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CTRI Number  CTRI/2025/09/095112 [Registered on: 19/09/2025] Trial Registered Prospectively
Last Modified On: 19/09/2025
Post Graduate Thesis  Yes 
Type of Trial  Interventional 
Type of Study   Behavioral 
Study Design  Other 
Public Title of Study   Training Hospital Cleaning Staff to Reduce Infections and Antibiotic Resistance 
Scientific Title of Study   Strengthening Infection Prevention & Control (IPC) through Housekeeping & Support Staff: A Mixed methods Approach in Healthcare Settings 
Trial Acronym  NIL 
Secondary IDs if Any  
Secondary ID  Identifier 
NIL  NIL 
 
Details of Principal Investigator or overall Trial Coordinator (multi-center study)  
Name  Nikhil Vishu Kumar 
Designation  Junior Resident 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Community Medicine, KMC Manipal, Tiger Circle Road, Madhav Nagar, Eshwar Nagar, Manipal, Karnataka 576104

Udupi
KARNATAKA
576104
India 
Phone  07043898200  
Fax    
Email  kumar.kmcmpl2024@learner.manipal.edu  
 
Details of Contact Person
Scientific Query
 
Name  Kirthinatha Ballala  
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Community Medicine, KMC Manipal, Tiger Circle Road, Madhav Nagar, Eshwar Nagar, Manipal, Karnataka 576104

Udupi
KARNATAKA
576104
India 
Phone  9844270050  
Fax    
Email  kirthinath.ballala@manipal.edu  
 
Details of Contact Person
Public Query
 
Name  Kirthinatha Ballala  
Designation  Associate Professor 
Affiliation  Kasturba Medical College, Manipal 
Address  Department of Community Medicine, KMC Manipal, Tiger Circle Road, Madhav Nagar, Eshwar Nagar, Manipal, Karnataka 576104

Udupi
KARNATAKA
576104
India 
Phone  9844270050  
Fax    
Email  kirthinath.ballala@manipal.edu  
 
Source of Monetary or Material Support  
Kasturba Medical College, Manipal Tiger Circle Road Madhav Nagar Eshwar Nagar Manipal Karnataka 576104 India 
 
Primary Sponsor  
Name  Indian Council of Medical Research ICMR 
Address  V. Ramalingaswami Bhawan, P.O. Box No. 4911Ansari Nagar, New Delhi - 110029, India 
Type of Sponsor  Government funding agency 
 
Details of Secondary Sponsor  
Name  Address 
NIL  NIL 
 
Countries of Recruitment     India  
Sites of Study  
No of Sites = 1  
Name of Principal Investigator  Name of Site  Site Address  Phone/Fax/Email 
Dr Nikhil Vishu Kumar  Kasturba Hospital Manipal  Udupi Hebri Rd Madhav Nagar, Manipal Near Kasturba Medical College Manipal Udupi Karnataka 576104 India
Udupi
KARNATAKA 
7043898200

kumar.kmcmpl2024@learner.manipal.edu 
 
Details of Ethics Committee  
No of Ethics Committees= 1  
Name of Committee  Approval Status 
Kasturba Medical College and Kasturba Hospital Institutional Ethics Committee - 1  Approved 
 
Regulatory Clearance Status from DCGI  
Status 
Not Applicable 
 
Health Condition / Problems Studied  
Health Type  Condition 
Healthy Human Volunteers  Not applicable healthy housekeeping staff evaluated for infection prevention and control knowledge and practices 
 
Intervention / Comparator Agent  
Type  Name  Details 
Comparator Agent  Standard Practice/No Additional Training  Housekeeping staff continue routine duties under existing infection prevention and control protocols without exposure to the structured IPC training program during the study phase, for a maximum period of 12 months. KAP Assessment is conducted at the same time points as the intervention group for comparative analysis. 
Intervention  Structured IPC Training Program for Housekeeping Staff  Co-designed structured infection prevention and control (IPC) training modules delivered to housekeeping staff over a maximum period of 12 months, including interactive lectures, video demonstrations, simulation exercises, and role-plays. The program focuses on essential IPC knowledge, hand hygiene, biomedical waste management, surface cleaning protocols, and safe equipment handling. Effectiveness is assessed via pre- and post-intervention knowledge, attitude, and practice (KAP) surveys. 
 
Inclusion Criteria  
Age From  18.00 Year(s)
Age To  99.00 Year(s)
Gender  Both 
Details  Housekeeping staff employed in the hospital for at least six months

Basic literacy (able to read and write)

Provided informed consent 
 
ExclusionCriteria 
Details  Unwillingness to participate

Less than six months of employment

Unable to provide informed consent 
 
Method of Generating Random Sequence   Not Applicable 
Method of Concealment   Not Applicable 
Blinding/Masking   Not Applicable 
Primary Outcome  
Outcome  TimePoints 
Measurement of the change in knowledge, attitude, and practice (KAP) scores related to infection prevention and control (IPC) among housekeeping staff, as measured by validated questionnaires before and after the structured training intervention.  Baseline (pre-intervention)

Immediately post-intervention

1 to 3 months post-intervention follow-up 
 
Secondary Outcome  
Outcome  TimePoints 
Perceptions and feedback on IPC training effectiveness and barriers from qualitative interviews and focus group discussions  Baseline (pre-intervention)

Immediately post-intervention

1 to 3 months post-intervention follow-up 
 
Target Sample Size   Total Sample Size="277"
Sample Size from India="277" 
Final Enrollment numbers achieved (Total)= "Applicable only for Completed/Terminated trials"
Final Enrollment numbers achieved (India)="Applicable only for Completed/Terminated trials" 
Phase of Trial   N/A 
Date of First Enrollment (India)   01/10/2025 
Date of Study Completion (India) Applicable only for Completed/Terminated trials 
Date of First Enrollment (Global)  Date Missing 
Date of Study Completion (Global) Applicable only for Completed/Terminated trials 
Estimated Duration of Trial   Years="2"
Months="0"
Days="0" 
Recruitment Status of Trial (Global)   Not Yet Recruiting 
Recruitment Status of Trial (India)  Not Yet Recruiting 
Publication Details   N/A 
Individual Participant Data (IPD) Sharing Statement

Will individual participant data (IPD) be shared publicly (including data dictionaries)?  

Response - NO
Brief Summary   This mixed methods study aims to strengthen infection prevention and control practices among housekeeping and support staff in a tertiary care hospital in India The project evaluates baseline IPC knowledge attitudes and practices KAP explores perceptions of healthcare professionals regarding the housekeeping role and co designs a multimodal IPC training intervention tailored to housekeeping staff The intervention includes structured training modules delivered via lectures videos simulations and role plays Effectiveness will be assessed through pre and post intervention KAP surveys qualitative interviews and observation of IPC practices with both intervention and control groups evaluated The study addresses critical gaps in IPC training for frontline support staff who play a pivotal role in controlling healthcare associated infections and antimicrobial resistance in resource constrained settings Findings will inform scalable and context sensitive IPC strategies for similar low and middle income healthcare environments 
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