School-based program to prevent rheumatic heart disease in kids
Official title: EFFECTIVENESS OF A SCHOOL-CENTRED PRIMARY AND SECONDARY PREVENTION PROGRAM ON PREVALENCE OF LATENT RHEUMATIC HEART DISEASE
Run by Centre for Infectious Disease Research in Zambia · NCT07927868 · Data updated 2026-11-12
This study tests a school-based nurse program and awareness effort to help children with latent rheumatic heart disease in three countries.
Quick facts
| Study type | Observational |
|---|---|
| Ages | 5 Years to 16 Years |
| Sex | All |
| Enrollment | 20000 (estimated) |
| Sponsor | Centre for Infectious Disease Research in Zambia Academic / other |
| Locations | 1 site (Lusaka, Lusaka Province) |
| Status | Recruiting |
| Started | January 14, 2025 |
| Main results expected | December 31, 2027 |
| Study ends | December 31, 2027 |
| Registry record updated | November 10, 2026 |
| Trial ID | NCT07927868 on ClinicalTrials.gov |
Is this trial a fit for you?
✓Likely a good fit
Ideal candidates are 5-16 year-olds attending one of the selected schools in Kathmandu, Lusaka, or Mekelle who and whose primary caregivers provide informed consent.
✕Probably not a fit
Children not attending the selected schools or without informed consent may not benefit from the program.
A plain-English reading of the study's rules. Only the study team can confirm whether you qualify.
What this trial studies
This observational study uses an incomplete stepped wedge cluster design to introduce a school-nurse program plus an awareness campaign for GABHS pharyngitis and secondary antibiotic prophylaxis. Clusters are whole schools in Kathmandu, Lusaka, and Mekelle, randomized to different start times so every school eventually receives the program. Each school will have one year in the control phase followed by a year in the intervention phase, with before-and-after measurements. The aim is to see if the program reduces progression risk and improves care for children with latent RHD in endemic settings.
Why it matters
Potential benefit: If successful, participating children may receive earlier care and secondary prophylaxis, potentially reducing progression of latent RHD.
How similar studies have gone: Previous cluster implementations of school-based health interventions in similar settings have shown potential benefits in related outcomes, though this exact stepped-wedge school-nurse model is relatively novel.
Who can join: the full rules
Show full inclusion / exclusion criteria
Inclusion Criteria: * Age 5-16 years * Attending a randomly selected school at one of the three study sites Exclusion Criteria: * Children / primary caregivers not providing informed consent to participate. * Children not attending one of the selected schools
Where it's running
-
Kalingalinga
Lusaka, Lusaka Province, Zambia Recruiting
Study contacts
- Study coordinator: Guy Kayeye Muula, MD, MPH
- Email: Guy.Muula@cidrz.org
- Phone: 0971747550
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How to take part
- Review the eligibility criteria above with your treating physician.
- Check the official listing on ClinicalTrials.gov for the latest contact details and recruitment status.
- Contact the study coordinator or principal investigator to ask for pre-screening. Pre-screening is free and never obligates you to enroll.