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Note: This record shows only 22 elements of the WHO Trial Registration Data Set. To view changes that have been made to the source record, or for additional information about this trial, click on the URL below to go to the source record in the primary register.
Register: ISRCTN
Last refreshed on: 19 March 2018
Main ID:  ISRCTN86338513
Date of registration: 15/02/2018
Prospective Registration: No
Primary sponsor: Grand Challenges Canada
Public title: Piloting cStock in Siaya County, Kenya
Scientific title: Piloting cStock in Siaya County, Kenya
Date of first enrolment: 01/02/2018
Target sample size: 586
Recruitment status: Completed
URL:  http://isrctn.com/ISRCTN86338513
Study type:  Interventional
Study design:  Non-randomised study (Other)  
Phase: 
Countries of recruitment
Kenya
Contacts
Name: Sarah    Andersson
Address:  1616 Fort Myer Dr 22209 Arlington United States of America
Telephone: +1 (0)17035285273
Email: sarah_andersson@jsi.com
Affiliation: 
Name:    
Address: 
Telephone:
Email:
Affiliation: 
Key inclusion & exclusion criteria
Inclusion criteria: Community Health Volunteer in study location

Exclusion criteria: Any community health volunteer not trained to manage medicines

Age minimum:
Age maximum:
Gender: Both
Health Condition(s) or Problem(s) studied
Diarrhoea, malaria
Not Applicable
Intervention(s)
The cStock approach uses mobile technology, user friendly dashboards, and quality improvement teams to reduce stockouts of critical commodities in community-based health programs. The cStock approach includes three critical components that improve data visibility, create a culture of data use, and drive accountability for performance. The three components are:
1. A simple mHealth tool that uses a streamlined, demand-based reporting and resupply process. Stock data reported by the CHW triggers the re-order process, whereby cStock automatically calculates resupply quantities and transmits a request via app messaging or SMS to supervisors at health facilities. The health facilities then send feedback to the CHW when the order is ready or if they are out of stock. This process facilitates accuracy in order quantities, reduces transport time and costs, and improves communication.
2. A user-centred dashboard that converts the data into relevant, aggregated, and timely community logistics indicators. The web-based dashboard displays the data in easy-to-read graphs and charts to facilitate rapid decision making by subnational and national level program managers and partners.
3. IMPACT team which include CHWs, supervisors, managers, and pharmacy staff are action-oriented teams with a shared goal of improving product availability, and a collective responsibility to identify and implement solutions to supply chain problems. They use a quality improvement approach to interpret data, prioritize problems and find solutions, and take action to improve performance. (IMPACT stands for information mobilized, performance analysis, and continuous transformation).

This study proposes to introduce and test the cStock approach in two sub-counties of Siaya county to prove that by improving reporting and resupply through the use of mobile technology, and enhancing the use of data for resupply stockouts of critical commodities in iCCM programs can be reduced. The evidence from this study w
Primary Outcome(s)
1. Number of participants (community health volunteers) submitting a report on their medicines every month, measured by analyzing data submitted to the cStock system each month
2. Number of participants (community health volunteers) with medicines in stock, measured by counting number of medicines in stock in their home at baseline and endline
3. Number of participants (community health volunteers) with medicines in stock every month according to submitted reports every month, measured by analyzing data submitted to the cStock system
4. Number of supervisors supplying adequate quantity of medicines to the community health volunteers, measured by analyzing receipts sent to the cStock system
Secondary Outcome(s)
Number of children treated for malaria and diarrhoea, measured by counting number of cases recorded on patient registers as treated at baseline and endline
Secondary ID(s)
0046717
Source(s) of Monetary Support
Saving Lives at Birth partners: the United States Agency for International Development (USAID), the Norwegian Agency for Development Cooperation (Norad), the Bill & Melinda Gates Foundation, Grand Challenges Canada, the U.K. Department for International Development (DFID), and the Korea International Cooperation Agency (KOICA)
Secondary Sponsor(s)
Ethics review
Status:
Approval date:
Contact:
Maseno University Ethics Review Committee, 21/09/2017, ref: MSU/DRPI/MUERC/00467/17
Results
Results available: Yes
Date Posted:
Date Completed: 31/12/2018
URL:
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