Traditional medicine practitioners' snakebite case management in Plateau State, north-central Nigeria

ISRCTN ISRCTN17169039
DOI https://doi.org/10.1186/ISRCTN17169039
Secondary identifying numbers ACEPRD/WB/003
Submission date
21/03/2020
Registration date
12/04/2020
Last edited
09/04/2020
Recruitment status
No longer recruiting
Overall study status
Completed
Condition category
Injury, Occupational Diseases, Poisoning
Prospectively registered
Protocol
Statistical analysis plan
Results
Individual participant data
Record updated in last year

Plain English summary of protocol

Background and study aims
Snakebite is a medical problem of public health importance and recognized as one of the Neglected Tropical Diseases (NTDs) by the World Health Organization. Snakebite morbidity is high in Sub-Saharan Africa and mortality usually result from envenoming culminating in higher deaths in poor rural farming and pastoral communities. Snakebite victims, especially in rural communities, often seek for alternative treatment from traditional medicine practitioners and in some communities, 50 -90% of snakebite patients visit traditional Medicine Practitioners or use traditional remedy first before visiting a health facility for treatment.
Aim: to evaluate the snakebite case management practices through self-reporting of case management by traditional medicine practitioners.

Who can participate?
Adult traditional medicine practitioners registered as members of the National Association of Nigerian Traditional Medicine Practitioners in Plateau State, Nigeria.

What does the study involve?
Interviewer-administered questionnaire collecting information on how the last snakebite case was managed by the traditional medicine practitioners who are members of the National Association of Nigerian Traditional Medicine Practitioners (NANTMP) in Plateau State.

What are the possible benefits and risks of participating?
There is no increased risk in participating in the study other than the usual risk seen in health professional-client communication relationship. The traditional medicine practitioners stand to gain from the study because the study finding will be used for advocacy to the government to address gap in traditional medicine snakebite case management, improve support and collaboration for snakebite case management in this province.

Where is the study run from?
1. Jos-North LGA, Plateau North Senatorial Zone (Nigeria)
2. Kanke LGA, Plateau Central Senatorial Zone (Nigeria)
3. Langtang-North LGA, Plateau South Senatorial Zone (Nigeria)

When is the study starting and how long is it expected to run for?
March 2020 to June 2020

Who is funding the study?
African Centre of Excellence in Phytomedicine Research and Development, University of Jos (Nigeria)

Who is the main contact?
Prof. Aboi JK Madaki
wankarani62@gmail.com

Contact information

Prof Aboi JK Madaki
Scientific

Road 4, Senior Staff Quarters
University of Jos
Jos
93001
Nigeria

ORCiD logoORCID ID 0000-0002-6898-8428
Phone +234 8036249560
Email madakia@unijos.edu.ng

Study information

Study designObservational cross-sectional community-based study
Primary study designObservational
Secondary study designCross sectional study
Study setting(s)Community
Study typeOther
Participant information sheet Not available in web format, please use the contact details below to request a patient information sheet
Scientific titleSelf-reported snakebite case management practices of traditional medicine practitioners in Plateau State, north-central Nigeria
Study acronymTMP-Snakebite
Study objectivesPattern of snakebite case management practices of traditional medicine practitioners in Plateau State may reveal gaps that can be tackled to improve snakebite case management outcomes
Ethics approval(s)Approved 22/01/2020, Jos University Teaching Hospital Institutional Research Ethics Committee (PMB 2076; Jos, Plateau State, Nigeria, 930241; +234 9030001194; info@juth.org.ng), ref: JUTH/DCS/IREC/127/XXX/2151
Health condition(s) or problem(s) studiedSnakebite
InterventionThis is a cross-sectional study in which there will be a single encounter with the Traditional Medicine Practitioner (TMP). A pilot-tested questionnaire will be used to record information on Self-reporting of Snakebite case management practice of the interviewee focusing on the last case of snakebite managed. Information will also be collected on selected communicable and non-communicable diseases that the Traditional Medicine Practitioners also provide treatment for. The interview session will last on average of 30 minutes and that will be end of the TMP’s participation in the study.
Intervention typeOther
Primary outcome measureThe information collected from Traditional Medicine Practitioner’s interview will be reviewed to ascertain the following:
1. How envenoming was established
2. Type and nature of medication administered
3. Duration of treatment
4. Use and nature of infection control deployed
5. Treatment cost and mode of payment
6. Type of first aid recommended
7. Use of high-risk snakebite treatment practices
8. Willingness to be trained and expected training cost fee
9. Type of government-anticipated assistance
10. Nature of challenges working with other traditional medicine practitioners
Secondary outcome measuresNone
Overall study start date27/12/2019
Completion date02/06/2020

Eligibility

Participant type(s)Health professional
Age groupAdult
Lower age limit18 Years
SexBoth
Target number of participants100
Key inclusion criteria1. Traditional medicine practitioners registered as members of the National Association of Nigerian Traditional Medicine Practitioners in Plateau State, Nigeria
2. Aged 18 years or above
Key exclusion criteria1. Traditional medicine practitioners that did not grant consent
2. Traditional medicine practitioners that travel of the state during the study period
3. Traditional medicine practitioners who are severely ill or on admission
Date of first enrolment20/03/2020
Date of final enrolment02/06/2020

Locations

Countries of recruitment

  • Nigeria

Study participating centres

Jos-North LGA
Jos-North Ward
Plateau State
Jos
93001
Nigeria
Kanke LGA
Plateau Central Senatorial Zone
Kwal
93001
Nigeria
Langtang-North LGA
Plateau South Senatorial Zone
Langtang
93001
Nigeria

Sponsor information

University of Jos
University/education

Africa Centre of Excellence in Phytomedicine Research and Development
Jos
93001
Nigeria

Phone +234 8036249560
Email aceprd@unijos.edu.ng
Website https://www.unijos.edu.ng/aceprd
ROR logo "ROR" https://ror.org/009kx9832

Funders

Funder type

University/education

African Centre of Excellence in Phytomedicine Research and Development, University of Jos

No information available

Results and Publications

Intention to publish date28/01/2021
Individual participant data (IPD) Intention to shareNo
IPD sharing plan summaryData sharing statement to be made available at a later date
Publication and dissemination plan1. Result of this study will be presented at a meeting of traditional medicine practitioners to inform them of its findings and get their inputs on how the utilise the results
2. Recommendations of the study will be made available to the regional government for implementation
3. A manuscript will be produced to share the finding with the larger medical community
IPD sharing planThe current data sharing plans for this study are unknown and will be available at a later date.

Editorial Notes

09/04/2020: Trial’s existence confirmed by Jos University Teaching Hospital