Breastfeeding, Diarrhoea, Malaria, Pneumonia, Under-nutrition
Conditions
Keywords
Cluster-randomised trial, Comprehensive mass media campaign, Rural community radio, Under-five child mortality, Preventive and curative behaviours, Burkina Faso, Health care seeking behavior, Childbirth
Brief summary
A cluster-randomised trial will be undertaken in Burkina Faso to investigate whether a comprehensive mass media campaign using local radio stations can change behaviours on a scale large enough to result in measurable and sustainable reductions in under-five child mortality. It is hypothesised that as a result of the scale and multi-pronged nature of the campaign, reductions of between 10% and 20% in child mortality will be achieved.
Detailed description
The evaluation is conducted in 14 geographical locations throughout Burkina Faso. Seven of these 14 clusters have been randomly allocated to receive the mass media intervention while the remaining 7 clusters will serve as controls. Data collection includes household surveys in all 14 clusters at three key times: * At baseline: Before the implementation of the intervention, between December 2011 and February 2012 to measure the current level of child mortality and evaluate current knowledge and behaviours of relevance to child health. * At midline: Fifteen months after implementation of the intervention to evaluate the coverage of the intervention (in the intervention clusters) and, in each cluster, knowledge and behaviours. * At endline: Two and a half years after implementation of the intervention to evaluate intervention coverage (in the intervention clusters), knowledge and behaviours and child mortality.
Interventions
BEHAVIORALLocal radio campaign to reduce under-five child mortality
The media campaign is designed by Development Media International. It includes short spots and long format programs broadcast by rural community radios. Major topics to be addressed include: diarrhoea, water and sanitation, acute respiratory infections, fever/malaria, antenatal consultations, delivery in health facilities, breastfeeding, and child nutrition. The intervention is planned to start in March 2012 after completion of fieldwork for the baseline survey and will continue for 2.5 years.
Sponsors
Development Media International
Centre Muraz
Wellcome Trust
Planet Wheeler Foundation
London School of Hygiene and Tropical Medicine
Study design
Allocation
RANDOMIZED
Intervention model
PARALLEL
Masking
NONE
Eligibility
Sex/Gender
ALL
Age
No minimum to 5 Years
Healthy volunteers
Yes
Inclusion criteria
* Residence in study clusters
Exclusion criteria
* None
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Post neonatal under-five all cause mortality | 1 year |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Under-5 child all cause mortality | 1year | — |
| Preventive behaviours for main causes of under-five children mortality | 1 year | 1. Antenatal consultations during the last pregnancy which lasts more than 6 months and place of delivery 2. Breastfeeding practices for the youngest under-five child 3. Behaviours to prevent cases of diarrhoea and malaria in the youngest under-five child |
| Knowledge | 30-36 months after the start of the intervention | 1. Knowledge about danger signs during pregnancy, delivery and in young ill children 2. Knowledge about preventive measure against malaria during pregnancy 3. Knowledge about recommended breastfeeding behaviours 4. Knowledge about transmission of malaria and diarrhoea 5. Knowledge about health care seeking behaviours in young children suffering from diarrhoea, bad cough |
| Cost-effectiveness of mass media campaigns in terms of dollars per disability-adjusted life year (DALY) averted | 1 year | — |
| Curative behaviours for main causes of under-five children mortality | 15 days | Health care behaviours to treat cases of diarrhoea, fever, cough and respiratory difficulties in the youngest under-five child during the 15 previous days |
Countries
Burkina Faso
Outcome results
None listed