Clinical trial NCT01517230: Can Mass Media Campaigns Reduce Child Mortality
Official title: Can Mass Media Campaigns Reduce Child Mortality
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Diarrhoea
Malaria
Pneumonia
Breastfeeding
Under-nutrition
Keywords: Cluster-randomised trial
Comprehensive mass media campaign
Rural community radio
Under-five child mortality
Preventive and curative behaviours
Burkina Faso
Health care seeking behavior
Childbirth
Lead sponsor: London School of Hygiene and Tropical Medicine
Sponsor class: OTHER
Collaborators: name: Development Media International
name: Centre Muraz
name: Wellcome Trust
name: Planet Wheeler Foundation
First posted: 2012-01-25
Enrollment: 100000
Sex: ALL
Maximum age (years): 5
Standard ages: CHILD
Accepts healthy volunteers: yes
Allocation: RANDOMIZED
Intervention model: PARALLEL

Brief summary: A cluster-randomised trial will be undertaken in Burkina Faso to investigate whether a comprehensive mass media campaign using local radio stations can change behaviours on a scale large enough to result in measurable and sustainable reductions in under-five child mortality.

It is hypothesised that as a result of the scale and multi-pronged nature of the campaign, reductions of between 10% and 20% in child mortality will be achieved.

Detailed description: The evaluation is conducted in 14 geographical locations throughout Burkina Faso. Seven of these 14 clusters have been randomly allocated to receive the mass media intervention while the remaining 7 clusters will serve as controls.

Data collection includes household surveys in all 14 clusters at three "key" times:

* At baseline: Before the implementation of the intervention, between December 2011 and February 2012 to measure the current level of child mortality and evaluate current knowledge and behaviours of relevance to child health.
* At midline: Fifteen months after implementation of the intervention to evaluate the coverage of the intervention (in the intervention clusters) and, in each cluster, knowledge and behaviours.
* At endline: Two and a half years after implementation of the intervention to evaluate intervention coverage (in the intervention clusters), knowledge and behaviours and child mortality.

Eligibility criteria: Inclusion Criteria:

* Residence in study clusters

Exclusion Criteria:

* None

Primary outcomes:
measure: Post neonatal under-five all cause mortality
timeFrame: 1 year
Secondary outcomes:
measure: Under-5 child all cause mortality
timeFrame: 1year
measure: Preventive behaviours for main causes of under-five children mortality
timeFrame: 1 year
measure: Knowledge
timeFrame: 30-36 months after the start of the intervention
measure: Cost-effectiveness of mass media campaigns in terms of dollars per disability-adjusted life year (DALY) averted
timeFrame: 1 year
measure: Curative behaviours for main causes of under-five children mortality
timeFrame: 15 days
Other outcomes:
Locations:
city: Bobo-Dioulasso
country: Burkina Faso
facility: Centre Muraz
Study officials:
affiliation: London School of Hygiene and Tropical Medicine
name: Simon N Cousens, MA
role: PRINCIPAL_INVESTIGATOR
affiliation: Centre Muraz
name: Nicolas Meda, MD, PhD
role: PRINCIPAL_INVESTIGATOR
affiliation: London School of Hygienne and Tropical Medicine
name: Sophie Sarrassat, PhD
role: STUDY_DIRECTOR
affiliation: Centre MURAZ / AfricSanté, Burkina Faso
name: Moctar Ouedraogo, MsD
role: STUDY_DIRECTOR
References:
citation: Kasteng F, Murray J, Cousens S, Sarrassat S, Steel J, Meda N, Ouedraogo M, Head R, Borghi J. Cost-effectiveness and economies of scale of a mass radio campaign to promote household life-saving practices in Burkina Faso. BMJ Glob Health. 2018 Jul 16;3(4):e000809. doi: 10.1136/bmjgh-2018-000809. eCollection 2018.
citation: Sarrassat S, Meda N, Badolo H, Ouedraogo M, Some H, Bambara R, Murray J, Remes P, Lavoie M, Cousens S, Head R. Effect of a mass radio campaign on family behaviours and child survival in Burkina Faso: a repeated cross-sectional, cluster-randomised trial. Lancet Glob Health. 2018 Mar;6(3):e330-e341. doi: 10.1016/S2214-109X(18)30004-4.
citation: Head R, Murray J, Sarrassat S, Snell W, Meda N, Ouedraogo M, Deboise L, Cousens S. Can mass media interventions reduce child mortality? Lancet. 2015 Jul 4;386(9988):97-100. doi: 10.1016/S0140-6736(14)61649-4. Epub 2015 Feb 13.