Status:
COMPLETED
Laos Out-Of-Pocket Costs: an Observational Study on the Impact of Severe Childhood Illness on the Health, Wealth and Wellbeing of Household Members in Laos
Lead Sponsor:
Murdoch Childrens Research Institute
Collaborating Sponsors:
Lao-Oxford-Mahosot Hospital Wellcome Trust Research Unit
Conditions:
Health Care Economics
Child Health
Eligibility:
All Genders
1-15 years
Brief Summary
This will be a prospective longitudinal study of children attending hospital for treatment of a severe illness with community follow-up in Lao People's Democratic Republic (Lao PDR). The study aims to...
Detailed Description
This study aims to measure the out-of-pocket (OOP) expenses for households related to a severe acute illness/injury in children under five years presenting to hospitals in Lao PDR. Financial protectio...
Eligibility Criteria
Inclusion
- Child is aged between 1 month -14 years 11 months at the time of admission/presentation to outpatient / ED / hospital
- Child presents to or is admitted to hospital at one of the participating study site hospitals within the time period of the study
- Child presents with symptoms of acute illness that started within the last 2 weeks (14 days) prior to hospital presentation. This will include children with a chronic illness but with new onset of symptoms within last 2 weeks.
- Child is assessed by a health officer at the participating study site hospital and is deemed to have a "severe" illness/injury. A "severe" illness/injury will be defined as a child showing any emergency signs as outlined in the WHO Pocketbook, second edition:
- OR Requires hospital admission/transfer to another health facility for further investigations and/or treatment for their acute illness/injury that cannot be performed in an outpatient setting or ED. This may include but is not limited to: transfer to another hospital with intensive care unit (ICU), intravenous (IV) medication or fluids; enteral nutrition; oxygen therapy; surgery.
- • Parent/guardian has provided written informed consent, and will be available for the duration of the study follow-up period.
Exclusion
- Child \<1 month or \>14 years 11 months at time of presentation to hospital
- Child with symptoms that started \>2 weeks (\>14 days) prior to hospital presentation
- Child admitted to the neonatal intensive care unit (NICU)
- Child admitted to hospital for a planned procedure or planned treatment of a chronic medical condition (eg. Tonsillectomy, replacement of ventriculoperitoneal shunt or percutaneous endoscopic gastronomy (PEG) tube, tune up for cystic fibrosis, chemotherapy, palliative care),
- Child already enrolled into this study from a previous hospital admission
- Child discharged prior to screening and informed consent processes by study team members.
Key Trial Info
Start Date :
November 1 2022
Trial Type :
OBSERVATIONAL
Allocation :
ACTUAL
End Date :
January 10 2024
Estimated Enrollment :
400 Patients enrolled
Trial Details
Trial ID
NCT05239104
Start Date
November 1 2022
End Date
January 10 2024
Last Update
May 2 2024
Active Locations (1)
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1
Lao-Oxford-Mahosot-Hospital Wellcome Trust Research Unit (LOMWRU)
Vientiane, Laos