Condition category
Injury, Occupational Diseases, Poisoning
Date applied
21/03/2020
Date assigned
12/04/2020
Last edited
09/04/2020
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

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

https://www.unijos.edu.ng/aceprd

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

Publication citations

Additional files

Editorial Notes

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