Ignite Creation Date:
2024-06-16 @ 11:51 AM
Last Modification Date:
2024-10-26 @ 3:31 PM
Study NCT ID:
NCT06453382
Status:
ACTIVE_NOT_RECRUITING
Last Update Posted:
2024-06-11
First Post:
2024-05-14
Brief Title:
Development and Testing of a Sub-district Specific Model of Whole-of-government and Whole-of-society Approaches for the Prevention and Control of Non-communicable Diseases in a Sub-district of Bangladesh
Sponsor:
BRAC University
Organization:
BRAC University
Study Overview
Official Title:
Development and Testing of a Sub-district Specific Model of Whole-of-government and Whole-of-society Approaches for the Prevention and Control of Non-communicable Diseases in a Sub-district of Bangladesh
Status:
ACTIVE_NOT_RECRUITING
Status Verified Date:
2024-06
Last Known Status:
None
Delayed Posting:
No
If Stopped, Why?:
Not Stopped
Has Expanded Access:
False
If Expanded Access, NCT#:
N/A
Has Expanded Access, NCT# Status:
N/A
Acronym:
None
Brief Summary:
Globally non-communicable diseases NCDs are the leading cause of both mortality and morbidity This intervention study aims to prevent and manage NCDs by adopting the World Health Organizations WHO comprehensive whole-of-government and whole-of-society approach Although the Bangladesh government has devised a Multisectoral Action Plan MAP for NCD prevention and control theres a need to operationalize these approaches at the sub-district level This requires establishing a framework implementing it and assessing its effectiveness To accomplish the studys objectives the investigators will initially identify key stakeholders involved in NCD-related work or potentially able to contribute Subsequently investigators will qualitatively explore their potential involvement in NCD prevention and control including their current roles and responsibilities and how they could further contribute Workshops will be conducted with these stakeholders to develop a tailored intervention model for NCD prevention and control at the sub-district level utilizing the whole-of-government and whole-of-society approach Following this the sub-district specific model will be implemented and the process will be documented Finally an evaluation will be conducted to assess the effectiveness of the sub-district specific model in achieving NCD-specific outcomes
Detailed Description:
1 Aims
To generate evidence of whole-of-government and whole-of-society approach for non-communicable diseases NCD prevention and control in Bangladesh
2 General objective
The general objective of the research is to develop and test an sub-district-specific multi-sectoral model of whole-of-government and whole-of-society approach for NCD prevention and control in Birganj sub-district of Dinajpur district
3 Specific Objectives
Identify government non-government NGO and civil-society organizations CSO relevant to the prevention and control of NCDs
Define the roles and responsibilities of the government NGO and CSOs pertinent to the prevention and control of NCDs
Develop an sub-district specific intervention model of whole-of-government and whole-of-society approach for NCD prevention and control
Implement the sub-district specific model and carry out a process documentation
Evaluate the sub-district specific model with regard to NCD specific outcomes
4 Rationale In 2018 the Government of Bangladesh launched a multisectoral action plan MAP in alignment with the World Health Organization WHO Global Action Plan for the prevention and control of NCD The core elements of this MAP for prevention and control of NCD is whole-of-government and whole-of-society approach universal health coverage cultural relevance reduction of inequity and life-course approach The MAP outlined four action areas i advocacy leadership and partnership ii health promotion and risk reduction iii health system strengthening for early detection and management of NCDs and their risk factors and iv surveillance monitoring and evaluation and research The MAP also provides guidelines for multi-sectoral coordination mechanisms for the implementation of the action areas In the MAP the guidelines for the formulation of sub-district level multisectoral committee and functions of the committees have been described However to implement the whole-of-government and the whole-of-society approaches at the sub-district level there is a need to develop a model implement the model and evaluate the effectiveness of the model Accordingly in this study the investigators propose developing a sub-district specific whole-of-government and whole-of-society model to prevent and control NCD and evaluate the models effectiveness
5 Methodology Brief
As NCD is a broad area investigators will follow the WHO 5 by 5 framework five diseases and five risk factors as a guide for implementing the research Accordingly the focus of our research will be five risk factors i Tobacco consumption ii Alcohol consumption iii Unhealthy diet iv Physical inactivity and v Air pollution and five diseases i Cardiovascular diseases ii Diabetes iii Cancers iv Chronic respiratory diseases and iv Mental Health Disorders
The study will be implemented in Birganj an sub-district of Dinajpur district As per the 2011 census Birganj sub-district has 317252 159612 male and 157641 female population In the sub-district firstly the investigators will identify the current government NGO and CSOs and their possible roles for NCD prevention and control using a landscape analysis In the second step in collaboration with the Directorate General of Health Services the investigators will define the NCD prevention and control roles and responsibilities of the identified organizations In the third step investigators will arrange workshops and meetings with the representatives from the organizations government local government and sub-district administration health police education women affairs social affair agriculture fisheries livestock engineering NGOs and civil society organizations CSOs and develop an sub-district specific model of whole-of-government and whole-of-society approach for NCD prevention and control In collaboration with the government NGO and CSO and under direction from the non-communicable diseases control NCDC of the Directorate General of Health Services DGHS the investigators will implement the model for one year and evaluate the effectiveness of the model on the indicators of both supply side and demand side On the supply side investigators will evaluate whether the involved organizations developed an understanding of the whole-of-government and whole-of-society approach and the service delivery and readiness of each of them improved or not On the demand side the investigators will evaluate the changes in the NCD risk factors among the adults and the adolescents changes in the adherence to medication and lifestyle measures among the people with NCDs the changes in the proportion of population screened for the five NCDs and five risk factors mentioned above and the changes in the proportion of people with control over blood pressure blood sugar total cholesterol and lungs function In this research the investigators will administer both qualitative and quantitative methodology The evaluation of the model will be done primarily through quantitative methods using a pre-post design There will be a process documentation component to document barriers and facilitators of the implementation so that this model can be scaled up in other settings
6 Ethical clearance Ethical clearance for this study will be obtained from the Institutional Review Board IRB of Bangladesh Rehabilitation Assistance Committee BRAC James P Grant School of Public Health BRAC University Informed written consent will be taken from each participant Participation will be voluntary and the participants will have the right to withdraw at any time of the study
7 Impact of the study in future research Through this research the investigators will develop and test an sub-district specific model of whole-of-society and whole-of-government approach for prevention and control of NCD If the model is successful there will be further research on the improvement and scalability of the model
8 Impact of the study at national level
If the sub-district specific model of whole-of-society and whole-of-government approach for prevention and control developed and tested through this study shows results the model can be scaled-up in other sub-districts of Bangladesh In the long run this research will help the government of Bangladesh achieve the NCD related targets of the multi-sectoral action plan global action plan and the sustainable development goal SDG and relevant targets Goal 3 target 34 35 36 38 39 3A and 3C
To generate evidence of whole-of-government and whole-of-society approach for non-communicable diseases NCD prevention and control in Bangladesh
2 General objective
The general objective of the research is to develop and test an sub-district-specific multi-sectoral model of whole-of-government and whole-of-society approach for NCD prevention and control in Birganj sub-district of Dinajpur district
3 Specific Objectives
Identify government non-government NGO and civil-society organizations CSO relevant to the prevention and control of NCDs
Define the roles and responsibilities of the government NGO and CSOs pertinent to the prevention and control of NCDs
Develop an sub-district specific intervention model of whole-of-government and whole-of-society approach for NCD prevention and control
Implement the sub-district specific model and carry out a process documentation
Evaluate the sub-district specific model with regard to NCD specific outcomes
4 Rationale In 2018 the Government of Bangladesh launched a multisectoral action plan MAP in alignment with the World Health Organization WHO Global Action Plan for the prevention and control of NCD The core elements of this MAP for prevention and control of NCD is whole-of-government and whole-of-society approach universal health coverage cultural relevance reduction of inequity and life-course approach The MAP outlined four action areas i advocacy leadership and partnership ii health promotion and risk reduction iii health system strengthening for early detection and management of NCDs and their risk factors and iv surveillance monitoring and evaluation and research The MAP also provides guidelines for multi-sectoral coordination mechanisms for the implementation of the action areas In the MAP the guidelines for the formulation of sub-district level multisectoral committee and functions of the committees have been described However to implement the whole-of-government and the whole-of-society approaches at the sub-district level there is a need to develop a model implement the model and evaluate the effectiveness of the model Accordingly in this study the investigators propose developing a sub-district specific whole-of-government and whole-of-society model to prevent and control NCD and evaluate the models effectiveness
5 Methodology Brief
As NCD is a broad area investigators will follow the WHO 5 by 5 framework five diseases and five risk factors as a guide for implementing the research Accordingly the focus of our research will be five risk factors i Tobacco consumption ii Alcohol consumption iii Unhealthy diet iv Physical inactivity and v Air pollution and five diseases i Cardiovascular diseases ii Diabetes iii Cancers iv Chronic respiratory diseases and iv Mental Health Disorders
The study will be implemented in Birganj an sub-district of Dinajpur district As per the 2011 census Birganj sub-district has 317252 159612 male and 157641 female population In the sub-district firstly the investigators will identify the current government NGO and CSOs and their possible roles for NCD prevention and control using a landscape analysis In the second step in collaboration with the Directorate General of Health Services the investigators will define the NCD prevention and control roles and responsibilities of the identified organizations In the third step investigators will arrange workshops and meetings with the representatives from the organizations government local government and sub-district administration health police education women affairs social affair agriculture fisheries livestock engineering NGOs and civil society organizations CSOs and develop an sub-district specific model of whole-of-government and whole-of-society approach for NCD prevention and control In collaboration with the government NGO and CSO and under direction from the non-communicable diseases control NCDC of the Directorate General of Health Services DGHS the investigators will implement the model for one year and evaluate the effectiveness of the model on the indicators of both supply side and demand side On the supply side investigators will evaluate whether the involved organizations developed an understanding of the whole-of-government and whole-of-society approach and the service delivery and readiness of each of them improved or not On the demand side the investigators will evaluate the changes in the NCD risk factors among the adults and the adolescents changes in the adherence to medication and lifestyle measures among the people with NCDs the changes in the proportion of population screened for the five NCDs and five risk factors mentioned above and the changes in the proportion of people with control over blood pressure blood sugar total cholesterol and lungs function In this research the investigators will administer both qualitative and quantitative methodology The evaluation of the model will be done primarily through quantitative methods using a pre-post design There will be a process documentation component to document barriers and facilitators of the implementation so that this model can be scaled up in other settings
6 Ethical clearance Ethical clearance for this study will be obtained from the Institutional Review Board IRB of Bangladesh Rehabilitation Assistance Committee BRAC James P Grant School of Public Health BRAC University Informed written consent will be taken from each participant Participation will be voluntary and the participants will have the right to withdraw at any time of the study
7 Impact of the study in future research Through this research the investigators will develop and test an sub-district specific model of whole-of-society and whole-of-government approach for prevention and control of NCD If the model is successful there will be further research on the improvement and scalability of the model
8 Impact of the study at national level
If the sub-district specific model of whole-of-society and whole-of-government approach for prevention and control developed and tested through this study shows results the model can be scaled-up in other sub-districts of Bangladesh In the long run this research will help the government of Bangladesh achieve the NCD related targets of the multi-sectoral action plan global action plan and the sustainable development goal SDG and relevant targets Goal 3 target 34 35 36 38 39 3A and 3C
Study Oversight
Has Oversight DMC:
None
Is a FDA Regulated Drug?:
False
Is a FDA Regulated Device?:
False
Is an Unapproved Device?:
None
Is a PPSD?:
None
Is a US Export?:
None
Is an FDA AA801 Violation?:
None