NCT00673166

Evaluation of Local Mechanisms for Staff Motivation to Reduce Hospital Mortality

Evaluation of Local Mechanisms for Staff Motivation to Improve Treatment and Reduce Mortality Due to Malaria at the Paediatric Ward

• Status: Completed
• Phase: N/A
• Study type: Interventional
• Enrollment: 900 (actual)
• Sponsor: London School of Hygiene and Tropical Medicine · Academic / Other
• Sex: All
• Age: 59 Months
• Healthy volunteers: Not accepted

Summary

We observed in a randomised intervention trial in Bissau that mortality due to malaria could be reduced by half by adding a small monetary incentive to the staff and strict follow-up of a standard protocol for available drugs. The Government and donors are not able to sustain such incentives. We intend to evaluate whether strict organisation of a cost recovery system and the use of part of the funds for staff incentives would improve performance of the staff and contribute to reduction of hospital and post-discharge mortality.

Detailed description

A committee will organise collection and use of the money, and decide on incentives to be paid to the staff based on performance indicators. All children \< 5 years of age admitted to the ward will be registered and followed-up until two months after the consultation. Data on the level of mortality before and after the study period will be collected. Furthermore, interviews on quality perception of the parents will be carried out before and after the study.

Conditions

• Hospital Mortality
• Malaria

Interventions

Type	Name	Description
PROCEDURE	Staff incentive & supervision	Control \& management of funds for incentive of staff; supervision
BEHAVIORAL	Staff motivation	Supervision, control of funds

Timeline

• Start date: 2008-01-01
• Primary completion: 2008-12-01
• Completion: 2008-12-01
• First posted: 2008-05-07
• Last updated: 2017-01-26

Locations

1 site across 1 country: Guinea-Bissau