Implementation of the COmmunity HEalth System InnovatiON Project in Low- and Middle- Income Countries

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorUniversidad Peruana Cayetano Heredia

About this trial

The COHESION-I project will evaluate the effects of the co-creation intervention (2016 to 2019) and the co-design intervention (2023 to 2024) on improving (a) health system responsiveness, and (b) patient satisfaction, at the primary health care level, in Peru, Nepal and Mozambique, in relation to chronic diseases (hypertension, and diabetes mellitus), as well as specific neglected tropical diseases. Each intervention has been tailored to the context and characteristics of each one of the aforementioned low- and middle-income countries.

For this quasi-experimental study, three arms were established: the co-creation (2016 to 2019) + co-design (2023 to 2024) arm; the co-design only (2023 to 2024) arm; and the control group (no intervention; usual care). The evaluation will be composed of four types of evaluations: quantitative; qualitative; economic; and process evaluation

Eligibility criteria

Qualifiers

Males or females aged 18 years and over, from the selected sites

Having used the health services in the previous three months

Diagnosis (or estimated risk) of diabetes mellitus type 2, hypertension, or neurocysticercosis

Must be able to listen to radio programs, or other audio material

Disqualifiers

None

Trial design

Treatments tested in this trial

  • Co-creation (2016 to 2019) + Co-design (2023 to 2024)
  • Co-design only (2023 to 2024)

Treatment groups

2,094 Participants
are divided into 3 treatment groups

Sponsors and collaborators

Universidad Peruana Cayetano Heredia

Lead sponsor

Eduardo Mondlane University

Collaborator

B.P. Koirala Institute of Health Sciences

Collaborator