Noncommunicable DiseaseSEACTN-HHSNCT05389540
Rural South and Southeast Asia Household Health Survey
An observational study of Noncommunicable Disease and Infections, run by University of Oxford at 4 sites in 4 countries.
Trial summary
A cross-sectional household survey with two-stage cluster-randomized sampling. This cross-sectional household survey design to recruit a random sample of households that is representative for each of the study sites. From the selected households, all consenting, household members will be included in the study. Read more about this study
- Who is it for?
- Any ageHealthy volunteers can take part
- Conditions the study is for
- Noncommunicable Disease, Infections, Risk Factors
- How many people
- 4,747 participants
- Where
- 4 sitesin 4 countries
- Study dates
- 3 Oct 2022to 10 Dec 2023
- Phase
- Observational
- Are there results?
- None posted in the registry
Key requirements
Who can take part, as listed by the sponsor. Only the study team can confirm whether you are eligible, so take this list to your doctor.
- Ages Any age
- All sexes
- Healthy volunteers accepted
- Child, Adult, Older adult
Study population: Households located in the survey villages and identified in the household list are eligible for the survey. All members of the randomly selected households will be recruited
Who may be able to join
- All members of the selected households at the time of the survey; and able to provide informed consent.
Who cannot join
- Adults or children whose parent/guardian/ caretaker are unable or unwilling to provide informed consent.
Trial locations and contacts
4 sites in 4 countries.
4 sites in 4 countries
Bangladesh1 site
BangladeshBuilding Resources Across Communities (BRAC)
Dhaka, 1212
About this study
Official title: Overview of Disease Burden in Rural South and Southeast Asia: A Cross-sectional Household Health Survey With Questionnaire Interviews and Selected Laboratory Tests
A cross-sectional household survey with two-stage cluster-randomized sampling. This cross-sectional household survey design to recruit a random sample of households that is representative for each of the study sites. From the selected households, all consenting, household members will be included in the study.
This study is funded by the UK Wellcome Trust. The grant reference number is 215604/Z/19/Z
Read the detailed description
371 households will be randomly selected from each site in Bangladesh, Cambodia, Myanmar, and Thailand. Assuming each household has an average of 4.5 members and all members will be sampled, 1500 participants will be recruited per site. This sample size allows for the overall prevalence estimation of key survey indicators with 95% confidence and 5% degree of precision.
The survey components include questionnaire interview, physical examination, blood sample collection, and point of care (PoC) tests. The questionnaire interview will collect information on household characteristics, members' disability, presence or history of disease, risk factors, self-perceived quality of life, and health seeking behaviour. For women, questions about reproductive health and antenatal care, and for young children, vaccination coverage and achievement of child development goals, will also be assessed.
For physical examinations, tympanic temperature, weight and height will be measured in all household members, mid-upper arm circumference in young children, and blood pressure in adults. Blood sample will be collected from all participants aged 6 months and above. Venous blood samples will be collected from participants aged 5 years and older, and dried blood spot will be collected from children under 5 years. Samples will be shipped to a central laboratory and analysed. Haemoglobin PoC will be administered to all participants.
All data will be collected directly on an electronic case report form using tablets, and uploaded to an electronic database.
- Conditions
- Noncommunicable Disease, Infections, Risk Factors, Health Status
- Keywords
- Cross-sectional household survey
- Medical subject headings
- Noncommunicable Diseases, Infections
What participants receive
What participants receive. In a randomised study each person is assigned to one group by chance.
| Study group | Role | What they receive |
|---|---|---|
| members of selected households at the time of survey | 371 households will be randomly selected from each site in Bangladesh, Cambodia, Myanmar, and Thailand. Assuming each household has an average of 4.5 members and all members will be sampled, 1500 participants will be recruited per site. |
What is being measured
The primary outcome is the main question the study is designed to answer.
Prevalence of long-lasting antibodies (IgG) against selected causes of non-malaria febrile illnesses
Measured: Upon enrollment
Prevalence of Plasmodium spp. by PCR
Measured: Upon enrollment
Prevalence of chronic Hepatitis B and C
Measured: Upon enrollment
Prevalence of selected non-communicable diseases (e.g. diabetes, chronic obstructive pulmonary diseases, stroke) according to self-reported disease history and laboratory tests
Measured: Upon enrollment
Prevalence of reported disability
Measured: Upon enrollment
Lifetime prevalence of reported injury or death caused by an accident
Measured: Upon enrollment
Self-rated overall health status
Measured: Upon enrollment
Questionnaire evaluation of health-related quality of life
Measured: Upon enrollment
Prevalence of self-reported tobacco, alcohol, and other substitute use among the population aged 15 and above
Measured: Upon enrollment
Prevalence of underweight and overweight, raised blood pressure and total cholesterol
Measured: Upon enrollment
Secondary outcomes (11)
Evaluation of household wealth quartile according to self-reported household characteristics
Measured: Upon enrollment
Education level, marital status, and occupation
Measured: Upon enrollment
Self-reported health-related household characteristics (e.g. household cooking fuel, source of drinking water, possession of mosquito net)
Measured: Upon enrollment
Proportion of population self-reported having sought for medical care in the past month, and care providers visited
Measured: Upon enrollment
Self-reported antenatal care coverage among women who have ever given birth
Measured: Upon enrollment
Reported vaccination coverage among children < 3 years
Measured: Upon enrollment
Prevalence of reported exclusive breast feeding among children < 5 years
Measured: Upon enrollment
Prevalence of children aged 3-4 years who have reached early child development milestones, reported by caretaker
Measured: Upon enrollment
Presence of self-reported symptoms or diagnosed illness besides the outcome measures of the primary objectives
Measured: Upon enrollment
Reported illness in the last month and type of illness
Measured: Upon enrollment
Prevalence of IgM antibodies against selected acute non-malaria causes of febrile illness
Measured: Upon enrollment
Timeline
From the start of the study to its completion; the mark is today. Estimated dates are the sponsor’s plan.
- First posted25 May 2022
- Study start3 Oct 2022
- Primary completion10 Dec 2023
- Study completion10 Dec 2023
Resources
- Official record on ClinicalTrials.govThe registry entry this page is built from, with its full change history.
- Publications (2)Papers the sponsor has linked to this study.
- Other trials for Noncommunicable DiseaseStudies of the same condition, open and under way.
- More trials run by University of OxfordThe sponsor's other registered studies.
- What the trial phases meanHow a treatment moves from first tests in people to approval.
More details
For doctors and researchers: how the study is designed, who runs it, and its registry IDs.
Study design
- Study type
- Observational
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
- Enrolment
- 4,747 participants (actual)
Sponsor and investigators
- Lead sponsor
- University of Oxford
- Sponsor type
- University, hospital or other
- Collaborators
- Mahidol Oxford Tropical Medicine Research Unit, Chiang Rai Clinical Research Unit, Thailand, Myanmar Oxford Clinical Research Unit, Bangladesh Rural Advancement Committee, Cambodia Action for Health Development (AHEAD)
- Responsible party
- Sponsor
- Investigators
- Yoel Lubell, Professor, Principal investigator, Mahidol Oxford Tropical Medicine Research UnitThomas Peto, PhD, Principal investigator, Mahidol Oxford Tropical Medicine Research Unit
IDs, dates and publications
- ClinicalTrials.gov ID
- NCT05389540
- Sponsor's protocol ID
- HCR21013
- Acronym
- SEACTN-HHS
- Status last verified
- Feb 2024
- First submitted
- 19 May 2022
- Last updated
- 28 Feb 2024
- Results posted
- No
- Data monitoring committee
- No
- FDA-regulated drug
- No
- FDA-regulated device
- No
- Individual data sharing
- Yes: With participant's consent, clinical data and results from blood analyses stored in the database may be shared according to the terms defined in the MORU data sharing policy with other researchers to use in the future.
Publications
Chandna A, Chew R, Shwe Nwe Htun N, Peto TJ, Zhang M, Liverani M, Brummaier T, Phommasone K, Perrone C, Pyae Phyo A, Sattabongkot J, Roobsoong W, Nguitragool W, Sen A, Ibna Zaman S, Sandar Zaw A, Batty E, Waithira N, Abdad MY, Blacksell SD, Bodhidatta L, Callery JJ, Fagnark W, Huangsuranun W, Islam S, Lertcharoenchoke S, Lohavittayavikant S, Mukaka M, Moul V, Kumer Neogi A, Nedsuwan S, Pongvongsa T, Ponsap P, Richard-Greenblatt M, Schilling WHK, Thaipadungpanit J, Tripura R, Dondorp AM, Mayxay M, White NJ, Nosten F, Smithuis F, Ashley EA, Maude RJ, Day NPJ, Lubell Y. Defining the burden of febrile illness in rural South and Southeast Asia: an open letter to announce the launch of the Rural Febrile Illness project. Wellcome Open Res. 2022 Mar 10;6:64. doi: 10.12688/wellcomeopenres.16393.2. eCollection 2021.
PubMed 34017924Zhang M, Htun NSN, Islam S, Sen A, Islam A, Neogi AK, Tripura R, Dysoley L, Perrone C, Chew R, Batty EM, Thongpiam W, Wongsantichon J, Menggred C, Zaman SI, Waithira N, Blacksell S, Liverani M, Lee S, Maude RJ, Day NPJ, Lubell Y, Peto TJ. Defining the hidden burden of disease in rural communities in Bangladesh, Cambodia and Thailand: a cross-sectional household health survey protocol. BMJ Open. 2024 Mar 23;14(3):e081079. doi: 10.1136/bmjopen-2023-081079.
PubMed 38521526
Study at a glance
From the registry record, last updated by the sponsor on 28 Feb 2024. Recruitment status is as the sponsor reported it: confirm with the study team.
- Official title
- Overview of Disease Burden in Rural South and Southeast Asia: A Cross-sectional Household Health Survey With Questionnaire Interviews and Selected Laboratory Tests
- ClinicalTrials.gov ID
- NCT05389540
- Acronym / sponsor ID
- SEACTN-HHS / HCR21013
- Conditions
- Noncommunicable Disease, Infections, Risk Factors, Health Status
- Keywords
- Cross-sectional household survey
- Study type
- Observational
- Recruitment status
- Completed
- Enrolment
- 4,747 participants (actual)
- Lead sponsor
- University of OxfordUniversity, hospital or other
- Collaborators
- Mahidol Oxford Tropical Medicine Research Unit, Chiang Rai Clinical Research Unit, Thailand, Myanmar Oxford Clinical Research Unit, Bangladesh Rural Advancement Committee, Cambodia Action for Health Development (AHEAD)
- Study start
- 3 Oct 2022 (actual)
- Primary completion
- 10 Dec 2023 (actual)
- Study completion
- 10 Dec 2023 (actual)
- First posted
- 25 May 2022 (actual)
- Results
- Not posted in the source record
Clinical summary
The research question as the sponsor registered it. This describes what the study plans to test, not what it found.
A cross-sectional household survey with two-stage cluster-randomized sampling. This cross-sectional household survey design to recruit a random sample of households that is representative for each of the study sites. From the selected households, all consenting, household members will be included in the study.
This study is funded by the UK Wellcome Trust. The grant reference number is 215604/Z/19/Z
Detailed description
371 households will be randomly selected from each site in Bangladesh, Cambodia, Myanmar, and Thailand. Assuming each household has an average of 4.5 members and all members will be sampled, 1500 participants will be recruited per site. This sample size allows for the overall prevalence estimation of key survey indicators with 95% confidence and 5% degree of precision.
The survey components include questionnaire interview, physical examination, blood sample collection, and point of care (PoC) tests. The questionnaire interview will collect information on household characteristics, members' disability, presence or history of disease, risk factors, self-perceived quality of life, and health seeking behaviour. For women, questions about reproductive health and antenatal care, and for young children, vaccination coverage and achievement of child development goals, will also be assessed.
For physical examinations, tympanic temperature, weight and height will be measured in all household members, mid-upper arm circumference in young children, and blood pressure in adults. Blood sample will be collected from all participants aged 6 months and above. Venous blood samples will be collected from participants aged 5 years and older, and dried blood spot will be collected from children under 5 years. Samples will be shipped to a central laboratory and analysed. Haemoglobin PoC will be administered to all participants.
All data will be collected directly on an electronic case report form using tablets, and uploaded to an electronic database.
Study design
- Observational model
- Ecologic or community
- Time perspective
- Cross-sectional
- Number of arms
- 1
| Arm | Type | Receives |
|---|---|---|
| members of selected households at the time of survey | – | –371 households will be randomly selected from each site in Bangladesh, Cambodia, Myanmar, and Thailand. Assuming each household has an average of 4.5 members and all members will be sampled, 1500 participants will be recruited per site. |
Who may qualify
- Sex
- All
- Healthy volunteers
- Accepted
- Age groups
- Child, Adult, Older adult
- Study population
- Households located in the survey villages and identified in the household list are eligible for the survey. All members of the randomly selected households will be recruited
Key inclusion criteria (1 listed)
- All members of the selected households at the time of the survey; and able to provide informed consent.
Key exclusion criteria (1 listed)
- Adults or children whose parent/guardian/ caretaker are unable or unwilling to provide informed consent.
Eligibility is decided by the study team after screening; this overview does not establish that a patient qualifies. Full inclusion and exclusion criteria.
Primary outcome
Prevalence of long-lasting antibodies (IgG) against selected causes of non-malaria febrile illnesses
Time frame: Upon enrollment
Prevalence of Plasmodium spp. by PCR
Time frame: Upon enrollment
Prevalence of chronic Hepatitis B and C
Time frame: Upon enrollment
Prevalence of selected non-communicable diseases (e.g. diabetes, chronic obstructive pulmonary diseases, stroke) according to self-reported disease history and laboratory tests
Time frame: Upon enrollment
Prevalence of reported disability
Time frame: Upon enrollment
Lifetime prevalence of reported injury or death caused by an accident
Time frame: Upon enrollment
Self-rated overall health status
Time frame: Upon enrollment
Questionnaire evaluation of health-related quality of life
Time frame: Upon enrollment
Prevalence of self-reported tobacco, alcohol, and other substitute use among the population aged 15 and above
Time frame: Upon enrollment
Prevalence of underweight and overweight, raised blood pressure and total cholesterol
Time frame: Upon enrollment
11 secondary outcomes
Evaluation of household wealth quartile according to self-reported household characteristics
Time frame: Upon enrollment
Education level, marital status, and occupation
Time frame: Upon enrollment
Self-reported health-related household characteristics (e.g. household cooking fuel, source of drinking water, possession of mosquito net)
Time frame: Upon enrollment
Proportion of population self-reported having sought for medical care in the past month, and care providers visited
Time frame: Upon enrollment
Self-reported antenatal care coverage among women who have ever given birth
Time frame: Upon enrollment
Reported vaccination coverage among children < 3 years
Time frame: Upon enrollment
Prevalence of reported exclusive breast feeding among children < 5 years
Time frame: Upon enrollment
Prevalence of children aged 3-4 years who have reached early child development milestones, reported by caretaker
Time frame: Upon enrollment
Presence of self-reported symptoms or diagnosed illness besides the outcome measures of the primary objectives
Time frame: Upon enrollment
Reported illness in the last month and type of illness
Time frame: Upon enrollment
Prevalence of IgM antibodies against selected acute non-malaria causes of febrile illness
Time frame: Upon enrollment
Results and safety
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
Research links
- Official record on ClinicalTrials.govLast updated by the sponsor 28 Feb 2024.
- Background: PubMed 34017924Chandna A, Chew R, Shwe Nwe Htun N, Peto TJ, Zhang M, Liverani M, Brummaier T, Phommasone K, Perrone C, Pyae Phyo A, Sattabongkot J, Roobsoong W, Nguitragool W, Sen A, Ibna Zaman S, Sandar Zaw A, Batty E, Waithira N, Abdad MY, Blacksell SD, Bodhidatta L, Callery JJ, Fagnark W, Huangsuranun W, Islam S, Lertcharoenchoke S, Lohavittayavikant S, Mukaka M, Moul V, Kumer Neogi A, Nedsuwan S, Pongvongsa T, Ponsap P, Richard-Greenblatt M, Schilling WHK, Thaipadungpanit J, Tripura R, Dondorp AM, Mayxay M, White NJ, Nosten F, Smithuis F, Ashley EA, Maude RJ, Day NPJ, Lubell Y. Defining the burden of febrile illness in rural South and Southeast Asia: an open letter to announce the launch of the Rural Febrile Illness project. Wellcome Open Res. 2022 Mar 10;6:64. doi: 10.12688/wellcomeopenres.16393.2. eCollection 2021.
- Derived from this study: PubMed 38521526Zhang M, Htun NSN, Islam S, Sen A, Islam A, Neogi AK, Tripura R, Dysoley L, Perrone C, Chew R, Batty EM, Thongpiam W, Wongsantichon J, Menggred C, Zaman SI, Waithira N, Blacksell S, Liverani M, Lee S, Maude RJ, Day NPJ, Lubell Y, Peto TJ. Defining the hidden burden of disease in rural communities in Bangladesh, Cambodia and Thailand: a cross-sectional household health survey protocol. BMJ Open. 2024 Mar 23;14(3):e081079. doi: 10.1136/bmjopen-2023-081079.
- Related InfoLink provided by the sponsor.
- Individual participant dataSharing planned: Yes. With participant's consent, clinical data and results from blood analyses stored in the database may be shared according to the terms defined in the MORU data sharing policy with other researchers to use in the future.
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Referral and contact
AzTrials does not enrol participants or take referrals. Contact the study team or a site listed below; they decide who can take part. This study is not recruiting at the moment.
Yoel Lubell, Professor principal investigator
Mahidol Oxford Tropical Medicine Research Unit
Thomas Peto, PhD principal investigator
Mahidol Oxford Tropical Medicine Research Unit
4 sites in 4 countries: see every site and its status.
Questions about this trial
What is this clinical trial studying?
An observational study of Noncommunicable Disease and Infections, run by University of Oxford at 4 sites in 4 countries.
The full registered description is in the About this study section and the official record.
Who may be eligible to take part?
The sponsor lists 1 inclusion and 1 exclusion criteria. Eligibility is decided by the study team after screening, so read the full criteria and contact a listed site.
Is this clinical trial currently recruiting?
The record says: finished, as of the sponsor's last update on 28 Feb 2024. Status can change between updates, so confirm with the study contact before making plans.
Where is the study taking place?
The record lists 4 sites in Bangladesh, Burma, Cambodia, Thailand. Whether a site is taking part right now should be confirmed with that site. See every site.
What are the possible benefits and risks?
They depend on the study and the treatment, and no study can promise a benefit. The study team explains the known risks during informed consent, before anyone joins; the record itself does not list them.
Are results available for this study?
The study is completed, but results are not available in the source record. That does not mean the treatment did or did not work.
How can a doctor refer a patient or contact the research team?
The record lists no contact. The official record names the sponsor, who can be asked directly. AzTrials does not enrol participants or take referrals.
What does the primary outcome measure?
Prevalence of long-lasting antibodies (IgG) against selected causes of non-malaria febrile illnesses (time frame: Upon enrollment). The study lists 10 primary outcomes in all. It is what the study was designed to measure, not a finding.
Where can I read the original study information?
On the ClinicalTrials.gov record for NCT05389540, which also lists 2 linked publications.
Does a listing mean the treatment is approved or proven to work?
No. A listing means the study is registered. It does not show that the treatment is safe, works, or is approved by a regulator.
How often is this information updated?
AzTrials copies changed records from ClinicalTrials.gov every night and reloads the whole registry every week. The sponsor last updated this record on 28 Feb 2024.