaria workers will be tested by novel rapid diagnostic tests (Dengue and CRP rapid test) in addition to a standard malaria test. Village malaria workers (VMWs)/ mobile malaria workers (MMWs) will be trained to conduct a package of activities ((i) hygiene and sanitation; (ii) disease surveillance; (iii) EPI and ANC support; (iv) management of mild common illnesses that they will carry out alongside their usual role of testing (RDTs) and treating malaria. If possible, within a week of conducting a novel RDT, a well-being follow up will be undertaken by the VMW, either via telephone or face-to-face. For the primary outcomes, the study team will report numbers and proportions of training modules passed, malaria tests performed, new diagnostic tests performed correctly, algorithms followed correctly, number of consultations, coverage estimates, and the study team will use the national malaria information system to provide a comparison in activity levels compared to other areas of Cambodia. The study team will record the incidence and aetiology of febrile illnesses.
• Qualitative method
研究设计
- 研究类型
- Observational
- 观察模型
- Ecologic Or Community
- 时间视角
- Prospective
入排标准
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- 未提供
排除标准
- 未提供
结局指标
主要结局
The number of VMW consultations by patients
时间窗: Approximately 18-24 months
The number of VMW consultations by patients with a febrile and/or non-febrile illness along with the number of malaria RDTs used will be recorded. Comparing these data across the different intervention packages introduced for VMWs.
次要结局
- The overall consensus of stakeholders regarding these new roles following stakeholder interviews(At study completion (24 months))
- The number of VMWs that can correctly perform RDTS following a directly observed practical assessment and questionnaire.(Approximately 18-24 months)
- The overall consensus of stakeholders of the impact on non-malarial febrile illness management following stakeholder interviews(0 months, mid-point of the study (12 months) and at study completion (24 months))
- The overall consensus of stakeholders on the use of novel RDTs following stakeholder interviews and focus group discussions.(Approximately 18-24 months)
- The number of VMWs who correctly follow the treatment algorithms following a directly observed practical assessment and questionnaire.(Approximately 18-24 months)
- The overall consensus of stakeholders regarding the new roles of VMWs following stakeholder interviews(0 months, mid-point of the study (12 months) and at study completion (24 months))
- The number of VMWs that can correctly deliver one of four health intervention packages following a directly observed practical assessment and questionnaire.(0 months, mid-point of the study (12 months) and at study completion (24 months))
- The number of health centre staff that can correctly perform RDTs following a directly observed practical assessment and questionnaire(Approximately 18-24 months)