Mobile Phone Reminders (and Photovoice) for Routine Immunization in Nigeria - The MOPING Study

NCT ID: NCT03402646

Last Updated: 2018-01-18

Basic Information

• Recruitment Status: UNKNOWN
• Clinical Phase: NA
• Total Enrollment: 1813 participants
• Study Classification: INTERVENTIONAL
• Study Start Date: 2018-05-31
• Study Completion Date: 2019-12-31

Brief Summary

This study aims to implement and test the efficacy of photovoice, Short Messaging Service (SMS) and phone call reminders in improving childhood immunization coverage (uptake, timeliness and completion rates) and reducing incidence of vaccine-preventable diseases (VPDs) among infants in Nigeria

Detailed Description

This will be a single-blind three-arm cluster randomized controlled trial involving post-partum mothers and/or caregivers of infants (age 0-12months) attending immunization clinics in 12 randomly selected Primary Health Care Centres (clusters) across Sokoto, Jigawa, Kano, Ogun, Oyo and Lagos States of Nigeria. Additionally, a photovoice methodology will be implemented in 6 community clusters (one in each State) involving group discussions between community members (pregnant women in their third trimester, parents/caregivers of infants age 0-12 months), community leaders, service providers and policy makers on benefits of timely immunization and consequences of non-vaccination. Parent-infant pairs will be followed up for 12 months during which SMS and phone call immunization clinic appointment reminders will be provided to mothers and/or caregivers in intervention arm 1, and photovoice intervention provided at study commencement to participants in intervention arm 2. Respondents in the control group would receive standard care (routine paper-based appointment scheduling alone). The investigators will document and compare immunization uptake (all doses and vaccines), timeliness of receipt and completion rates of scheduled immunization between the three groups, as well as incidence of VPDs between the groups using multivariate statistical analyses.

Conditions

Immunization; Infection

Study Design

• Allocation Method: RANDOMIZED
• Intervention Model: PARALLEL
• Primary Study Purpose: HEALTH_SERVICES_RESEARCH
• Blinding Strategy: DOUBLE

Study Groups

Reminder module (SMS and Phone call)

Intervention will consist of a "Reminder module" delivered via SMS and telephone calls by an automated, customized software application. This will include standardized SMS reminder 3 days prior to scheduled immunization clinic appointments, telephone call reminders a day prior to scheduled clinic appointment (4 to 6pm) (in addition to standard care - routine paper-based appointment scheduling and counselling by care providers) for routine immunization. Reminders will be provided consistently for all immunization clinic appointments until the child turns 12 months of age.

Group Type: EXPERIMENTAL

Reminder module (SMS and Phone call)

Intervention Type: BEHAVIORAL

Same as described under arm/group descriptions

Photovoice

In two small groups of 15 participants each per state, purposively selected pregnant women in their third trimester and parents of infants aged 0-12 months in the community, as well as community leaders, service providers and policy makers will be exposed to photographs (taken from other sources) of debilitating consequences of non-immunization, which will form the basis of the group discussions, knowledge sharing and consensus-building sessions, each lasting about 45 minutes to 1 hour. Each community cluster will be linked to a PHC.

Group Type: EXPERIMENTAL

Photovoice

Intervention Type: BEHAVIORAL

Same as described under arm/group descriptions

Control

Respondents in control clusters will receive standard care only - comprising routine paper-based appointment scheduling

Group Type: NO_INTERVENTION

No interventions assigned to this group

Interventions

Reminder module (SMS and Phone call)

Same as described under arm/group descriptions

Intervention Type: BEHAVIORAL

Photovoice

Same as described under arm/group descriptions

Intervention Type: BEHAVIORAL

Eligibility Criteria

Inclusion Criteria

• Mothers/caregivers of healthy infants (age 0 - 12 months) who:

1. Have a mobile phone access

2. Received antenatal care and/or delivered their babies in a hospital

3. Plans to receive immunizations at the selected PHCs

• Purposively-selected community sample of pregnant women in their third trimester, parents/caregivers of infants, providers, community gatekeepers and policy makers

Exclusion Criteria

1. Parents of infants requiring hospital admission due to significant illness, congenital deformity/malformation and prematurity

2. Foreigners

• Eligible Sex: ALL
• Accepts Healthy Volunteers: Yes

Sponsors

RCSI & UCD Malaysia Campus

OTHER

Sponsor Role: collaborator

Universiti Putra Malaysia

OTHER

Sponsor Role: lead

Responsible Party

Dr. Surajudeen Abiola Abdulrahman

Principal Investigator

Responsibility Role: PRINCIPAL_INVESTIGATOR

Principal Investigators

Surajudeen A Abdulrahman, MBBS, PhD

Role: PRINCIPAL_INVESTIGATOR

RCSI & UCD Malaysia Campus

Niyi Osamiluyi

Role: STUDY_DIRECTOR

Premier Medical Systems

Central Contacts

Surajudeen A Abdulrahman, MBBS, PhD

Role: CONTACT

abdulsuraj@gmail.com

+60167067760

References

Palmer MJ, Henschke N, Bergman H, Villanueva G, Maayan N, Tamrat T, Mehl GL, Glenton C, Lewin S, Fonhus MS, Free C. Targeted client communication via mobile devices for improving maternal, neonatal, and child health. Cochrane Database Syst Rev. 2020 Jul 14;8(8):CD013679. doi: 10.1002/14651858.CD013679.

Reference Type: DERIVED

PMID: 32813276 (View on PubMed)

Other Identifiers

MOPING/V2/07/17

Identifier Type: -

Identifier Source: org_study_id