TITLE

The EPICS Trial: Enabling Parents to Increase Child Survival through the introduction of community-based health interventions in rural Guinea Bissau

AUTHOR(S)
Mann, Vera; Fazzio, Ila; King, Rebecca; Walker, Polly; dos Santos, Albino; de Sa, Jose Carlos; Jayanti, Chitra; Frost, Chris; Elbourne, Diana; Boone, Peter
PUB. DATE
January 2009
SOURCE
BMC Public Health;2009, Vol. 9, p279
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Background: Guinea-Bissau is a small country in West Africa with a population of 1.7 million. The WHO and UNICEF reported an under-five child mortality of 203 per 1000, the 10th highest amongst 192 countries. The aim of the trial is to assess whether an intervention package that includes community health promotion campaign and education through health clubs, intensive training and mentoring of village health workers to diagnose and provide first-line treatment for children's diseases within the community, and improved outreach services can generate a rapid and cost-effective reduction in under-five child mortality in rural regions of Guinea-Bissau. Effective Intervention plans to expand the project to a much larger region if there is good evidence after two and a half years that the project is generating a cost-effective, sustainable reduction in child mortality. Methods/design: This trial is a cluster-randomised controlled trial involving 146 clusters. The trial will run for 2.5 years. The interventions will be introduced in two stages: seventy-three clusters will receive the interventions at the start of the project, and seventy-three control clusters will receive the interventions 2.5 years after the first clusters have received all interventions if the research shows that the interventions are effective. The impact of the interventions and cost-effectiveness will be measured during the first stage. The package of interventions includes a community health promotion campaign and education through health clubs, and intensive training and mentoring of village health workers to diagnose and provide first-line treatment for common children's diseases within the community. It also includes improved outreach services to encourage provision of antenatal and post natal care and provide ongoing monitoring for village health workers. The primary outcome of the trial will be the proportion of children that die under 5 years of age during the trial. Secondary outcomes will include age at and cause of child deaths, neonatal mortality, infant mortality, maternal mortality, health knowledge, health seeking behaviour, morbidity and costs. Discussion: The trial will be run by research and service delivery teams that act independently, overseen by a trial steering committee. A data monitoring committee will be appointed to monitor the outcome and any adverse effects. Trial Registration: Current Controlled Trials ISRCTN52433336
ACCESSION #
44171653

 

Related Articles

  • Kid stuff.  // Nutrition Health Review: The Consumer's Medical Journal;1996, Issue 77, p23 

    Deals with different questions and its corresponding answers about children's health. Healthy suggestions on how to combat cabin fever; Information about scoliosis and how to treat it; Suggestions on eye infection.

  • Converting Child Health Stations to Pediatric Treatment Centers: Utilization Patterns of Children Using Three Upper Manhattan Facilities Offering Treatment Services. Denerstein, Daniel; Novick, Lloyd F.; Loewenstein, Regina; Bianco, James G. // American Journal of Public Health;Jun76, Vol. 66 Issue 6, p579 

    The article presents a study on how consumers utilized three child health stations which was converted to pediatric treatment centers in the U.S. The findings of the study suggest that the addition of treatment capability to well-baby stations in undeserved areas provided an increment to...

  • Healthy environments for children. Bellamy, Carol // Bulletin of the World Health Organization;2003, Vol. 81 Issue 3, p157 

    Editorial. Focuses on the health of children. Factors responsible for childhood illness and death; Need for survival, growth and development of children; Measures taken by United Nations for the development of children.

  • From audit to action. Wittenberg, D. F. // South African Journal of Child Health;Jul2011, Vol. 5 Issue 2, p26 

    An introduction is presented in which the editor discusses various reports within the issue on topics including an audit on child death, environmental issues affecting child health, and motorcycle injuries in Nigeria.

  • Catching them young. Milton, Tina // Leisure & Hospitality Business;7/11/2002, p40 

    Reports on fitness club operator Children First Clubs' opening of children-only health clubs in London, England by 2003. Amenities; Perception of the fitness activities for children to have plus points for child development; Need for operators to find ways to encourage children to become weight...

  • ÅžOC INFECÅ¢IOS ÅžI INSUFICIENŢĂ ORGANICÄ‚ MULTIPLÄ‚ (M.S.O.F) ÃŽN EVOLUÅ¢IA GRIPEI CU VIRUS B. Bîrluţiu, Victoria // Acta Medica Transilvanica;sep2011, Vol. 16 Issue 3, p107 

    The severe evolution of influenza is frequently associated with the virus A flu infection. The virus B flu infection has been considered rather rare and most frequently having a benign evolution. The severity of the flu is associated with some population groups who are prone to it, like patients...

  • Lessons from the Shriners. Schumacher, William // Modern Healthcare;5/16/2005, Vol. 35 Issue 20, p24 

    Acknowledges the contributions of the Shriners children hospitals to the U.S. healthcare system. Background on the institution; Projects of Shriners Hospital for Children included in its 2005 research program on childhood diseases; Information on a free treatment for children service being...

  • Respiratory viruses from hospitalized children with severe pneumonia in the Philippines. Suzuki, Akira; Lupisan, Socorro; Furuse, Yuki; Fuji, Naoko; Saito, Mariko; Tamaki, Raita; Galang, Hazel; Sombrero, Lydia; Mondoy, Melisa; Aniceto, Rapunzel; Olveda, Remigio; Oshitani, Hitoshi // BMC Infectious Diseases;2012, Vol. 12 Issue 1, p267 

    Background: Pneumonia remains a leading cause of child death in developing countries. The viruses in severe pneumonia remain poorly defined. Methods: The study was conducted at the Eastern Visayas Regional Medical Center in Tacloban City, Philippines from May 2008 to May 2009. Patients aged 8...

  • HOSPITALS helping CHILDREN.  // AHA News;8/31/2009, Vol. 45 Issue 18, p10 

    No abstract available.

Share

Read the Article

Courtesy of VIRGINIA BEACH PUBLIC LIBRARY AND SYSTEM

Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics