About this trial
This study will evaluate the implementation of integrating Guardian spatial emanators into the existing AVENIR II azithromycin mass drug administration program in Niger. The objective is to assess whether Guardian can be feasibly, acceptably, and effectively delivered through the same community-based platform already used for door-to-door azithromycin distribution to children 1 to 59 months of age.
Selected health center catchment areas in high-malaria-transmission settings in Niger will be randomized to integrated delivery or non-integrated delivery. The study will measure implementation outcomes including reach, coverage, acceptability, fidelity to protocol, costs, and product placement over time, and will also assess malaria-related clinic visits among children under 5 years of age using routine health facility data
Eligibility criteria
This trial accepts healthy volunteersQualifiers
Centre de Santé Intégré (CSI) catchment area participating in the AVENIR II azithromycin mass drug administration program
Located in a high malaria transmission setting in the study area
Randomly selected from the eligible pool for participation
Household located within a selected CSI catchment area
Disqualifiers
CSI catchment area not participating in the AVENIR II azithromycin mass drug administration program
Household not located within a selected CSI catchment area
Refusal of verbal consent by the head of household
Refusal of verbal consent by the CSI chief for CSI-level participation
Trial design
Parallel
Treatments tested in this trial
Spatial Emanator
DeviceSpatial emanators are a new intervention for malaria prevention, designed to passively release volatile active ingredients that repel or incapacitate mosquitoes before they bite.
Treatment groups
Trial outcomes
Primary outcomes
Proportion of eligible households that received spatial emanators
Proportion of eligible households in intervention CSI catchment areas that received Guardian spatial emanators during the distribution period.
Acceptability of the integrated delivery
Acceptability of integrated delivery of Guardian spatial emanators with azithromycin mass drug administration as perceived by households and community health workers, assessed by qualitative surveys.
Proportion of households with correct product placement
Proportion of households with correct placement of all installed Guardian spatial emanators, measured through longitudinal supervision visits
Secondary outcomes
Proportion of households reached with messaging regarding the intervention
Proportion of households in participating CSI catchment areas that were reached with program messaging about Guardian spatial emanators during the distribution period
Proportion of eligible children receiving azithromycin in integrated and non-integrated CSIs
Proportion of eligible children who received azithromycin mass drug administration in CSI catchment areas assigned to integrated Guardian delivery and in CSI catchment areas assigned to non-integrated delivery
Time required per household
Time required for delivery at the household level in integrated and non-integrated CSI catchment areas.
Cost per Guardian delivered
Average cost per Guardian spatial emanator delivered during implementation in CSI catchment areas assigned to the intervention
Sponsors and contacts
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University of California, San Francisco
Lead sponsor
Centre de Recherche Médicale et Sanitaire
Collaborator
Bill and Melinda Gates Foundation
Collaborator
Le Programme National de Santé Oculaire
Collaborator
Centre de recherche et interventions en santé publique (CRISP)
Collaborator
Ministère de la Santé Publique du Niger
Collaborator
S.C. Johnson & Son, Inc.
Collaborator
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