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Domestication and Implementation of the PEN-Plus Clinical Model in the Zambian Health System

About this study

Cognizant of the prevalence of complicated non communicable diseases (NCD) and the attendant capacity problems faced by the health workers in primary care settings, we propose to adapt and pilot the Package of Essential Non-communicable Diseases (PEN) Plus intervention using the Interactive Systems Framework (ISF) and then implement and monitor the impact. The ISF framework proposes and organizes several implementation strategies to achieve Evidence Based Implementation (EBI) adaptation. We will apply these strategies at 2 first level hospitals (Peri-Urban and Rural) to ensure local adaptation and work towards scaling up of the WHO-PEN Plus in the rest of Zambia. This process will be inclusive, involving a Stakeholder Consultation Group that shall include the Zambian Non-Communicable diseases and injuries (NCDI) Poverty Commission and shall report bi-annually to a Project Advisory Board (PAB) chaired by the Permanent Secretary of the Ministry of Health.

Condition
Cardiac Diseases, Sickle Cell Disease, Hypertension, Diabetes Mellitus, Heart Failure, Congenital Heart Disease, Rheumatic Heart Disease, Epilepsy, Cancer, Mental Health Disorders, Kidney Disease
Tested
Supportive treatment
Sponsor
Centre for Infectious Disease Research in Zambia

Who can join

Age
Not specified
Sex
All sexes
Healthy volunteers
Not accepted

Inclusion 2

  • Study condition: Cardiac Diseases, Sickle Cell Disease, Hypertension, Diabetes Mellitus, Heart Failure, Congenital Heart Disease, Rheumatic Heart Disease, Epilepsy, Cancer, Mental Health Disorders, Kidney Disease
  • Presenting with chronic NCDs

Exclusion 1

  • Refusing to be followed up prospectively for routine visits

Where

1 site, 1 recruiting

Matero First Level Hospital

Lusaka, Lusaka Province, Zambia

Recruiting

Contact

Potential match only. Final eligibility is determined by the study team.