Evaluation of a Multiple Behaviour Programme for Diarrhoea Management
Evaluation of a Multiple Behaviour Programme to Prevent and Manage Diarrhoea Among Children Under-five in Lusaka, Zambia
Control of diarrhoeal disease requires a comprehensive package of preventive and curative interventions. in Zambia, the Programme for Awareness and Elimination of Diarrhoea (PAED) aims to reduce child deaths by combating diarrhoea in Lusaka province, Zambia. The behaviour change component of the PAED programme seeks to change behaviours important for diarrhoea prevention (handwashing with soap and exclusive breastfeeding) and improved treatment outcomes (use of oral rehydration solution (ORS) and zinc in home management of child diarrhoea).
The study aims to evaluate the feasibility of implementing a multiple behaviour change community programme to tackle diarrhoeal disease in children under-five and to assess the impact of this programme on practice of the target behaviours by caregivers of children under-five. The research questions will be answered through a a two-arm cluster-randomised trial (eight clusters per study arm).
Visão geral do estudo
Status
Condições
Intervenção / Tratamento
Descrição detalhada
Specific objectives of the study are as follows:
- Evaluate the effect of the programme on ORS and zinc uptake and usage, exclusive breastfeeding and handwashing with soap (primary objective)
- Determine the extent to which the programme has positively influenced key mediating factors that determine behaviour (i.e. social norms, physical infrastructure, attitudes, and disease and treatment perceptions)
Investigate which components of the community programme (i.e. specific activities in clinics, community events etc.) are linked to the success of the programme (most acceptable, feasible etc) and in what context
o Validate model of intervention theory that explains how the context and mechanisms of the intervention interact to produce behavioural outcomes
- Determine which target populations are more likely to uptake the desired behaviours and identify the supporting factors that might explain this
- Conduct process evaluation to assess i) if the programme has been implemented as intended, ii) if the desired levels of reach and coverage have been achieved, iii) costs of implementation, iv) the extent to which changes in behaviour are likely to be due to the intervention.
Tipo de estudo
Inscrição (Real)
Estágio
- Não aplicável
Contactos e Locais
Locais de estudo
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Lusaka Province
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Lusaka, Lusaka Province, Zâmbia
- Centre for Infectious Disease Research Zambia
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Critérios de participação
Critérios de elegibilidade
Idades elegíveis para estudo
Aceita Voluntários Saudáveis
Gêneros Elegíveis para o Estudo
Descrição
Inclusion Criteria:
- caregiver with child under six months (for assessment of handwashing and exclusive breastfeeding outcomes - healthy volunteers)
- caregiver with child under five years with current or recent (last 7 days) diarrhoea (for assessment of ORS and zinc outcomes)
Exclusion Criteria:
- Not resident in study area
Plano de estudo
Como o estudo é projetado?
Detalhes do projeto
- Finalidade Principal: Prevenção
- Alocação: Randomizado
- Modelo Intervencional: Atribuição Paralela
- Mascaramento: Solteiro
Armas e Intervenções
Grupo de Participantes / Braço |
Intervenção / Tratamento |
|---|---|
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Experimental: Community behaviour change campaign
Participants will be exposed to the community behaviour change intervention.
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Community campaign targeting exclusive breastfeeding, handwashing with soap, and use of ORS and zinc to manage child diarrhoea.
Includes a range of activities within the community (large events and small group sessions); clinic activities (ORS preparation), radio adverts.
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Sem intervenção: No community behaviour change campaign
No community intervention will take place in the control arm, although exposure to some intervention messaging (radio adverts) may take place.
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O que o estudo está medindo?
Medidas de resultados primários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Change in target behaviour: zinc use
Prazo: six weeks post-intervention
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Proportion of under-five diarrhoeal episodes receiving zinc. The study aims to demonstrate the intervention can successfully change behaviour and therefore no health outcomes were chosen and there is a primary outcome for each behaviour. |
six weeks post-intervention
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Change in target behaviour: correct ORS preparation
Prazo: six weeks post-intervention
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Proportion of caregivers able to demonstrate correct ORS preparation.
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six weeks post-intervention
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Change in target behaviour: Exclusive breastfeeding
Prazo: six weeks post-intervention
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Proportion of mothers exclusively breastfeeding infants 0-5 months of age.
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six weeks post-intervention
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Change in target behaviour: Handwashing with soap
Prazo: six weeks post-intervention
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Proportion of observed handwashing events where there is risk of faecal contamination (i.e. after latrine and when dealing with child stools) accompanied by handwashing with soap
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six weeks post-intervention
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Medidas de resultados secundários
Medida de resultado |
Descrição da medida |
Prazo |
|---|---|---|
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Change in target behaviours: ORS use
Prazo: six weeks post-intervention
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Proportion of under-five diarrhoeal episodes receiving ORS.
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six weeks post-intervention
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Change in target behaviours: ORS storage
Prazo: six weeks post-intervention
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Proportion of caregivers storing ORS sachets at home
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six weeks post-intervention
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Change in target behaviours: zinc trial
Prazo: six weeks post-intervention
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Proportion of caregivers of a child under-five who have ever used zinc to treat diarrhoea in a child
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six weeks post-intervention
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Zinc awareness
Prazo: six weeks post-intervention
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Proportion of caregivers who have heard of zinc for diarrhoea treatment
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six weeks post-intervention
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Change in target behaviours: exclusive breastfeeding 0-2 months
Prazo: six weeks post-intervention
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Proportion of mothers exclusively breastfeeding infants 0-2 months of age.
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six weeks post-intervention
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Change in target behaviours: predominant breastfeeding
Prazo: six weeks post-intervention
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Proportion of mothers predominantly breastfeeding infants 0-5 months of age.
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six weeks post-intervention
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Change in target behaviours: handwashing with soap at key times
Prazo: six weeks post-intervention
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Proportion of observed handwashing events associated with food handling or faeces accompanied by handwashing with soap
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six weeks post-intervention
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Change in target behaviours: use of soap
Prazo: six weeks post-intervention
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Proportion of observed handwashing occasions where soap is used
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six weeks post-intervention
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Colaboradores e Investigadores
Patrocinador
Investigadores
- Investigador principal: Roma Chilengi, Centre for Infectious Disease Research in Zambia
Publicações e links úteis
Publicações Gerais
- Greenland K, Chipungu J, Chilekwa J, Chilengi R, Curtis V. Disentangling the effects of a multiple behaviour change intervention for diarrhoea control in Zambia: a theory-based process evaluation. Global Health. 2017 Oct 17;13(1):78. doi: 10.1186/s12992-017-0302-0.
- Greenland K, Chipungu J, Curtis V, Schmidt WP, Siwale Z, Mudenda M, Chilekwa J, Lewis JJ, Chilengi R. Multiple behaviour change intervention for diarrhoea control in Lusaka, Zambia: a cluster randomised trial. Lancet Glob Health. 2016 Dec;4(12):e966-e977. doi: 10.1016/S2214-109X(16)30262-5.
Datas de registro do estudo
Datas Principais do Estudo
Início do estudo
Conclusão Primária (Real)
Conclusão do estudo (Real)
Datas de inscrição no estudo
Enviado pela primeira vez
Enviado pela primeira vez que atendeu aos critérios de CQ
Primeira postagem (Estimativa)
Atualizações de registro de estudo
Última Atualização Postada (Estimativa)
Última atualização enviada que atendeu aos critérios de controle de qualidade
Última verificação
Mais Informações
Termos relacionados a este estudo
Palavras-chave
Termos MeSH relevantes adicionais
Outros números de identificação do estudo
- QA511
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