[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"health-study-detail:100592136":3},{"organization":4,"armGroups":7,"interventions":23,"overallOfficials":31,"centralContacts":35,"locations":43,"responsibleParty":83,"collaborators":86,"id":89,"slug":90,"hasResults":91,"nctId":92,"briefTitle":93,"officialTitle":94,"acronym":95,"eligibilityCriteria":96,"healthyVolunteers":97,"sex":98,"minAge":99,"maxAge":22,"enrollmentInfo":100,"targetDuration":22,"studyType":103,"phases":104,"briefSummary":106,"conditions":107,"keywords":111,"overallStatus":116,"whyStopped":22,"lastUpdateSubmitDate":117,"lastUpdatePostDateStruct":118,"startDateStruct":121,"completionDateStruct":123,"leadSponsor":125,"locationsCount":126},{"fullName":5,"class":6},"Universidad Peruana Cayetano Heredia","OTHER",[8,14,18],{"label":9,"type":10,"description":11,"interventionNames":12},"Co-creation (2016 to 2019) + Co-design (2023 to 2024)","EXPERIMENTAL","PERU:\n\n* Radio programs with content related to health care\n* Capacity building on management of diabetes, hypertension and neurocysticercosis\n* Communication jar to prompt communication between health workers and patients\n* Decentralized decision-making on facility improvement\n\nNEPAL:\n\n* Radio and pamphlets to promote Primary Health Care (PHC)\n* Involvement of Female Community Health Volunteers\n* Capacity building on management of diabetes, hypertension and lepra\n* Flip charts, guidelines and posters for management of diseases and to prompt communication between health workers and patients\n* Decentralized decision-making on facility improvement\n\nMOZAMBIQUE:\n\n* Radio and pamphlets informing population on hypertension, PHC and appointment system\n* Facility based guideline\u002Falgorithm\n* Capacity building on hypertension, diabetes and schistosomiasis\n* Establishment of an \"information booth\"\n* Group discussions on challenges and opportunities\n* Advocacy on the issue of access to medicines",[13],"Behavioral: Co-creation (2016 to 2019) + Co-design (2023 to 2024)",{"label":15,"type":10,"description":11,"interventionNames":16},"Co-design only (2023 to 2024)",[17],"Behavioral: Co-design only (2023 to 2024)",{"label":19,"type":20,"description":21,"interventionNames":22},"Control","NO_INTERVENTION","Usual care, understood as the Primary Health Care (PHC) that the target patient population receives as part of the conventional or usual medical practice in each of their communities, in Peru, Nepal, and Mozambique",null,[24,28],{"type":25,"name":9,"description":26,"armGroupLabels":27,"otherNames":22},"BEHAVIORAL","It includes interventions implemented in a sequential way: a) The co-creation intervention (between 2016 and 2019), and b) the co-design intervention (between 2023 and 2024).\n\nIn this group of sequential interventions, relevant stakeholders have already been engaged in the project and they would be familiar with the intervention components. Their participation this time will enable updating and refining the previous co-creation intervention through the co-design process.\n\nThe intervention will encompass activities with the health service users and healthcare workers, in Peru, Nepal, and Mozambique",[9],{"type":25,"name":15,"description":29,"armGroupLabels":30,"otherNames":22},"The same intervention activities of the first group (between 2023 and 2024), but without having them involved in the previous co-creation process. In consequence, relevant stakeholders in the corresponding sites are not expected to be as engaged in the project (in contrast to the intervention that includes co-creation), and they would not be very familiar with the intervention components of COHESION-I.\n\nAs in the first group, the intervention will encompass activities with the health service users and healthcare workers, in Peru, Nepal, and Mozambique",[15],[32],{"name":33,"affiliation":5,"role":34},"María Lazo-Porras, MD, MSc, PhD","PRINCIPAL_INVESTIGATOR",[36,40],{"name":33,"role":37,"phone":38,"phoneExt":22,"email":39},"CONTACT","511-2416978","maria.lazo@upch.pe",{"name":41,"role":37,"phone":22,"phoneExt":22,"email":42},"Antonio Bernabe-Ortiz, MD, MPH, PhD","antonio.bernabe@upch.pe",[44,58,71],{"facility":45,"status":22,"city":46,"state":22,"zip":22,"country":47,"countryCode":48,"cosmosGeoPoint":49,"geoPoint":54,"contacts":55},"Eduardo Mondlane University","Maputo","Mozambique","MZ",{"type":50,"coordinates":51},"Point",[52,53],32.58322,-25.96553,{"lat":53,"lon":52},[56],{"name":57,"role":37,"phone":22,"phoneExt":22,"email":22},"Albertino Damasceno, MD, PhD",{"facility":59,"status":22,"city":60,"state":22,"zip":22,"country":61,"countryCode":62,"cosmosGeoPoint":63,"geoPoint":67,"contacts":68},"B.P. Koirala Institute of Health Sciences","Dharān","Nepal","NP",{"type":50,"coordinates":64},[65,66],87.27972,26.81436,{"lat":66,"lon":65},[69],{"name":70,"role":37,"phone":22,"phoneExt":22,"email":22},"Sanjib Sharma, MD",{"facility":5,"status":22,"city":72,"state":22,"zip":22,"country":73,"countryCode":74,"cosmosGeoPoint":75,"geoPoint":79,"contacts":80},"Piura","Peru","PE",{"type":50,"coordinates":76},[77,78],-80.65715,-5.18192,{"lat":78,"lon":77},[81,82],{"name":33,"role":37,"phone":22,"phoneExt":22,"email":22},{"name":41,"role":37,"phone":22,"phoneExt":22,"email":22},{"type":34,"investigatorFullName":84,"investigatorTitle":85,"investigatorAffiliation":5,"oldNameTitle":22,"oldOrganization":22},"María Lazo Porras","Research Associate at CRONICAS",[87,88],{"name":45,"class":6},{"name":59,"class":6},"100592136","implementation-of-the-community-health-system-innovation-project-in-low--and-middle--income-countries-100592136",false,"NCT06989502","Implementation of the COmmunity HEalth System InnovatiON Project in Low- and Middle- Income Countries","GH Project: NIHR150261 - Implementation of the COmmunity HEalth System InnovatiON Project, COHESION-I","COHESION-I","Inclusion Criteria for PHC users with diabetes, hypertension, and\u002For NTDs:\n\n* Males or females aged 18 years and over, from the selected sites\n* Having used the health services in the previous three months\n* Diagnosis (or estimated risk) of diabetes mellitus type 2, hypertension, or neurocysticercosis\n* Must be able to listen to radio programs, or other audio material\n\nInclusion Criteria for PHC users without diabetes, hypertension, and\u002For NTDs:\n\n* Males or females aged 18 years and over, from the selected sites\n* Having used the health services in the previous three months\n* Must be able to listen to radio programs, or other audio material\n\nExclusion Criteria for PHC users without diabetes, hypertension, and\u002For NTDs:\n\n\\- Diagnosis (or estimated risk) of diabetes mellitus type 2, hypertension, or neurocysticercosis\n\nThe criteria mentioned above refer solely to the quantitative evaluation. For the other types of evaluation, some different populations will be included (such as healthcare workers, local authorities and other stakeholders).",true,"ALL","18 Years",{"count":101,"type":102},2094,"ESTIMATED","INTERVENTIONAL",[105],"NA","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.\n\nFor 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",[108,109,110],"Hypertension","Diabetes Mellitus","Neglected Tropical Diseases",[108,109,110,112,113,114,115],"Chronic Disease","Primary Health Care","Implementation Science","Low and Middle Income Countries","NOT_YET_RECRUITING","2025-05-16",{"date":119,"type":120},"2025-05-25","ACTUAL",{"date":122,"type":102},"2025-05-17",{"date":124,"type":102},"2026-11-30",{"name":5,"class":6},3]