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Trial registered on ANZCTR
Registration number
ACTRN12610000413022
Ethics application status
Approved
Date submitted
19/05/2010
Date registered
24/05/2010
Date last updated
24/05/2010
Type of registration
Prospectively registered
Titles & IDs
Public title
To evaluate the impact of additional delivery strategies (involving the non-medical private sector) for low osmolarity Oral Rehydration Salts (ORS) and zinc supplements for the treatment of acute diarrhoea in under five children on Oral Rehydration Salts (ORS) solution use rate as well as zinc use rate when compared to standard delivery through health facilities.
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Scientific title
An Operational Study on the management of acute diarrhoea in Tanzania - Evaluation of new delivery strategies for Oral Rehydration Salts (ORS) and Zinc on use rate in children under five.
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Secondary ID [1]
251807
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NCH08002
Department of Child and Adolescent Health and Development
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Secondary ID [2]
251808
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C6-TSA-009
World Health Organization
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Universal Trial Number (UTN)
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Trial acronym
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Linked study record
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Health condition
Health condition(s) or problem(s) studied:
diarrhoea
257403
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Condition category
Condition code
Public Health
257552
257552
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0
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Health service research
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Infection
257553
257553
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0
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Other infectious diseases
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Oral and Gastrointestinal
257576
257576
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0
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Other diseases of the mouth, teeth, oesophagus, digestive system including liver and colon
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Intervention/exposure
Study type
Interventional
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Description of intervention(s) / exposure
Low osmolarity ORS and zinc supplements to treat acute diarrhoea will be provided through health care facilities public and private. Additionally, in the intervention study areas, access to low osmolarity ORS and zinc supplements will be provided to children suffering from acute diarrhoea through the sale of Diarrhoea Treatment Kits (DTK) at a modest price using Part II Pharmacy outlets or village retail shops. These alternative delivery strategies will be used in the study areas for 1 year.
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Intervention code [1]
256509
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Other interventions
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Comparator / control treatment
low osmolarity ORS and zinc supplements to treat acute diarrhoea will be provided through health care facilities public and private.
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Control group
Active
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Outcomes
Primary outcome [1]
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ORS use rate
Through household surveys using the Maternal, Newborn and Child Health Survey tool described in the protocole
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Assessment method [1]
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Timepoint [1]
258461
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1 year after initiation of the intervention
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Primary outcome [2]
258462
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zinc use rate
Through household surveys, using the Maternal, Newborn and Child Health Survey tool described in the protocole
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Assessment method [2]
258462
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Timepoint [2]
258462
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1 year after initiation of the intervention
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Secondary outcome [1]
264255
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Proportion of caretakers having bought Diarrhoea Treatment Kits (DTK) from village grocery stores
Through household surveys as described above.
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Assessment method [1]
264255
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Timepoint [1]
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1 year after initiation of the intervention
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Eligibility
Key inclusion criteria
All under five children living in the intervention and control areas (Tanzania) presenting with diarrhoea
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Minimum age
1
Months
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Maximum age
5
Years
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Sex
Both males and females
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Can healthy volunteers participate?
No
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Key exclusion criteria
None
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Study design
Purpose of the study
Treatment
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Allocation to intervention
Randomised controlled trial
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Procedure for enrolling a subject and allocating the treatment (allocation concealment procedures)
Allocation is not concealed
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Methods used to generate the sequence in which subjects will be randomised (sequence generation)
Simple randomization by using a randomization table from a statistics book.
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Masking / blinding
Open (masking not used)
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Who is / are masked / blinded?
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Intervention assignment
Parallel
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Other design features
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Phase
Not Applicable
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Type of endpoint/s
Efficacy
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Statistical methods / analysis
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Recruitment
Recruitment status
Not yet recruiting
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Date of first participant enrolment
Anticipated
1/07/2010
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Actual
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Date of last participant enrolment
Anticipated
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Actual
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Date of last data collection
Anticipated
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Actual
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Sample size
Target
50000
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Accrual to date
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Final
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Recruitment outside Australia
Country [1]
2644
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Tanzania, United Republic Of
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State/province [1]
2644
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Funding & Sponsors
Funding source category [1]
256996
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Other
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Name [1]
256996
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World Health Organization
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Address [1]
256996
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20 Avenue Appia
1211 Geneva 27
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Country [1]
256996
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Switzerland
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Primary sponsor type
University
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Name
Muhimbili University on Health and Allied Sciences (MUHAS)
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Address
PO Box 65001
Dar es Salaam
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Country
Tanzania, United Republic Of
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Secondary sponsor category [1]
256259
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Government body
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Name [1]
256259
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Ministry of Health and Social Welfare
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Address [1]
256259
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Dr. N. Rusibamayila
National Integrated Management of Childhood Illnesses (IMCI) Coordinator
Ministry of Health and Social Welfare (MoHSW)
P. O. Box 9083
Dar es Salaam
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Country [1]
256259
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Tanzania, United Republic Of
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Ethics approval
Ethics application status
Approved
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Ethics committee name [1]
259009
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MUHAS Ethical Review Board
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Ethics committee address [1]
259009
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MUHAS PO Box 65001 Dar es Salaam
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Ethics committee country [1]
259009
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Tanzania, United Republic Of
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Date submitted for ethics approval [1]
259009
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Approval date [1]
259009
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18/12/2009
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Ethics approval number [1]
259009
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Ethics committee name [2]
259010
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World Health Organization Ethical Review Board
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Ethics committee address [2]
259010
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World Health Organization 20 Avenue Appia 1211 Geneva 27
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Ethics committee country [2]
259010
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Switzerland
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Date submitted for ethics approval [2]
259010
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Approval date [2]
259010
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15/11/2009
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Ethics approval number [2]
259010
0
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Summary
Brief summary
The proposed study is a community cluster-randomized operational study to evaluate the use of low osmolarity ORS and zinc as a treatment modality during acute diarrhoea in children aged one month to 5 years. During the course of the operational study in both the intervention study area and in the control study area low osmolarity ORS and zinc supplements to treat acute diarrhoea will be provided through health care facilities public and private. However, in the intervention study areas additional access to low osmolarity ORS and zinc supplements and will be provided to children suffering from acute diarrhoea through the sale of Diarrhoea Treatment Kits (DTK) at a modest price using Part II Pharmacy outlets or village retail shops. A baseline, midterm and end-of-intervention household and health facility surveys will be undertaken to determine the characteristics related to the treatment of an episode of acute diarrhoea in a child less than five years of age. The study will be undertaken in Bagamoyo and Kisarawe Districts for Tanzania Mainland.
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Trial website
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Trial related presentations / publications
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Public notes
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Contacts
Principal investigator
Name
31183
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Address
31183
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Country
31183
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Phone
31183
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Fax
31183
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Email
31183
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Contact person for public queries
Name
14430
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Olivier Fontaine
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Address
14430
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WHO/CHild and Adolescent Health and Development (CAH)
20 Avenue Appia
1211 Geneva 27
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Country
14430
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Switzerland
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Phone
14430
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+41 22 791 28 94
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Fax
14430
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Email
14430
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[email protected]
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Contact person for scientific queries
Name
5358
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Maulidi Fataki
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Address
5358
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MUHAS
PO BOX 65001
Dar es Salaam
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Country
5358
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Tanzania, United Republic Of
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Phone
5358
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+255 22 215 03 02
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Fax
5358
0
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Email
5358
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[email protected]
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No information has been provided regarding IPD availability
What supporting documents are/will be available?
No Supporting Document Provided
Results publications and other study-related documents
Documents added manually
No documents have been uploaded by study researchers.
Documents added automatically
No additional documents have been identified.
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