Buikwe Electronic Community Health Information System Impact Study

Malaria Consortium

Status: Enrolling

Conditions: Diarrhea; Malaria; Pneumonia

Treatments: Other: eCHIS

Study type: Interventional

Funder types: Other

Identifiers

NCT06318078

UG2024001

Details and patient eligibility

About

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

Full 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.

Enrollment: 1,140 estimated patients

Sex: All

Ages: 3 to 59 months old

Volunteers: No Healthy Volunteers

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

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: None (Open label)

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1,140 participants in 2 patient groups

Intervention

Experimental group

Description:

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

Treatment:

Other: eCHIS

Control

No Intervention group

Description:

570 children will be allocated to the intervention arm and children in this arm will be assessed using the standard care and paper based tools.