NCT05236452Completed
Effect of Integrating Traditional Tuberculosis Care With Modern Health Care on Case Detection
Effect of Integrating Traditional Tuberculosis Care With Modern Health Care on Case Detection, Cost, and Client Satisfaction in Amhara Region, Ethiopia
Source: ClinicalTrials.gov · Last updated 9 Jul 2024
Brief summary (registry, in English)
Although many interventions are implemented to increase TB case detection, decrease diagnosis delay, and avoid catastrophic costs, there are no significant changes and the end TB goal will not be achieved in 2035. Innovative intervention that considers indigenous knowledge and unique culture and religious perspectives because many people go to traditional healers and holy water for healing. Therefore, integrating traditional tuberculosis care with modern care increase case detection, decrease diagnosis delay, and avoid catastrophic costs. There is no literature clearly defining integrating traditional TB care with modern care, but for the purpose of this study, integrating traditional care with modern care is defined as the collaboration of two systems through referral linkage. TB screening and diagnosis services will be done collaboratively in traditional and modern care services. A referral linkage model will be used to detect TB cases in both traditional and modern care services. Health care providers, traditional healers, priests, pastors, and imams will participate in the integration process. TB detection or diagnosis services will be integrated through referral linkage and strengthening capacity-building strategies. Traditional care centers and modern health care services will work collaboratively to improve TB case detection, reduce care costs, and avoid diagnosis delays. The standardized operational procedure of the full interventional package is described below. There are four steps of the intervention phases. These are the preliminary phase, preparation for implementation and refinement on a small scale phase, administering the intervention, and end-line assessment of outcomes. The intervention will be providing training for traditional and modern care practitioners, patient education, TB screening, and bidirectional referral linkage. This study hypothesized that integrating traditional care with modern care at the primary care level will increase the TB case detection rate by fifteen percentage points. Integrating traditional care with modern care at the primary care level will decrease TB diagnosis delay by fifteen percentage points. Integrating traditional care with modern care at the primary care level also will decrease the cost of TB care by 15 percentages of points
- Status (registry)
- Completed
- Study type
- Interventional
- Enrollment
- 918 (actual)
- First submitted
- 19 Jan 2022
- Start date
- 1 Jul 2022
- Primary completion date
- 30 Dec 2023
- Lead sponsor
- Bahir Dar University
- Diseases
- Tuberculosis
- NCT number
- NCT05236452
What you commit to
- Study type: Interventional
- Participants enrolled: 918
- From 1 Jul 2022 to the primary completion date, 30 Dec 2023
- 1 site in 1 country
- Visits and tests: ask the trial team, the registry does not list them
Built from the registry fields of ClinicalTrials.gov. It describes the study, not your situation.
Who cannot take part
Copied verbatim from ClinicalTrials.gov and grouped by topic. Only the trial team decides who can take part.
Other
- Patients coming from traditional care centers and health facilities outside of the intervention and control area will be excluded from the study.
- Debtera and Witch (Tinquaye) were excluded from this study because they have no known structure. In addition, people go to witch and Debtera secretly because they fear stigma and discrimination by society.
Who the study is looking for
- All sick people who come to traditional healers' clinic or holy water with cough for two weeks or more, unintentional weight loss, anorexia, fever, chest pain, chillness, night sweating, and/or fatigues will be included in the study.
- All TB suspected patients who come to the health facilities with self-referral will be included in the study
- Health facilities in the study area should have at least a microscope diagnostic service will be included in the study
- All HEWs, TB focal persons at each level (health centers, hospitals, Woreda, Zone, and regional health bureau), traditional healers, clergy, pastors, Imams, and patients on anti-tuberculosis treatment will be the potential candidates for this study.
Sex: All · Accepts healthy volunteers
Sites (1)
Sites in registry order. Pick your city on the disease page to sort them by distance.
| Site | City | Country | Site status |
|---|---|---|---|
| Bahir Dar University Coordinator of this site? Confirm its status | Bahir Dar | Ethiopia | Unknown status |
This page is information, not medical advice. Discuss any trial with your doctor.