The effect of community health volunteer activation on maternal and child health in Volta region, Ghana

The effect of community health volunteer activation on maternal and child health in Volta region, Ghana: a cluster randomized controlled trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN49236178

Enrollment

4000

Registered

2015-06-16

Start date

2015-04-18

Completion date

Unknown

Last updated

2023-07-25

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

Conditions

Maternal and child health including family planning, malaria, diarrhoea Not Applicable

Interventions

Activation of CHV is the main intervention of the trial and the intervention will be applied to the intervention group for a year from August 2015 to September 2016 and to the communities under contro

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Women aged 15-49 with at least 1 live birth in the past 5 years and children under 5 years

Exclusion criteria

Exclusion criteria: 1. Households without a woman aged 15-49 with at least 1 live birth in the past 5 years 2. Households rejecting participation of the study

Design outcomes

Primary

Measure	Time frame
Current primary outcome measures as of 03/05/2019: 1. 14-day diarrhoea prevalence among under-five children, assessed on the basis of caregiver’s reports at baseline, and 6- and 12-month follow-up 2. 14-day fever prevalence among under-five children, assessed on the basis of caregiver’s reports at baseline, and 6- and 12-month follow-up Previous primary outcome measures: 1. Use of contraceptive methods (implant or injectable) in the last 6 months (%) 2. Percentage of pregnant women taking ante-natal care of pregnant women (1 time & 4 or more times) 3. Percentage of women taking post-natal care (within 48 hours & within 6 weeks after delivery) 4. Percentage of pregnant women with fever taking rapid diagnostic test for malaria 5. Percentage of under-5 children with fever taking rapid diagnostic test for malaria 6. Percentage of under-5 children with diarrhoea taking oral dehydration solutions (ORS) 7. Incidence of malaria in under-5 children in the last 2 weeks 8. Incidence of diarrhoea in under-5 children in the last 2 weeks Measurement methods: Indicators to measure achievement of the primary outcomes will be assessed through 3 times of household survey; April 2015, February 2016, August 2016. Baseline survey was conducted in April 2015 and midterm survey in February 2016. An endline survey in August 2016 will be carried out after the initiation of intervention in July 2015.	—

Measure

Time frame

Current primary outcome measures as of 03/05/2019: 1. 14-day diarrhoea prevalence among under-five children, assessed on the basis of caregiver’s reports at baseline, and 6- and 12-month follow-up 2. 14-day fever prevalence among under-five children, assessed on the basis of caregiver’s reports at baseline, and 6- and 12-month follow-up Previous primary outcome measures: 1. Use of contraceptive methods (implant or injectable) in the last 6 months (%) 2. Percentage of pregnant women taking ante-natal care of pregnant women (1 time & 4 or more times) 3. Percentage of women taking post-natal care (within 48 hours & within 6 weeks after delivery) 4. Percentage of pregnant women with fever taking rapid diagnostic test for malaria 5. Percentage of under-5 children with fever taking rapid diagnostic test for malaria 6. Percentage of under-5 children with diarrhoea taking oral dehydration solutions (ORS) 7. Incidence of malaria in under-5 children in the last 2 weeks 8. Incidence of diarrhoea in under-5 children in the last 2 weeks Measurement methods: Indicators to measure achievement of the primary outcomes will be assessed through 3 times of household survey; April 2015, February 2016, August 2016. Baseline survey was conducted in April 2015 and midterm survey in February 2016. An endline survey in August 2016 will be carried out after the initiation of intervention in July 2015.

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Secondary

Measure	Time frame
Current secondary outcome measures as of 03/05/2019: 1. Family planning practices of caregivers using any of these methods. The following family planning practices were assessed on the basis of self-reports at baseline, and 6- and 12-month follow-up: female/male sterilization, intrauterine devices, injectable contraceptives, implants, pills, female/male condoms, the standard-days method, the rhythm method, the lactational amenorrhea method, and withdrawal 2. Case management for child diarrhea. The practice of oral rehydration salt administration among children under-five with diarrhea was assessed on the basis of caregiver’s reports at baseline, and 6- and 12-month follow-up 3. Case management for child fever. The practice of taking a rapid diagnostic test for malaria among children under-five with fever was assessed on the basis of caregiver’s reports at baseline, and 6- and 12-month follow-up Previous secondary outcome measures: 1. Perceptional and behavioral change in hand-washing at 4 critical points 2. Perceptional and behavioral change in management of latrine 3. Perceptional and behavioral change in utilization of mosquito net 4. Perceptional change in use of contraception methods 5. Perceptional change in diarrhoea treatment using ORS 6. Perceptional change in malaria diagnosis using RDT 7. Perceptional change in taking ANC/PNC 8. Perceptional change in delivering by SBA Measurement methods: Indicators to measure achievement of the secondary outcomes including those key ones will be assessed through 4 times of household survey accompanying some direct observations; November 2015, February 2016, May 2016, August 2016. Survey in February and August 2016 will be embedded in the midterm and endline survey to measure primary outcomes. Baseline survey conducted in April 2015 will provide the baseline data to measure the change.	—

Measure

Time frame

Current secondary outcome measures as of 03/05/2019: 1. Family planning practices of caregivers using any of these methods. The following family planning practices were assessed on the basis of self-reports at baseline, and 6- and 12-month follow-up: female/male sterilization, intrauterine devices, injectable contraceptives, implants, pills, female/male condoms, the standard-days method, the rhythm method, the lactational amenorrhea method, and withdrawal 2. Case management for child diarrhea. The practice of oral rehydration salt administration among children under-five with diarrhea was assessed on the basis of caregiver’s reports at baseline, and 6- and 12-month follow-up 3. Case management for child fever. The practice of taking a rapid diagnostic test for malaria among children under-five with fever was assessed on the basis of caregiver’s reports at baseline, and 6- and 12-month follow-up Previous secondary outcome measures: 1. Perceptional and behavioral change in hand-washing at 4 critical points 2. Perceptional and behavioral change in management of latrine 3. Perceptional and behavioral change in utilization of mosquito net 4. Perceptional change in use of contraception methods 5. Perceptional change in diarrhoea treatment using ORS 6. Perceptional change in malaria diagnosis using RDT 7. Perceptional change in taking ANC/PNC 8. Perceptional change in delivering by SBA Measurement methods: Indicators to measure achievement of the secondary outcomes including those key ones will be assessed through 4 times of household survey accompanying some direct observations; November 2015, February 2016, May 2016, August 2016. Survey in February and August 2016 will be embedded in the midterm and endline survey to measure primary outcomes. Baseline survey conducted in April 2015 will provide the baseline data to measure the change.

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Countries

Ghana, Korea, South

Contacts

Public ContactGyuhong Lee

ghlee@koica.go.kr+82 (0)31 740 0387

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Mar 11, 2026