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Modelling the effects of integrating diabetic retinopathy services in the Malawi health system

Modelling the health system to assess the health gains of diabetic retinopathy service delivery models in Malawi

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ISRCTN
Registry ID
ISRCTN10051344
Enrollment
1469
Registered
2025-04-08
Start date
2025-07-15
Completion date
Unknown
Last updated
2025-09-08

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Diabetic retinopathy Eye Diseases

Interventions

1. Secondary data analysis • Scoping review of the models used to deliver DR services in LMICs • Cross-sectional study that will be performed through secondary data analysis of hospital based-data an
Semi structured interviews. • Health systems assessment of DR services in Malawi -DR stakeholder representatives in the health system in Malawi : n = 16
Semistructured interviews • Cross-sectional study on the eye health-seeking behaviour of PLWD in Malawi (WP5) -Participants: Patients accessing primary, secondary and tertiary-level DM care from 1
Structured Questionnaires 3. An economic modelling study • Of the health system for diabetes and DR to compare the cost-effectiveness and health gains of different DR service delivery models in Mala

Sponsors

London School of Hygiene & Tropical Medicine
Lead Sponsor

Eligibility

Sex/Gender
All

Inclusion criteria

Inclusion criteria: 1. Adults =18 years old 2. Policy stakeholders in NCDs and DR 3. Patients with diabetes attending DR screening

Exclusion criteria

Exclusion criteria: Does not meet inclusion criteria

Design outcomes

Primary

MeasureTime frame
1.Proportion of PLWD that have DR measured using patient records 2.Proportion of PLWD who develop DR over a 4 year period measured using patient records 3.Proportion of PLWD who have had a retinal examination measured using patient records 4.QALYs gained, resulting from DR screening and treatment interventions measured using patient records

Secondary

MeasureTime frame
There are no secondary outcome measures

Countries

Malawi

Contacts

Public ContactCovadonga Bascaran
covadonga.bascaran@lshtm.ac.uk+44 (0)20 7436 5389

Outcome results

None listed

Source: ISRCTN (via WHO ICTRP) · Data processed: Feb 4, 2026