Enhanced diabetes-cardiovascular management through primary health care in Pakistan

Enhanced diabetes-cardiovascular management through primary health care in Pakistan: a cluster randomized trial

Status

Active, not recruiting

Phases

Unknown

Study type

Interventional

Source

ISRCTN

Registry ID

ISRCTN23905886

Enrollment

448

Registered

2012-08-09

Start date

2012-01-01

Completion date

Unknown

Last updated

2019-12-10

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

Conditions

Diabetes and cardiovascular disease Nutritional, Metabolic, Endocrine Non-insulin-dependent diabetes mellitus

Interventions

Intervention arm: Enhanced case management of type 2 diabetes patients through strengthening of primary healthcare facilities. The case management enhancement mainly includes:

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: 1. All type 2 diabetes patients of both genders, age > 25 years 2. Resident of the catchment area of the respective facility (RHC/tehsil hospital)

Exclusion criteria

Exclusion criteria: 1. Those not giving consent for the study 2. Does not meet inclusion criteria

Design outcomes

Primary

Measure	Time frame
1. Glycaemic control among registered Type 2 diabetes cases. The case registration will be taken mainly from the Type 2 diabetes care register at each facility. 2. The mean change in Hb1AC measurement, i.e change of mean HbA1c at 18 months of follow-up compared to the baseline (at registration), will be used for assessing the glycemic control.	—

Secondary

Measure	Time frame
1. To compare the mean treatment success (attending and HbA1Ac < 7.5%, or FBG <7) 2. To compare the mean hypertension control (< 130/80) and total cholesterol (<200) achieved in the adult Type 2 diabetes patients, with associated hypertension and hyper-cholesterol conditions 3. To conduct incremental cost effectiveness analysis of managing adult type 2 diabetes patients at Primary Health Care (PHC) facilities in Punjab, Pakistan 4. To inform the provincial strategic plan for managing type 2 diabetes and associated hypertension and hyper-cholesterol conditions in Punjab	—

Measure

Time frame

1. To compare the mean treatment success (attending and HbA1Ac < 7.5%, or FBG <7) 2. To compare the mean hypertension control (< 130/80) and total cholesterol (<200) achieved in the adult Type 2 diabetes patients, with associated hypertension and hyper-cholesterol conditions 3. To conduct incremental cost effectiveness analysis of managing adult type 2 diabetes patients at Primary Health Care (PHC) facilities in Punjab, Pakistan 4. To inform the provincial strategic plan for managing type 2 diabetes and associated hypertension and hyper-cholesterol conditions in Punjab

—

Countries

Pakistan

Outcome results

None listed

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