A cluster-randomised trial will be undertaken in Burkina Faso to investigate whether a comprehensive mass media campaign using local radio stations can change behaviours on a scale large enough to result in measurable and sustainable reductions in under-five child mortality. It is hypothesised that as a result of the scale and multi-pronged nature of the campaign, reductions of between 10% and 20% in child mortality will be achieved.
The evaluation is conducted in 14 geographical locations throughout Burkina Faso. Seven of these 14 clusters have been randomly allocated to receive the mass media intervention while the remaining 7 clusters will serve as controls. Data collection includes household surveys in all 14 clusters at three "key" times: * At baseline: Before the implementation of the intervention, between December 2011 and February 2012 to measure the current level of child mortality and evaluate current knowledge and behaviours of relevance to child health. * At midline: Fifteen months after implementation of the intervention to evaluate the coverage of the intervention (in the intervention clusters) and, in each cluster, knowledge and behaviours. * At endline: Two and a half years after implementation of the intervention to evaluate intervention coverage (in the intervention clusters), knowledge and behaviours and child mortality.
Study Type
INTERVENTIONAL
Allocation
RANDOMIZED
Masking
NONE
Enrollment
100,000
The media campaign is designed by Development Media International. It includes short "spots" and long format programs broadcast by rural community radios. Major topics to be addressed include: diarrhoea, water and sanitation, acute respiratory infections, fever/malaria, antenatal consultations, delivery in health facilities, breastfeeding, and child nutrition. The intervention is planned to start in March 2012 after completion of fieldwork for the baseline survey and will continue for 2.5 years.
Centre Muraz
Bobo-Dioulasso, Burkina Faso
Post neonatal under-five all cause mortality
Time frame: 1 year
Under-5 child all cause mortality
Time frame: 1year
Preventive behaviours for main causes of under-five children mortality
1. Antenatal consultations during the last pregnancy which lasts more than 6 months and place of delivery 2. Breastfeeding practices for the youngest under-five child 3. Behaviours to prevent cases of diarrhoea and malaria in the youngest under-five child
Time frame: 1 year
Knowledge
1. Knowledge about danger signs during pregnancy, delivery and in young ill children 2. Knowledge about preventive measure against malaria during pregnancy 3. Knowledge about recommended breastfeeding behaviours 4. Knowledge about transmission of malaria and diarrhoea 5. Knowledge about health care seeking behaviours in young children suffering from diarrhoea, bad cough
Time frame: 30-36 months after the start of the intervention
Cost-effectiveness of mass media campaigns in terms of dollars per disability-adjusted life year (DALY) averted
Time frame: 1 year
Curative behaviours for main causes of under-five children mortality
Health care behaviours to treat cases of diarrhoea, fever, cough and respiratory difficulties in the youngest under-five child during the 15 previous days
Time frame: 15 days
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