Buikwe Electronic Community Health Information System Impact Study

Not Applicable

Recruiting

• Conditions: Malaria; Diarrhea; Pneumonia
• Interventions: Other: eCHIS

• Registration Number: NCT06318078
• Lead Sponsor: Malaria Consortium

Brief Summary

The purpose of the study is to investigate the impact of the eCHIS intervention on key child health outcomes.

Detailed Description

Following national guidelines, 2 VHTs per village will be supported to provide the full eCHIS community health package. In total 856 VHTs in Buikwe district will have been trained and equipped with the national strategy and operational guidelines on eCHIS as well as the VHT full package (iCCM+ and VHT basic package (reproductive health, immunization, nutrition) guidelines. The VHTs will be equipped with mobile devices and iCCM supplies to start the management of community-based health among children aged five years within their respective communities. A cross-sectional cluster randomized controlled trial (cRCT) will be used to establish study outcomes in children under 5 years in the intervention and control areas using mixed methods (qualitative and quantitative) of data collection.

A total sample size of 1,140 children under five: 570 children under five, per arm, was scientifically determined for the study. During data collection, several quality control measures will be applied to ensure the data recorded reflect the facts, responses, observations, and events. A standard operating procedure (SOP) with roles and responsibilities of the data collectors will be prepared to ensure standardized methods for capturing data. After endline data collection, difference-in-differences (DID) analysis will be done to derive an estimate of the intervention effect on odds of the study outcomes.

Results will be disseminated through agreed peer-review publications and international conferences. Malaria Consortium Uganda will work with relevant stakeholders at the Ministry of Health and Medic Mobile to disseminate findings nationally and throughout the study district.

Study Timeline

• Study Start: 2023-12-01
• Status Verified: 2024-01
• Study First Submitted: 2024-01-23
• Study First Submitted QC: 2024-03-12
• Last Update Submitted: 2024-03-12
• Study First Posted: 2024-03-19
• Last Update Posted: 2024-03-19
• Primary Completion: 2024-04
• Study Completion: 2024-07

Recruitment & Eligibility

• Status: RECRUITING
• Sex: All
• Target Recruitment: 1140

Inclusion Criteria

• · Children between 3-59 months,

  • Being resident in the study area,
  • Consent to participate in the study obtained,
  • Willingness and ability of the child's guardians to comply with the study protocol for the duration of the study including attending a designated health centre if their child has malaria symptoms during the data collection period.

Exclusion Criteria

• Children aged below 3 months and above 59 months
• Children resident outside the study areas
• Those who have not consented to participate in the study

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Arm && Interventions

Group	Intervention	Description
Intervention	eCHIS	570 children will be allocated to the intervention arm and children in this arm will be assessed using the eCHIS digital tool.

Primary Outcome Measures

Name	Time	Method
Hospitalisation (due to malaria, pneumonia and diarrhoea)	Over 1 year	Attendance measured through baseline and endline surveys
malaria related mortality in the community and health facilities	Over 1 year	Malaria related mortality measured through routine data
Out Patient Department attendance (due to malaria, pneumonia and diarrhoea)	Over 1 year	Attendance measured through baseline and endline surveys

Trial Locations

Locations (1)

Buikwe; 🇺🇬 Buikwe, Uganda