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ArticleJMIR research protocols2024

Community Versus Facility-Based Services to Improve the Screening of Active Hepatitis C Virus Infection in Cambodia: The ANRS 12384 CAM-C Cluster Randomized Controlled Trial-Protocol for a Mixed Methods Study.

Emilie Mosnier, Olivier Ségéral, Sansothy Neth, Luis Sagaon-Teyssier, Dyna Khuon, Chan Leakhena Phoeung, Sovatha Mam, Chhingsrean Chhay, Kimeang Heang, Jean Charles Duclos-Vallée and 1 more

Registry-linked trialAbstract readClinical Trial Protocol
In one paragraph

Article in JMIR research protocols, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03992313 (Community Versus Facility-based Services to Improve the Screening of Active HCV Infection in Cambodia), which is not on this map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT03992313 nacompletednot on this map

Community Versus Facility-based Services to Improve the Screening of Active HCV Infection in Cambodia: a Cluster Randomized Controlled Trial

TypeinterventionalSponsorANRS, Emerging Infectious DiseasesRan2022 to 2023Enrolled7,692ConditionsHepatitis C, TestingArmsCommunity-based HCV rapid test, Facility-based HCV rapid test, Plasmatic HCV viral load, DBS HCV viral load
3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Emilie MosnierAix Marseille Université, Institut national de la santé et de la recherche médicale (INSERM), Institut de recherche pour le développementIRD, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM) Aix Marseille Univ,, Aix Marseille Institute of Public Health (ISSPAM), Marseille, France.ORCID 0000-0002-6004-3323
Olivier SégéralUniversity of Health and Sciences, Phnom Penh, Cambodia.ORCID 0000-0002-3996-8663
Sansothy NethUniversity of Health and Sciences, Phnom Penh, Cambodia.ORCID 0009-0000-6960-3385
Luis Sagaon-TeyssierAix Marseille Université, Institut national de la santé et de la recherche médicale (INSERM), Institut de recherche pour le développementIRD, Sciences Economiques & Sociales de la Santé & Traitement de l'Information Médicale (SESSTIM) Aix Marseille Univ,, Aix Marseille Institute of Public Health (ISSPAM), Marseille, France.ORCID 0000-0001-7318-6596
Dyna KhuonUniversity of Health and Sciences, Phnom Penh, Cambodia.ORCID 0009-0004-7593-7436
Chan Leakhena PhoeungUniversity of Health and Sciences, Phnom Penh, Cambodia.ORCID 0000-0002-6538-3597
Sovatha MamUniversity of Health and Sciences, Phnom Penh, Cambodia.ORCID 0000-0001-9690-8897
Chhingsrean ChhayUniversity of Health and Sciences, Phnom Penh, Cambodia.ORCID 0009-0003-7618-0001
Kimeang HeangUniversity of Health and Sciences, Phnom Penh, Cambodia.ORCID 0009-0001-3820-3175
Jean Charles Duclos-ValléeHepato-Biliary Department, Paul Brousse Hospital, Assistance Publique - Hôpitaux de Paris (APHP); Institut national de la santé et de la recherche médicale (INSERM) U1193, Université Paris-Saclay; University Hospital Federation (FHU) Hepatinov, Villejuif, France.ORCID 0000-0002-8931-9186
Vonthanak SaphonnUniversity of Health and Sciences, Phnom Penh, Cambodia.ORCID 0000-0002-5620-0517

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundIn Cambodia, hepatitis C constitutes a significant public health challenge, particularly among older adults (>45 years) for whom prevalence is estimated to be 5%. To facilitate the elimination of hepatitis C among the general population, enhancing access to screening and treatment is imperative. In this regard, the evaluation of community-based screening programs emerges as a crucial step toward improving health care accessibility.

objectiveThis study aims to assess the comparative efficacy of a community-based versus a facility-based approach in enhancing the uptake of hepatitis C antibody testing among the general population older than 40 years of age in Cambodia.

methodsThe CAM-C (Community Versus Facility-Based Services to Improve the Screening of Active Hepatitis C Virus Infection in Cambodia) study uses a cluster-randomized controlled trial design across two Cambodian provinces to compare community-based and facility-based hepatitis testing interventions. Sampling involves a multistage cluster approach, targeting individuals older than 40 years of age due to their higher prevalence and risk of chronic hepatitis complications. This study incorporates a qualitative analysis of acceptability and a cost-effectiveness comparison. Interventions include facility-based testing with subsequent referral and community-based testing with direct in-home assessments. Follow-up for positive cases involves comprehensive management and potential direct-acting antiviral treatment. This study aims to identify a significant increase in testing uptake, requiring the screening of 6000 individuals older than 40 years of age, facilitated by a structured sampling and intervention approach to minimize contamination risks.

resultsThe final protocol including the quantitative, qualitative, and cost-effectiveness part of the study was registered and was approved in 2019 by the National Ethical Cambodian for Health Research. Inclusions were completed by mid-2024, with analyses starting in May 2024.

conclusionsUsing a mixed methods approach that combines a robust methodology (cluster-randomized controlled trial) with a cost-effectiveness analysis and qualitative research, such a study should provide invaluable information to guide the Ministry of Health in its hepatitis C virus screening strategy and move toward elimination.

trial registrationClinicalTrials.gov NCT03992313; https://clinicaltrials.gov/study/NCT03992313. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/63376.

Indexed as

Hepatitis CMass ScreeningAdultAgedCambodiaCommunity Health ServicesCost-Benefit AnalysisFemaleHepacivirusHumansMaleMiddle AgedRandomized Controlled Trials as TopicCambodiacluster randomized controlled trialcommunity-based interventioncost-effectiveness analysisHCVhepatitis C virusqualitative analysis

Identifiers

PMID39566053
PMCPMC11618004

What OpenQuestion holds

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LicenceCC BY
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.