Condition category
Not Applicable
Date applied
16/03/2015
Date assigned
02/04/2015
Last edited
02/04/2015
Prospective/Retrospective
Retrospectively registered
Overall trial status
Completed
Recruitment status
No longer recruiting

Plain English Summary

Background and study aims
The importance of community health workers (CHWs) is increasing worldwide, especially in low income countries. And their performance is one of the key to make the program a success. In Kenya, the community health strategy was launched since 2006. Although the standard training was implemented by the government, performance was varied. The purpose of this study is to measure the effectiveness of two unique activities, a continuous refresher training and a community referral and defaulter tracing activity, in order to improve the performance of community health workers.

Who can participate?
Adults who have actively worked as community health workers

What does the study involve?
Two cross-sectional surveys are conducted before and after the interventions in 64 locations. The 64 areas are randomly allocated into the three groups; intervention one, intervention two and control group. The intervention one group receives only the continuous refresher training. The intervention two group receives the training and referral and defaulter tracing activity. The control group receive no training or activity. The training is implemented once a month from January to July in 2012.

What are the possible benefits and risks of participating?
As well as the additional learning opportunity, transportation cost and lunch will be provided during the training. To standardize the health knowledge among CHWs in both the intervention groups and the control group, we will implement the similar training to the control group after the study is complete.

Where is the study run from?
Kisumu West District, Siaya District, Ugenya District and Gem District, Nyanza province (Kenya)

When is the study starting and how long is it expected to run for?
July 2011 to October 2012

Who is funding the study?
Japan International Cooperation Agency

Who is the main contact?
Yoshito Kawakatsu
yoshito.kawakatsu@gmail.com

Trial website

Contact information

Type

Public

Primary contact

Dr Yoshito Kawakatsu

ORCID ID

http://orcid.org/0000-0003-1853-533X

Contact details

Provincial Headquaters 4th floor
Kisumu
401-40100
Kenya

Additional identifiers

EudraCT number

ClinicalTrials.gov number

Protocol/serial number

N/A

Study information

Scientific title

The impact of the continuous refresher training and the defaulter tracing activity on community health workers’ performance: a cluster randomized control trial

Acronym

Study hypothesis

A Intensive refresher training and strengthening the defaulter tracing are effective interventions to improve community health workers' performance.

Ethics approval

GLUK Ethical Review Committee (GERC) , Great Lake University of Kisumu (GLUK), Kenya, ref: No. GERC/036/2011

Study design

A cluster randomized controlled trial

Primary study design

Interventional

Secondary study design

Cluster randomised trial

Trial setting

Community

Trial type

Other

Patient information sheet

Condition

Healthy adults working as community health workers

Intervention

There are two interventions:
1. Refresher training to community health workers
2. Strengthening of the referral and defaulter tracing activity

Intervention type

Behavioural

Phase

Drug names

Primary outcome measures

Community health workers' performance in terms of household coverage, health knowledge, and customer satisfaction.

Secondary outcome measures

Pervasive effects to community members such as health knowledge and health seeking behavior.

Overall trial start date

01/07/2011

Overall trial end date

31/12/2012

Reason abandoned

Eligibility

Participant inclusion criteria

All community health workers (CHWs) actively working in the research areas

Participant type

Health professional

Age group

All

Gender

Both

Target number of participants

Around 1000 CHWs working in the areas

Participant exclusion criteria

CHWs who have not been participated in any community health activity within the last three months.

Recruitment start date

18/07/2011

Recruitment end date

21/07/2011

Locations

Countries of recruitment

Kenya

Trial participating centre

Head Quarter of Ministry of Public Health and Sanitation, Kisumu
Kisumu West, Siaya, Ugenya, and Gem

Sponsor information

Organisation

SEMAH project supported by Japan International Cooperation Agency (JICA) Kenya Office

Sponsor details

The Rahimtulla Tower
10th floor
Upper Hill Rd.
Nairobi
50572-00200
Kenya

Sponsor type

Government

Website

Funders

Funder type

Not defined

Funder name

Japan International Cooperation Agency

Alternative name(s)

Agence Japonaise de Coopération Internationale, Agencia de Cooperación Internacional del Japón, JICA

Funding Body Type

government organisation

Funding Body Subtype

government non-federal

Location

Japan

Results and Publications

Publication and dissemination plan

I have a plan to publish this research paper in a international journal. In addition, I may make a presentation in a international conference.

Intention to publish date

Participant level data

Available on request

Results - basic reporting

Publication summary

Publication citations

Additional files

Editorial Notes