Enhancing Non-communicable Disease Prevention and Control Through Parent-Teachers-Development Agents Network in Ethiopia

Summary

Background: Primary health care is an inclusive, equitable, cost-effective, and efficient approach to enhance the health of the community. Ethiopia has been implementing the primary healthcare approach for the last four decades. However, the performance of primary health care services in the country is not reaching the expected level, mainly in preventing non-communicable diseases.

Objective: The aim of this study is to improve the performance of the primary healthcare system with a focus on preventing non-communicable diseases through the integrated efforts of parent-teachers association and agricultural extension workers with the health extension workers in West Gojjam Zone.

Methods: A cluster randomized controlled community trial and a concurrent cross-sectional quantitative and qualitative approach will be used in this study. The study will be conducted in the West Gojjam Zone among 757 adults. A multistage sampling technique will be used. The intervention will be networking the indigenous parent-teacher association and agriculture development agents with the primary healthcare unit for enhancing non-communicable diseases prevention and control services. A structured interviewer-administered questionnaire will be used to collect quantitative data. Focus group discussions and key informant interviews will be conducted to collect qualitative data. Binary logistic regression analysis and Generalized Estimating Equation with a binary logit function will be computed. Thematic analysis will be used to analyze qualitative data.

Work plan and budget: The project will be conducted from February 2023 to May 2024 using a total 10,000 US dollar.

Benefits and beneficiaries: It will generate evidence on the contribution of networking institutions, community members, and the healthcare system to prevent and lower the burdens of major non-communicable diseases. Ministry of Health, Regional Health Bureaus, Zonal Health Departments, Woreda Health Offices, primary health care units, partners, and stockholders are potential beneficiaries of the project outputs.

Conditions

• Network, Kinship

Interventions

BEHAVIORAL

Networking the indigenous parent-teacher association and agriculture development agents with the PHC unit to enhance NCD prevention & control services.

The intervention will be networking the indigenous parent-teacher association and agriculture development agents with the PHC unit to enhance NCD prevention \& control services. In this major activity, the project team will establish the network by incorporating agricultural development agents and parents- teacher associations to the health post as foundational actors for educating the community on NCD prevention and control measures. We will implement tier system training to effectively create awareness on NCD and to enhance the NCD care-seeking behavior of the community.

OTHER

Usual care

The community in the control group will get noncommunicable disease prevention and control measures given through the health care system.

Sponsors & Collaborators

• Bahir Dar University

  lead OTHER

Principal Investigators

• Getu D Alene, PhD · Bahir Dar University

Study Design

Allocation

RANDOMIZED

Purpose

PREVENTION

Masking

SINGLE

Model

PARALLEL

Eligibility

Min Age

18 Years

Max Age

100 Years

Sex

ALL

Healthy Volunteers

No

Timeline & Regulatory

Start

2023-08-01

Primary Completion

2024-09-20

Completion

2024-11-20

Countries

• Ethiopia

Study Locations