None listed
Conditions
Interventions
Intervention1: Patient and health system non-communicable disease preparedness for floods: The intervention will leverage existing health system structures to deliver integrated NCD care during flood
Sponsors
Sree Chitra Tirunal Institute for Medical Sciences and Technology
Eligibility
Inclusion criteria
Inclusion criteria: Adults aged 18 and above have been residing in the flood-prone study cluster since May of the same year (covering the recent flood-period and two months prior for pre-flood preparations). Have a self-reported diagnosis of one or more study conditions hypertension, diabetes, or chronic respiratory diseases (asthma and COPD) diagnosed before the previous May and currently receiving medication.
Exclusion criteria
Exclusion criteria: Patient unable to converse in Hindi or English or not cognitively coherent so that they cannot consent Likely to move away from the current house in the next 18 months (until May 2027)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| 1. Proportion of patients with a functional flood-proof NCD kit 2. Proportion of patients with ARMS-12 medication adherence score less than or equal to 12Timepoint: 1. Baseline (S1), Endline (S3) 2. Baseline (S1,S2 (6 months after S1), Endline (S3, S4(6months after S3) | — |
Secondary
| Measure | Time frame |
|---|---|
| Self-report of inpatient admission (all-cause and NCD-related)Timepoint: 6 months post-baseline (S2), 6 months post Endline (S4);Self-report of outpatient or inpatient consultation due to NCD exacerbationTimepoint: 6 months post-baseline (S2), 6 months post Endline (S4);Self-reported mental health (PHQ-8 and GAD)Timepoint: Baseline (S1) 6 months post-baseline (S2), Endline (S3), 6 months post Endline (S4);Measured blood pressure (systolic and diastolic)Timepoint: Baseline (S1) 6 months post-baseline (S2), Endline (S3), 6 months post Endline (S4);Chronic respiratory disease symptom scoreTimepoint: Baseline (S1) 6 months post-baseline (S2), Endline (S3), 6 months post Endline (S4);Proportion of facility-based health workers trained in flood-NCD intervention, propotion of ASHAs/community health workers trained in flood-NCD intervention Observed availability of flood-proof kit at health facility (with required contents), self-reported home visits by ASHAs/community HCPs,score on preparedness and response policy changes, patient self-report of carrying flood-proof kit to relief camp patient self-report of carrying handover card or prescription to camp ,patient self-report of knowledge or use of NCD services at relief camps, Patient attendance or participation in mental health intervention, patient self-report of NCD medication availability during flood period, patient self-report of receiving flood preparedness advice before monsoon Timepoint: Midline and Endline with healthcare workers, Baseline S1 and S2 and Endline S3 and S4 with patients | — |
Countries
India
Contacts
Public ContactDr Jeemon Panniyammakal
Sree Chitra Tirunal Institute for Medical Sciences and Technology
Outcome results
None listed