Bihar Evaluation of Social Franchising and Telemedicine
NCT ID: NCT01345695
Last Updated: 2015-12-16
Study Results
The study team has not published outcome measurements, participant flow, or safety data for this trial yet. Check back later for updates.
Basic Information
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COMPLETED
106380 participants
OBSERVATIONAL
2011-05-31
2015-10-31
Brief Summary
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Detailed Description
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COHESIVE-India plans to undertake an evaluation of the BMGF-financed WHP project. The overarching focus of the evaluation project (called Bihar Evaluation of Social Franchising and Telemedicine (BEST)) is to provide evidence on the performance and effectiveness of the WHP program. In addition to studying the overall impact and effectiveness of the social franchising and telemedicine program, the evaluation will estimate how the WHP model influences outcomes related to two target diseases of interest to BMGF: childhood diarrhea and childhood pneumonia.
The Evaluation Design The core objective of the evaluation is to estimate the causal impact of the WHP program on BMGF target disease outcomes as well as other indicators of its primary health care success. The key design feature of the evaluation is that it relies on the franchisee network model of the WHP program. The evaluation design involves identifying villages in Bihar that have asymmetric digital subscriber line (ADSL) connectivity where WHP is likely to find providers who would participate in the program. The areas surrounding these villages that form catchment areas for providers will be identified; 360 such areas will be randomly sampled from the list and divided into 180 treatment and 180 control areas for implementation of the WHP program.
The study also includes a detailed costing component to estimate the costs associated with the target diseases and the benefits from the program intervention. In doing so, the evaluation strategy addresses specific policy-relevant questions about sustainability, affordability, replicability, and future Government support for privately provided healthcare options in Bihar as well as in other parts of India.
In addition, COHESIVE-India, with funding from external sources also plans to conduct studies that will provide insights on how to improve the effectiveness of the WHP model, as well as its financial sustainability. These studies include the distribution of vouchers for WHP services to estimate household's willingness to pay for them, as well experiments on financial incentives to learn how to improve the performance of network providers.
This evaluation is closely aligned with the objectives of the Government of Bihar to reduce the burden of disease. Through a rigorous evaluation of the WHP program, this study will provide evidence on whether this model of rural health service delivery is efficient and whether it can be scaled up. The stated goals of the WHP program indicate the many potential health and economic benefits to the people of Bihar. The evaluation will provide an empirical and objective assessment of the impact of WHP's effort on quality of care available in rural areas (the program anticipates a significant improvement), increases in access to healthcare providers and improved drug supply, reductions in time lapse between onset of disease and optimal care, as well as reductions in unnecessary healthcare expenditures.
Conditions
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Keywords
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Study Design
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CASE_CONTROL
PROSPECTIVE
Study Groups
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Treatment
Data collected on persons living in the catchment area for a WHP telemedicine center
No interventions assigned to this group
Control
Data collected on persons living in the catchment area where there is not a WHP telemedicine center
No interventions assigned to this group
Eligibility Criteria
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Inclusion Criteria
* Persons with tuberculosis or visceral leishmaniasis
* Rural private sector medical providers
Exclusion Criteria
* Households with children aged \> 60 months
ALL
No
Sponsors
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Stanford University
OTHER
University College, London
OTHER
Sambodhi Research and Communication Pvt., Ltd.
UNKNOWN
Public Health Foundation of India (PHFI)
UNKNOWN
Institute of Socio-Economic Research in Development and Democracy (ISERDD)
UNKNOWN
Duke University
OTHER
Responsible Party
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Principal Investigators
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Manoj Mohanan, PhD, MPH
Role: PRINCIPAL_INVESTIGATOR
Duke University
Locations
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BEST
Patna, Bihar, India
Countries
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Other Identifiers
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Pro00027527
Identifier Type: -
Identifier Source: org_study_id