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Trial registered on ANZCTR
Registration number
ACTRN12610000035022
Ethics application status
Approved
Date submitted
9/01/2010
Date registered
13/01/2010
Date last updated
10/07/2012
Type of registration
Retrospectively registered
Titles & IDs
Public title
The effect of training on use of Insecticide Treated Nets and integrated community network system for control of malaria in vulnerable groups
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Scientific title
The effect of training on use of Insecticide Treated Nets and integrated community network system for control of malaria in vulnerable groups: randomized community trial
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Secondary ID [1]
1257
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nil
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
Malaria
256496
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anemia
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Condition category
Condition code
Blood
256675
256675
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0
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Anaemia
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Infection
256681
256681
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0
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Other infectious diseases
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
The intervention consisted of training of heads of the households in the intervention villages (11 villages) on propoer use of Insecticide Treated Nets(ITN) and continuous monitoring of use of ITN by village leaders. The training was given for two days using posters and demonstratoin in rural hourses
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Intervention code [1]
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Prevention
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Comparator / control treatment
11 comparative villages will serve as controls. In these villages, ITN will be provided but no trainng and follow up by village leaders.
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Control group
Active
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Outcomes
Primary outcome [1]
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The primary outcome will be prevalence of malaria and anemia in under-five children and pregnant women. Mass blood investigation for all under-five children and pregnant women is being done in the selected Gots three times a year. For malaria parasite identification, thick and thin films will be prepared in the field and stained with Giemsa in Jimma Specialized Hospital. Haemoglobin concentration for assessment of anemia will be determined using Hemo Cue analyzer in the field (HemoCue Hb 301, Sweden)
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Assessment method [1]
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Timepoint [1]
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At month 2, 6, 10 after randomization
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Secondary outcome [1]
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proper use of ITN will be the secondary outcome. Proper use of ITN will be determined using observation and interview
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Assessment method [1]
262805
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Timepoint [1]
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Every month after randomization for 24 monhts
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Eligibility
Key inclusion criteria
There are two study population: underfive children and pregnant women. Underfive children who are above one month and live in the study villages will be included. Pregnant women who live in the study area will also be included. The study villages should be within 15 K.m radius of the dam.
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Minimum age
1
Months
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Maximum age
49
Years
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Sex
Both males and females
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Can healthy volunteers participate?
Yes
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Key exclusion criteria
Under-five children and pregnant women who live outside the study villages
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Study design
Purpose of the study
Prevention
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Villages (Gots) in Gilgel Gibe field research centre were stratified into North and South in relation to the reservoir of Gilgel Gibe hydroelecteric dam. Gots in the north direction of the reservoir were selected randomly as intervention whereas villages in the South direction of the dam were selected to be control groups and both groups are within the same distance (15 Km) from the reservoir. For this trail, 22 Gots (11 interventions and 11 controls) were included. All households, under-five chilren and pregnant women in the selected
Gots were involved in the study. Since, the study is community triat, it was the Gots/villages which were allocated into treatment and control villages centrally using computer.
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization using a ramdom table generated by computer
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Active, not recruiting
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Date of first participant enrolment
Anticipated
15/02/2009
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
22
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2390
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Ethiopia
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State/province [1]
2390
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Funding & Sponsors
Funding source category [1]
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Charities/Societies/Foundations
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Name [1]
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The United Nations Children's Fund(UNICEF)/ United Nations Development Program(UNDP)/ World Bank/ World Health Organization(WHO) Sprecial Program for Research and Training in Tropical Diseases(TDR)
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Address [1]
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Research Manager, Empowerment (Attn: Mrs Pearl Harlley)
Special Programme for Research and Training in Tropical Diseases (TDR)
World Health Organization
1211 Geneva 27
Switzerland
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Country [1]
256266
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Switzerland
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Primary sponsor type
Charities/Societies/Foundations
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Name
The United Nations Children's Fund(UNICEF)/ United Nations Development Program(UNDP)/ World Bank/ World Health Organization(WHO) Sprecial Program for Research and Training in Tropical Diseases(TDR)
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Address
Research Manager, Empowerment (Attn: Mrs Pearl Harlley)
Special Programme for Research and Training in Tropical Diseases (TDR)
World Health Organization
1211 Geneva 27
Switzerland
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Country
Switzerland
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Secondary sponsor category [1]
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University
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Name [1]
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Jimma University
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Address [1]
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Jimma University
P.O.BOX 378
Jimma, Ethiopia
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Country [1]
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Ethiopia
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
258355
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WHO Ethical Review Committee
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Ethics committee address [1]
258355
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Ethics committee country [1]
258355
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Switzerland
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Date submitted for ethics approval [1]
258355
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10/05/2008
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Approval date [1]
258355
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05/08/2008
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Ethics approval number [1]
258355
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A80086
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Ethics committee name [2]
258356
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Jimm University Ethical review board
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Ethics committee address [2]
258356
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Jimma University, P.O.BOX 378, Jimma, Ethiopia
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Ethics committee country [2]
258356
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Ethiopia
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Date submitted for ethics approval [2]
258356
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01/01/2008
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Approval date [2]
258356
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05/03/2008
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Ethics approval number [2]
258356
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RPO/101/2000
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Summary
Brief summary
Efforts devoted to understanding the biology of the malaria parasite and mosquito vector in the past 2 decades have resulted in new and improved tools against malaria. However, there is paucity of researches on human behavior regarding the proper use of Insecticide Treated Nets to prevent malaria in vulnerable groups (under-five children and pregnant mothers). This study assesses the effect of training of heads of the households and subsequent follow up for use of Insecticide Treated Nets and integrated community network system on the burden of malaria. The study will employ randomized community trial to be conducted in Gilgel Gibe Field Research Center, Southwest Ethiopia. To avoid the effect of contamination, villages in the field research center were stratified into North and South in relation to the reservoir of the dam. One of the directions will be selected as intervention site by simple random sampling technique. A total of 22 Gotes (11 in the intervention and 11 in the control) were included in the study. Control and intervention villages will have similar distance(15 K.m) from the reservoir of the dam. Baseline survey on socio-economic status; knowledge, perception and use of Insecticide Treated Nets and prevalence of malaria in under-five children and pregnant women will be undertaken in both the intervention and control group. The study will be conducted for 3 years (Feb 2009 - Dec 2011). The intervention consists of training of the heads of the households about the proper use of Insecticide Treated Nets for vulnerable groups and establishing community network system that makes the training sustainable. Tailored training and demonstration about use of Insecticide Treated Nets will be given to the heads of the households by community leaders using local language. Information Education communication materials e.g. training manuals, pamphlets and posters will be prepared by local language. After training, there will be monitoring of use of Insecticide Treated Nets in each household in the intervention village. The community leaders and community health agents will use checklist to assess the proper use of Insecticide Treated Nets in each house. At the end of the intervention, proper use of Insecticide Treated Nets and burden of malaria in under-five children and pregnant women will be assessed in both the intervention and control villages. Data will be entered into computer, edited, cleaned, and analyzed using SPSS-12 statistical soft ware. Descriptive statistics will be done to measure the burden of malaria and the use of Insecticide Treated Nets . Multivariate logistic regression technique supported by qualitative findings will be done to assess the effect of the intervention while controlling confounding variables. There is a possibility of hampering the training activities during sowing and harvesting season where training will be planned in consultation with the community. Proper and sustainable use of Insecticide Treated Nets and reduced incidence of malaria is the expected outcomes of the study
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Trial website
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Trial related presentations / publications
Effect of training on use of long lasting treated bed nets on the burden of malaria among vulnerable groups in Gilgel Gibe Field Research Center, Ethiopia: baseline results of a cluster randomized trial (submitted, December, 2009) Authors: Amare Deribew, Fessehaye Alemseged, Zewudie Birhanu, Lelisa Sena, Ayalew Tegegn, Ahmed Zeynudin, Tariku Dejene, Morankar Sudhakar, Nasir Abdo, Fasil Tessema
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Public notes
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Contacts
Principal investigator
Name
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Address
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Country
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Phone
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Fax
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Email
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Contact person for public queries
Name
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Amare Deribew
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Address
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Jimma University
P.O.BOx 205, Jimma, Ethiopia
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Country
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Ethiopia
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Phone
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251917 803581
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Fax
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251471 119521
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Email
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[email protected]
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Contact person for scientific queries
Name
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Amare Deribew
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Address
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Jimma University
P.O.BOx 205, Jimma, Ethiopia
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Country
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Ethiopia
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Phone
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251917 803581
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Fax
4852
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251471 119521
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Email
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
Source
Title
Year of Publication
DOI
Dimensions AI
The effect of household heads training about the use of treated bed nets on the burden of malaria and anaemia in under-five children: a cluster randomized trial in Ethiopia
2012
https://doi.org/10.1186/1475-2875-11-8
N.B. These documents automatically identified may not have been verified by the study sponsor.
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