Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

London School of Hygiene and Tropical Medicine

Status: Completed

Conditions: Malaria; Hospital Mortality

Treatments: Behavioral: Staff motivation; Procedure: Staff incentive & supervision

Study type: Interventional

Funder types: Other

Identifiers

NCT00673166

GMP_P_II_5

HMTV

Details and patient eligibility

About

We observed in a randomised intervention trial in Bissau that mortality due to malaria could be reduced by half by adding a small monetary incentive to the staff and strict follow-up of a standard protocol for available drugs. The Government and donors are not able to sustain such incentives. We intend to evaluate whether strict organisation of a cost recovery system and the use of part of the funds for staff incentives would improve performance of the staff and contribute to reduction of hospital and post-discharge mortality.

Full description

A committee will organise collection and use of the money, and decide on incentives to be paid to the staff based on performance indicators. All children < 5 years of age admitted to the ward will be registered and followed-up until two months after the consultation. Data on the level of mortality before and after the study period will be collected. Furthermore, interviews on quality perception of the parents will be carried out before and after the study.

Enrollment: 900 patients

Sex: All

Ages: Under 59 months old

Volunteers: No Healthy Volunteers

Inclusion and exclusion criteria

Inclusion Criteria:

• Children under five years of age admitted to the ward
• Parents of these children

Trial design

Primary purpose: Health Services Research

Allocation: N/A

Interventional model: Single Group Assignment

Masking: None (Open label)