Clinical trial NCT05472051: Health and Migration Trajectories of Housekeepers in Bamako
Official title: Health and Migration Trajectories of Housekeepers in Bamako: Situation and Acceptability of a Community-based Offer of Sexual Health Services
Study type: OBSERVATIONAL
Overall status: COMPLETED
Conditions: HIV Infections
Hepatitis B
Hepatitis C
Tuberculosis
STIs
Sex Behavior
Keywords: Housekeepers
Young girls
Mali
Accès to healthcare
Community-based services
Lead sponsor: ANRS, Emerging Infectious Diseases
Sponsor class: OTHER_GOV
First posted: 2022-07-25
Enrollment: 644
Sex: FEMALE
Minimum age (years): 12
Standard ages: CHILD
ADULT
OLDER_ADULT
Accepts healthy volunteers: no
Observational model: ECOLOGIC_OR_COMMUNITY
Time perspective: CROSS_SECTIONAL
Sampling method: NON_PROBABILITY_SAMPLE
Study population: Young girls working in Bamako as Housekeepers being aged at least 12 years.

Brief summary: In Mali, migration from rural zones is a cultural phenomenon existing since 1970. During the dry season (9 months), an important number of young women leave their villages and migrate towards urban zones to seek for a job. In Bamako, the estimated number of housekeepers is 100 000 coming from rural regions and aged between 11 and 19 years. The current healthcare offer seems to be non-adapted to their particularities.

This is a community-based research constructed on the basis of the activities of two NGOs in Mali: ADDAD (association for the defense of the rights of Housekeepers and domestic helpers ) and ARCAD Santé PLUS (the main NGO for healthcare access for HIV, hepatitis, and sexual health services). The research is conducted by the SanteRCom team in the UMR1252 SESSTIM research unit.

The main objective of this observational study is to study the knowledge, beliefs, behaviors and practices in terms of health in general, and sexual health in particular; and to assess the acceptability of an offer of community-based prevention and health services provided by ARCAD Santé PLUS integrated in the activities of ADDAD. The integrating of community-based healthcare offer in a familiar and reassuring framework, such as that of ADDAD, should promote access to health services among housekeepers.

The research is organized in 3 stages:

1. Preliminary qualitative survey based on focus group discussions. Allowing the identification of the housekeepers' needs in terms of prevention and healthcare services; and the behavioral particularities of the housekeepers community. It is planned to conduct 7 focus groups including between 42 and 56 housekeepers.
2. Communication and awareness campaigns in the regions of origin of housekeepers. Campaigns will be constructed on the basis of the results obtained from the preliminary qualitative survey.
3. Communication and awareness campaigns in Bamako; community-based activities for housekeepers will be organized 3 times per week during 5 months by the NGO ADDAD. Activities will include the community-based offer of prevention and healthcare services provided by the NGO ARCAD Santé PLUS, i.e. the novelty in the ADDAD's activities. A quantitative and qualitative surveys will be conducted over 5 months with participants recruited during the community-based activities. It is expected to enroll at least 1134 housekeepers, and to conduct a maximum of 25 individual interviews with selected housekeepers.


Eligibility criteria: Inclusion Criteria:

* Being a young girl and working in Bamako as housekeeper
* Speak one of the most current languages : Bambara, Dogon, French
* Being aged at least 12 years,
* To provide written consent. For minors (12 to 17 years old) the consent of a member of the ADDAD NGO as the legal responsible.

Exclusion Criteria:

* Minor housekeepers refusing the presence and signature of the ADDAD's member
* Housekeepers whose mental health would be judged (by the doctor) not appropriate to participate
* Housekeepers not able to understand and/or to sign the written consent

Primary outcomes:
measure: Acceptability of the community-based offer of healthcare services
timeFrame: 18 month after the start of the study
measure: Prevalence of infectious diseases among housekeepers attending the community-based healthcare services and accepting screening
timeFrame: 18 month after the start of the study
measure: Pregnancy
timeFrame: 18 month after the start of the study
measure: HBV Vaccin
timeFrame: 18 month after the start of the study
measure: Mental health
timeFrame: 18 month after the start of the study
Secondary outcomes:
Other outcomes:
Locations:
city: Bamako
country: Mali
facility: ADDAD
state: Niamakoro, Sièbougouni, Rue 173, Porte 146
Study officials:
affiliation: UMR 1252 SESSTIM
name: Luis Sagaon Teyssier, PhD
role: PRINCIPAL_INVESTIGATOR
References: