PDMC Implementation Trial in Kenya

Trial statusRecruiting
Trial phasePhase 4
Trial typeInterventional
Biological sexAll
AgeUp to 9
SponsorLiverpool School of Tropical Medicine

About this trial

The goal of this implementation trial is to evaluate at least two alternative delivery strategies and adherence support for malaria chemoprevention with dihydroartemisinin-piperaquine in the post-discharge management of children hospitalised with severe anaemia or severe malaria to optimise adherence in Kenya.

The actual interventions to be evaluated have been co-designed with national stakeholders during an initial formative research stage.

Eligibility criteria

Qualifiers

Health facilities with blood transfusion services offering in-patient care for children with severe anaemia and severe malaria.

>=40 children per year admitted with severe anaemia or severe malaria

Agreement to participate by facility management

Located in areas with moderate to high malaria transmission

Disqualifiers

Recognised specific other causes of severe anaemia (i.e., trauma, haematological malignancy, known bleeding disorders, such as haemophilia)

Sickle cell anaemia/sickle cell disease

Body weight <5 kg

HIV infection and cotrimoxazole prophylaxis are not exclusion criteria.

Trial design

Treatments tested in this trial

  • SMS reminders; adherence support strategy a
  • Community Health Promoters (CHP) home visits; adherence support strategy b
  • No reminders; adherence support strategy c

Treatment groups

600 Participants
are divided into 2 treatment groups

Sponsors and collaborators

Liverpool School of Tropical Medicine

Lead sponsor

Kenya Medical Research Institute

Collaborator

Institut de Recherche Clinique du Benin

Collaborator

Epicentre, Paris, France.

Collaborator

Institute of Research for Development, France

Collaborator

Training Research Unit of Excellence, Blantyre, Malawi

Collaborator

Makerere University

Collaborator

Centres for Disease Control and Prevention, Kenya.

Collaborator