Clinical trial · Interventional
Improving Nighttime Access to Care and Treatment; Part 2- Ghana
Pilot Implementation of a Nighttime Telemedicine and Medication Delivery Service to Increase Access to Pre-emergency Pediatric Care in Ghana
- Source
- ClinicalTrials.gov
- Retrieved
- Sep 8, 2026
- Layer
- normalized (units and labels harmonized; values unchanged)
- Run
- ING-CLINICALTRIALS-20260908-000001
Summary
Brief summary (as posted)
Globally, leading causes of death among children one month to 5 years old are pneumonia, diarrheal disease and malaria which are treatable early in the disease-course with low-cost medications. However, these diseases can progress to emergencies when access to care is delayed. In response, a telemedicine and medication delivery service (TMDS) was designed to improve nighttime access to pediatric care and treatment. The TMDS will be implemented in three distinct Ghanaian community to evaluate the clinical safety, operational feasibility of implementing,and scalability of the service.
Conditions
Conditions (2)
Free-text conditions as registered, with the CancerIndex entity they were reconciled to and the match type.
| Condition (as posted) | Mapped entity | Match | Confidence |
|---|---|---|---|
| Acute Disease | — | UNRESOLVED | — |
| Pediatric ALL | Childhood Acute Lymphoblastic Leukemia | ALIAS | 0.90 |
Interventions
Interventions (1)
| Intervention | Type | Mapped drug | Match |
|---|---|---|---|
| MotoMeds pediatric telemedicine and medication delivery service (TMDS) | Other | — | UNRESOLVED |
Design
Arms and outcomes
Arms (1)
- type
- EXPERIMENTAL
- label
- MotoMeds users (parent/chid participant pairs)
- interventionNames
- Other: MotoMeds pediatric telemedicine and medication delivery service (TMDS)
Primary outcomes (1)
- measure
- The rate of guideline adherence at the call center.
- timeFrame
- 1 day
- description
- Establish the rates of provider adherence to the TMDS clinical guidelines while performing assessments and generating treatment plans at the call center. Points of non-adherence will include severity assessments, missed danger signs and non-indicated or missed antibiotic prescriptions.
Secondary outcomes (3)
- measure
- The rate of guideline adherence at the household.
- timeFrame
- 1 day
- description
Eligibility
Eligibility (as posted)
- Sex
- All
- Maximum age
- 10 Years
Show eligibility criteria text
Child Participant Inclusion Criteria: * Child ≤ 10 years * Has an acute medical problem * Provides written assent (if 10 years and receives a household visit) Child Participant Exclusion Criteria: * Child \> 10 years * Child does not have an acute medical problem * Medical problem involves physical trauma or mental health * Refusal of written assent (if 10 years and receives a household visit) Parent/Guardian Participant Inclusion Criteria: * Calls MotoMeds during operating hours * Parent/guardian of a patient participant meeting inclusion criteria * Adult (18 years or older) * Provides written consent (household visit) or a waiver of documentation of consent (no household visit) Parent/Guardian Participant Exclusion Criteria: * Age \< 18 years * No written consent or waiver of documentation of consent * Corresponding child does not meet inclusion criteria
References
Publications (3)
- BACKGROUNDFlaherty KE, Klarman MB, Cajusma Y, Schon J, Exantus L, Beau de Rochars VM, Baril C, Becker TK, Nelson EJ. A Nighttime Telemedicine and Medication Delivery Service to Avert Pediatric Emergencies in Haiti: An Exploratory Cost-Effectiveness Analysis. Am J Trop Med Hyg. 2022 Feb 21;106(4):1063-1071. doi: 10.4269/ajtmh.21-1068. Print 2022 Apr 6. PMID 35189597
- BACKGROUNDFlaherty KE, Zakariah AN, Vescio VA, Osei-Ampofo M, Mahama MN, Agongo V, Becker TK. The state of emergency medical technician education in Ghana. Afr J Emerg Med. 2020 Sep;10(3):107-110. doi: 10.1016/j.afjem.2020.01.009. Epub 2020 Mar 7. PMID 32923318
- DERIVEDFlaherty KE, Mahama MN, Klarman MB, Anane-Binfoh NA, Patel MD, Smith NJ, Osei-Ampofo M, Mathelier M, Nelson EJ, Zakariah AN, Afaa TJ, Becker TK. Applying the ADAPT guidance to implement a telemedicine and medication delivery service in a malaria-endemic setting: A prospective cohort study. Trop Med Int Health. 2025 Mar;30(3):181-192. doi: 10.1111/tmi.14081. Epub 2025 Jan 16. PMID 39815954