Western Kenya Integrated COVID-19 Response

Study Overview
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Brief Summary
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To respond to the COVID-19 pandemic, investigators will be deploying community health workers, equipped with mobile technology, and accompanied by youth to visit households door to door to screen for symptoms of COVID-19, isolate, test, and manage suspected cases of COVID-19. The community health workers and youth will educate households about preventive measures including frequent handwashing and home management of mild cases. Simultaneously, investigators will work with nurses, doctors, and clinical officers, to test and treat more severe cases of COVID-19 in health facilities. Our goals are: to visit every household in Siaya county covering a population of close to 1 million, and to train and support health workers working in 32 health facilities with oxygen capacity in Siaya to reduce the morbidity and mortality related to COVID19 and other conditions.

Official Title
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Western Kenya Integrated COVID-19 Response Leveraging the Community Health Strategy, Youth, and Technology to Flatten the COVID-19 Curve and Improve COVID-19 Case Detection, Isolation and Management in Western Kenya

Conditions
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Covid19

Intervention / Treatment
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* Other: Training of youth, community health assistants and community health workers.
* Other: Training clinicians in basic critical care and the management of severe COVID-19 cases


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Youth aged 18 to 30 years old. Active community health workers. Facilities with oxygen capacity. Exclusion Criteria: Individuals younger than 18 or older than 30 years old. Inactive community health workers. Facilities without oxygen capacity.

Ages Eligible for Study
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Minimum Age: 18 Years
Maximum Age: 100 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Prevention
Allocation: Non-Randomized
Intervention Model: Crossover Assignment
Masking: None (Open Label)


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: Functional community health units<br>Community health units with active community health workers. | Other: Training of youth, community health assistants and community health workers.<br>* Training of youth, community health assistants, and community health workers in the screening, detection, contact tracing, prevention, and management of COVID-19 with concurrent maintenance of essential health services.<br>|
| No Intervention: Non functional community health units<br>Community health units without active community health workers. | |
| Experimental: Health facilities with oxygen capacity<br>Health facility with regular oxygen capacity. | Other: Training clinicians in basic critical care and the management of severe COVID-19 cases<br>* Training clinicians in basic critical care and the management of severe COVID-19 cases with concurrent maintenance of essential health services.<br>|
| No Intervention: Health facilities without oxygen capacity<br> | |

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Mortality | Mortality related to COVID-19 | 3 months | 
| Number of confirmed COVID-19 cases in Siaya | Number of confirmed COVID-19 cases in Siaya | 3 months | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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youth, community health, digital tools, capacity building