Domestication and Implementation of the PEN-Plus Clinical Model in the Zambian Health System
NCT07753681 · Status: RECRUITING · Type: OBSERVATIONAL · Enrollment: 2084
Last updated 2026-08-07
Summary
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.
Conditions
- Cardiac Diseases
- Sickle Cell Disease
- Hypertension
- Diabetes Mellitus
- Heart Failure
- Congenital Heart Disease
- Rheumatic Heart Disease
- Epilepsy
- Cancer
- Mental Health Disorders
- Kidney Disease
Interventions
- COMBINATION_PRODUCT
-
Supportive treatment
Buffering of drugs and or equipment to the MOH to ensure that HCWs are able to manage the patients that attend the NCD clinics set up within the first level hospitals.
Sponsors & Collaborators
-
The Leona M. and Harry B. Helmsley Charitable Trust
collaborator OTHER -
Centre for Infectious Disease Research in Zambia
lead OTHER
Principal Investigators
-
Fastone Mathew Goma, MB ChB · Centre for Infectious Disease Research in Zambia
Eligibility
- Sex
- ALL
- Healthy Volunteers
- No
Timeline & Regulatory
- Start
- 2022-08-08
- Primary Completion
- 2027-09-30
- Completion
- 2027-09-30
Countries
- Zambia
Study Locations
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