Effectiveness of an HIV-adapted IMCI Training and Supervision Programme for Community Health Workers

University of KwaZulu-Natal (UKZN)

Status: Completed

Conditions: Infant Feeding Practices; Postnatal Health Care Utilization; Antenatal Health Care Utilization; Prevention of Mother-to-child Transmission of HIV

Treatments: Behavioral: Enhanced HIV and MCH training for CHW

Study type: Interventional

Funder types: Other; Other U.S. Federal agency

Identifiers

NCT01774136

Nompilo

Details and patient eligibility

About

This is a cluster randomized controlled trial (C-RCT) to evaluate the effectiveness of a Community-Integrated Management of Childhood Illness (C-IMCI) training for community caregivers (CCGs), adapted to include HIV-related interventions, on the delivery of maternal, newborn and child health interventions within households in rural communities in Ugu District, KwaZulu-Natal (KZN) Province, South Africa. The intervention includes two components: (1) a 2-week HIV/C-IMCI training for CCGs and their associated facilitators and supervisors, and (2) continuous support and supervision following the continuous quality improvement (CQI) framework, a low-technology approach to management and supervision of health programs. The primary objectives of the proposed evaluation are to measure the effect of the intervention on key outcomes, including early uptake of antenatal care, facility based delivery, postnatal visits, coverage of exclusive breastfeeding, and uptake of HIV PCR testing in infants at 6 weeks. We will also examine the effects of the intervention on immunization uptake up to 12 months and knowledge and practices of CCGs and mothers pertaining to maternal, newborn and child health.

Enrollment: 1,342 patients

Sex: All

Ages: 18+ years old

Volunteers: Accepts Healthy Volunteers

Inclusion criteria

Community caregivers

• CCGs who work in Ugu District
• age 18 years or older
• with grade 9 education or greater

Mothers

• Mothers age 18 years and older who delivered a live-born infant within the prior 12 months
• Reside in households served by participating CCGs.

Exclusion criteria

• None

Trial design

Primary purpose: Health Services Research

Allocation: Randomized

Interventional model: Parallel Assignment

Masking: Single Blind

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1,342 participants in 2 patient groups

Enhanced HIV and MCH training for CHW

Experimental group

Description:

The intervention includes two components: (1) a 2-week HIV/C-IMCI training for CCGs and their associated facilitators and supervisors, and (2) continuous support and supervision following the continuous quality improvement (CQI) framework, a low-technology approach to management and supervision of health programs.

Treatment:

Behavioral: Enhanced HIV and MCH training for CHW

Standard of Care

No Intervention group