Clinical trial NCT02517879: Community Point Distribution of Insecticide Treated Bed Nets
Official title: Measuring Attendance of Community Point Distribution of Insecticide-treated Bed Nets and the Impact of Community Health Worker Hang-up in Rural Zambia: A Randomized Controlled Trial and Cost Analysis
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Malaria
Keywords: ITNs
malaria prevention
Lead sponsor: IDinsight
Sponsor class: OTHER
Collaborators: name: National Malaria Control Centre, Zambia
name: Ministry of Health, Zambia
name: Clinton Health Access Initiative Inc.
First posted: 2015-08-07
Enrollment: 560
Sex: ALL
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL
Primary purpose: PREVENTION

Brief summary: All households in three zones in Zambia's Eastern Province were invited to attend a community point distribution of insecticide treated bed nets (ITNs). Households were then randomized to different intervals for a community health worker (CHW) hang-up visit.

Detailed description: Households were asked to attend a community point distribution of ITNs in one of three zones in Zambia's Eastern Province. Households that had been registered to receive ITNs were then randomized to one of five groups that received a CHW visit at different intervals. Group 1 was visited 1-3 days after distribution, group 2 was visited 5-7 days after, group 3 was visited 10-12 days after, group 4 was visited 15-17 days after, and group 5 did not receive a hang-up visit. Groups 1-4 were categorized as having received a hang-up visit and group 5 was categorized as not having received a hang-up visit. All households in all five groups were visited at 7-11 weeks after the distribution and again at 5-6 months after the distribution to assess short- and medium-term ITN retention and usage.

Eligibility criteria: Inclusion Criteria:

* Household was pre-registered by the National Malaria Control Centre to receive ITNs ahead of the start of study activities.
* Household was located in one of the three study areas of Mukonka, Lukwipa, and Chipeketi in Rufunsa District, Zambia

Exclusion Criteria:

* Household was not pre-registered to receive ITNs
* Household was not located in one of the three study areas

Primary outcomes:
measure: Community point distribution attendance
timeFrame: At time 0
measure: Self-installation of ITNs
timeFrame: Each group is randomized to receive a community health worker visit after a different duration, an average of 7 days after the point distribution
measure: Household ITN retention
timeFrame: An average of 9 weeks after community point distribution
measure: Household ITN retention
timeFrame: An average of 5.5 months after community point distribution
measure: Household percentage of ITNs hung
timeFrame: An average of 9 weeks after community point distribution
measure: Household percentage of ITNs hung
timeFrame: An average of 5.5 months after community point distribution
measure: Household percentage of sleeping spaces covered
timeFrame: An average of 9 weeks after community point distribution
measure: Household percentage of sleeping spaces covered
timeFrame: An average of 5.5 months after community point distribution
Secondary outcomes:
Other outcomes:
Locations:
Study officials:
affiliation: IDinsight
name: Paul Wang, MPAID/MBA
role: PRINCIPAL_INVESTIGATOR
References: