Plain English Summary
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
Trial website
Contact information
Type
Scientific
Primary contact
Prof Aboi JK Madaki
ORCID ID
http://orcid.org/0000-0002-6898-8428
Contact details
Road 4
Senior Staff Quarters
University of Jos
Jos
93001
Nigeria
+234 8036249560
madakia@unijos.edu.ng
Additional identifiers
EudraCT number
Nil known
ClinicalTrials.gov number
Nil known
Protocol/serial number
ACEPRD/WB/003
Study information
Scientific title
Self-reported snakebite case management practices of traditional medicine practitioners in Plateau State, north-central Nigeria
Acronym
TMP-Snakebite
Study hypothesis
Pattern 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
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
Study design
Observational cross-sectional community-based study
Primary study design
Observational
Secondary study design
Cross sectional study
Trial setting
Community
Trial type
Other
Patient information sheet
Not available in web format, please use the contact details below to request a patient information sheet
Condition
Snakebite
Intervention
This 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 type
Other
Phase
Drug names
Primary outcome measure
The 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 measures
None
Overall trial start date
27/12/2019
Overall trial end date
02/06/2020
Reason abandoned (if study stopped)
Eligibility
Participant inclusion criteria
1. 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
Participant type
Health professional
Age group
Adult
Gender
Both
Target number of participants
100
Participant exclusion criteria
1. 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
Recruitment start date
20/03/2020
Recruitment end date
02/06/2020
Locations
Countries of recruitment
Nigeria
Trial participating centre
Jos-North LGA
Jos-North Ward
Plateau State
Jos
93001
Nigeria
Trial participating centre
Kanke LGA
Plateau Central Senatorial Zone
Kwal
93001
Nigeria
Trial participating centre
Langtang-North LGA
Plateau South Senatorial Zone
Langtang
93001
Nigeria
Sponsor information
Organisation
University of Jos
Sponsor details
Africa Centre of Excellence in Phytomedicine Research and Development
Jos
93001
Nigeria
+234 8036249560
aceprd@unijos.edu.ng
Sponsor type
University/education
Website
Funders
Funder type
University/education
Funder name
African Centre of Excellence in Phytomedicine Research and Development, University of Jos
Alternative name(s)
Funding Body Type
Funding Body Subtype
Location
Results and Publications
Publication and dissemination plan
1. 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 statement:
The current data sharing plans for this study are unknown and will be available at a later date.
Intention to publish date
28/01/2021
Participant level data
To be made available at a later date
Basic results (scientific)
Publication list