Strengthening human resources for health through simplified clinical tools

Strengthening human resources for health through simplified clinical tools and educational outreach: a cluster-randomised trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN47805230

Enrollment

200

Registered

2010-02-22

Start date

2010-02-01

Completion date

Unknown

Last updated

2015-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Training methods in primary care centres Not Applicable Training methods

Interventions

The project centres on the STAT-PALM guidelines and novel training method. The STAT-PALM guidelines and training program will be developed through a review and modification of the proven PALSA-PLUS gu

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. Centres: All public primary care health centres within Zomba District (30 centres) 2. Individuals: All health professional staff (no age limit, either sex) eligible to provide clinical services within the randomised health centres

Exclusion criteria

Exclusion criteria: Does not meet inclusion criteria

Design outcomes

Primary

Measure	Time frame
1. Health centre staffing retention: months remaining in same job post-intervention, measured at staff-person level. Can do overall and by health cadre. Denominator is staff at work at study start. 2. Staff turnover (sum of retention/recruitment/loss): Denominator to be calculated based on ideal ratio of HCWs to patient visits (e.g., no. of attendances in last year 3. Staff satisfaction: Individually scored questions from validated questionnaire	—

Measure

Time frame

1. Health centre staffing retention: months remaining in same job post-intervention, measured at staff-person level. Can do overall and by health cadre. Denominator is staff at work at study start. 2. Staff turnover (sum of retention/recruitment/loss): Denominator to be calculated based on ideal ratio of HCWs to patient visits (e.g., no. of attendances in last year 3. Staff satisfaction: Individually scored questions from validated questionnaire

—

Secondary

Measure	Time frame
1. Cotrimoxazole prophylaxis among HIV+ pregnant women attending ante-natal care at health centre 2. HIV testing among pregnant women 3. Anti-retroviral treatment (ART) among HIV+ pregnant women attending ante-natal care at health centre 4. Non-ART prevention-of-mother-to-child-transmission of HIV treatment provided to HIV+ pregnant women attending ante-natal care at health centre 5. New adult ARV follow-ups at health centre 6. New adult TB follow-ups at health centre 7. New TB treatment among ART patients at health centre 8. New HIV diagnosis among TB patients at health centre 9. New ART initiations among TB patients at health centre 10. Initiation of malaria treatments at health centre 11. Immunizations (overall and measles specific) given 0 - 5 years at health centre 12. New child ART initiations at health centre 13. HIV tests in children at health centre	—

Measure

Time frame

1. Cotrimoxazole prophylaxis among HIV+ pregnant women attending ante-natal care at health centre 2. HIV testing among pregnant women 3. Anti-retroviral treatment (ART) among HIV+ pregnant women attending ante-natal care at health centre 4. Non-ART prevention-of-mother-to-child-transmission of HIV treatment provided to HIV+ pregnant women attending ante-natal care at health centre 5. New adult ARV follow-ups at health centre 6. New adult TB follow-ups at health centre 7. New TB treatment among ART patients at health centre 8. New HIV diagnosis among TB patients at health centre 9. New ART initiations among TB patients at health centre 10. Initiation of malaria treatments at health centre 11. Immunizations (overall and measles specific) given 0 - 5 years at health centre 12. New child ART initiations at health centre 13. HIV tests in children at health centre

—

Countries

Malawi

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 30, 2026