Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

NCT ID: NCT00673166

Last Updated: 2017-01-26

Basic Information

• Recruitment Status: COMPLETED
• Clinical Phase: NA
• Total Enrollment: 900 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2008-01-31
• Study Completion Date: 2008-12-31

Brief Summary

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.

Detailed 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.

Conditions

Hospital Mortality; Malaria

Study Design

• Allocation Method: NA
• Intervention Model: SINGLE_GROUP
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: NONE

Interventions

Staff incentive & supervision

Control \& management of funds for incentive of staff; supervision

Intervention Type: PROCEDURE

Staff motivation

Supervision, control of funds

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

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

• Maximum Eligible Age: 59 Months
• Eligible Sex: ALL
• Accepts Healthy Volunteers: No

Sponsors

Statens Serum Institut

OTHER

Sponsor Role: collaborator

London School of Hygiene and Tropical Medicine

OTHER

Sponsor Role: lead

Responsible Party

Brian Greenwood

Professor

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Amabelia Rodrigues, PhD

Role: PRINCIPAL_INVESTIGATOR

Bandim Health Project & Gates Malaria Partnership

Locations

Paediatric department at the national hospital

Bissau, Bissau Region, Guinea-Bissau

Countries

Guinea-Bissau

References

Biai S, Rodrigues A, Gomes M, Ribeiro I, Sodemann M, Alves F, Aaby P. Reduced in-hospital mortality after improved management of children under 5 years admitted to hospital with malaria: randomised trial. BMJ. 2007 Oct 27;335(7625):862. doi: 10.1136/bmj.39345.467813.80. Epub 2007 Oct 22.

Reference Type: BACKGROUND

PMID: 17954513 (View on PubMed)

Sodemann M, Veirum J, Biai S, Nielsen J, Bale C, Skytte Jakobsen M, Gustafson P, Aaby P. Reduced case fatality among hospitalized children during a war in Guinea-Bissau: a lesson in equity. Acta Paediatr. 2004 Jul;93(7):959-64.

Reference Type: BACKGROUND

PMID: 15303813 (View on PubMed)

Other Identifiers

GMP_P_II_5

Identifier Type: -

Identifier Source: secondary_id

HMTV

Identifier Type: -

Identifier Source: org_study_id