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Sökning: onr:"swepub:oai:DiVA.org:uu-474012" > Applying systems th...

  • Ramani-Chander, AnushaMonash Univ, Sch Clin Sci, Dept Med, Monash Hlth, Clayton, Vic, Australia. (författare)

Applying systems thinking to identify enablers and challenges to scale-up interventions for hypertension and diabetes in low-income and middle-income countries : protocol for a longitudinal mixed-methods study

  • Artikel/kapitelEngelska2022

Förlag, utgivningsår, omfång ...

  • 2022-04-18
  • BMJ Publishing Group Ltd,2022
  • electronicrdacarrier

Nummerbeteckningar

  • LIBRIS-ID:oai:DiVA.org:uu-474012
  • https://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-474012URI
  • https://doi.org/10.1136/bmjopen-2021-053122DOI
  • http://kipublications.ki.se/Default.aspx?queryparsed=id:149386902URI

Kompletterande språkuppgifter

  • Språk:engelska
  • Sammanfattning på:engelska

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Klassifikation

  • Ämneskategori:ref swepub-contenttype
  • Ämneskategori:art swepub-publicationtype

Anmärkningar

  • Introduction: There is an urgent need to reduce the burden of non-communicable diseases (NCDs), particularly in low-and middle-income countries, where the greatest burden lies. Yet, there is little research concerning the specific issues involved in scaling up NCD interventions targeting low-resource settings. We propose to examine this gap in up to 27 collaborative projects, which were funded by the Global Alliance for Chronic Diseases (GACD) 2019 Scale Up Call, reflecting a total funding investment of approximately US$50 million. These projects represent diverse countries, contexts and adopt varied approaches and study designs to scale-up complex, evidence-based interventions to improve hypertension and diabetes outcomes. A systematic inquiry of these projects will provide necessary scientific insights into the enablers and challenges in the scale up of complex NCD interventions.Methods and analysis: We will apply systems thinking (a holistic approach to analyse the inter-relationship between constituent parts of scaleup interventions and the context in which the interventions are implemented) and adopt a longitudinal mixed-methods study design to explore the planning and early implementation phases of scale up projects. Data will be gathered at three time periods, namely, at planning (T-P), initiation of implementation (T-0) and 1-year postinitiation (T-1). We will extract project-related data from secondary documents at T-P and conduct multistakeholder qualitative interviews to gather data at T-0 and T-1. We will undertake descriptive statistical analysis of T-P data and analyse T-0 and T-1 data using inductive thematic coding. The data extraction tool and interview guides were developed based on a literature review of scale-up frameworks.Ethics and dissemination: The current protocol was approved by the Monash University Human Research Ethics Committee (HREC number 23482). Informed consent will be obtained from all participants. The study findings will be disseminated through peer-reviewed publications and more broadly through the GACD network.

Ämnesord och genrebeteckningar

Biuppslag (personer, institutioner, konferenser, titlar ...)

  • Joshi, RohinaGeorge Inst Global Hlth, New Delhi, India.;Univ New South Wales, Sch Populat Hlth, Sydney, NSW, Australia. (författare)
  • van Olmen, JosefienUniv Antwerp, Dept Family Hlth & Populat Med, Antwerp, Belgium. (författare)
  • Wouters, EdwinUniv Antwerp, Fac Social Sci, Ctr Populat Family & Hlth, Dept Sociol, Antwerp, Belgium. (författare)
  • Delobelle, PeterUniv Cape Town, Chron Dis Initiat Africa, Cape Town, South Africa.;Vrije Univ, Dept Publ Hlth, Brussels, Belgium. (författare)
  • Vedanthan, RajeshNYU Grossman Sch Med, Dept Populat Hlth, New York, NY USA. (författare)
  • Miranda, J. JaimeUniv Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Lima, Peru.;Univ New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia. (författare)
  • Oldenburg, BrianBaker Heart & Diabet Inst, Dept Cardiovasc Res Translat & Implementat, Melbourne, Vic, Australia.;La Trobe Univ, Melbourne, Vic, Australia. (författare)
  • Sherwood, StephenWageningen Univ, Fdn EkoRural & Knowledge, Technol & Innovat, Wageningen, Netherlands. (författare)
  • Rawal, Lal B.Cent Queensland Univ, Coll Sci & Sustainabil, Sch Hlth Med & Appl Sci, Sydney, NSW, Australia. (författare)
  • Mash, Robert JamesStellenbosch Univ, Div Family Med & Primary Care, Cape Town, South Africa. (författare)
  • Irazola, Vilma EdithInst Clin Effectiveness & Hlth Policy IECS, Dept Chron Dis CESCAS, Buenos Aires, DF, Argentina. (författare)
  • Martens, MonikaUniv Antwerp, Fac Med & Hlth Sci, Dept Family Med & Populat Hlth, Antwerp, Belgium.;Inst Trop Med, Dept Publ Hlth, Antwerp, Belgium. (författare)
  • Lazo-Porras, MariaUniv Peruana Cayetano Heredia, CRONICAS Ctr Excellence Chron Dis, Lima, Peru. (författare)
  • Liu, HueimingUniv New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia. (författare)
  • Agarwal, GinaMcMaster Univ, Dept Family Med, Hamilton, ON, Canada. (författare)
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  • Marcolino, Milena SorianoUniv Fed Minas Gerais, Univ Hosp, Med Sch, Belo Horizonte, MG, Brazil.;Univ Fed Minas Gerais, Univ Hosp, Telehlth Ctr, Belo Horizonte, MG, Brazil. (författare)
  • Esandi, Maria EugeniaNatl Acad Med, Epidemiol Res Inst, Buenos Aires, DF, Argentina. (författare)
  • Ribeiro, Antonio Luiz PinhoUniv Fed Minas Gerais, Sch Med, Internal Med Dept, Belo Horizonte, MG, Brazil.;Univ Fed Minas Gerais, Hosp Clin, Head Res & Innovat, Belo Horizonte, MG, Brazil. (författare)
  • Probandari, AriUniv Sebalas Maret, Fac Med, Dept Publ Hlth, Saurakarta, Indonesia. (författare)
  • Gonzalez-Salazar, FranciscoUniv Monterrey, Dept Ciencias Basicas, Div Ciencias Salud, Monterrey, Mexico. (författare)
  • Shrestha, AbhaKathmandu Univ, Dept Community Med, Sch Med Sci, Dhulikhel, Nepal.;Dhulikhel Hosp, Dhulikhel, Nepal. (författare)
  • Sujarwoto, SujarwotoUniv Brawijaya, Dept Publ Adm, Malang, Indonesia. (författare)
  • Levitt, NaomiUniv Cape Town, Dept Med, Chron Dis Initiat Africa, Cape Town, South Africa. (författare)
  • Paredes, MyriamFac Latinoamer Ciencias Sociales Sede Ecuador FLA, Quito, Ecuador. (författare)
  • Sugishita, TomohikoTokyo Womens Med Univ, Dept Int Affairs & Trop Med, Tokyo, Japan. (författare)
  • Batal, MalekUniv Montreal, Fac Med, Nutr Dept, Montreal, PQ, Canada.;Ctr Publ Hlth Res CReSP, Montreal, PQ, Canada. (författare)
  • Li, YuanPeking Univ Hlth Sci Ctr, Nutr & Lifestyle Program, George Inst Global Hlth, Beijing, Peoples R China.;Univ New South Wales, Fac Med, Sydney, NSW, Australia. (författare)
  • Haghparast-Bidgoli, HassanUCL, Inst Global Hlth, London, England. (författare)
  • Naanyu, VioletMoi Univ, Eldoret, Kenya.;AMPATH Res, Eldoret, Kenya. (författare)
  • He, Feng J.Queen Mary Univ London, Barts & London Sch Med & Dent, Wolfson Inst Populat Hlth, London, England. (författare)
  • Zhang, PuhongUniv New South Wales, Fac Med, Sydney, NSW, Australia.;Peking Univ Hlth Sci Ctr, George Inst Global Heath, Beijing, Peoples R China. (författare)
  • Mfinanga, Sayoki GodfreyMuhimbili Ctr, Natl Inst Med Res, Dar Es Salaam, Tanzania.;Univ Liverpool Liverpool Sch Trop Med, Liverpool, Merseyside, England. (författare)
  • De Neve, Jan-WalterHeidelberg Univ, Fac Med, Heidelberg Inst Global Hlth, Heidelberg, Germany.;Heidelberg Univ, Univ Hosp, Heidelberg, Germany. (författare)
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  • Siddiqi, KamranUniv York, Dept Hlth Sci, York, N Yorkshire, England. (författare)
  • Geldsetzer, PascalStanford Univ, Dept Med, Div Primary Care & Populat Hlth, Stanford, CA 94305 USA.;Chan Zuckerberg Biohub, San Francisco, CA USA. (författare)
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  • Webster, JacquiUniv New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia. (författare)
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  • Beratarrechea, AndreaInst Clin Effectiveness & Hlth Policy, Dept Res Chron Dis, Buenos Aires, DF, Argentina. (författare)
  • Tian, MaoyiUniv New South Wales, Fac Med, George Inst Global Hlth, Sydney, NSW, Australia.;Harbin Med Univ, Sch Publ Hlth, Harbin, Peoples R China. (författare)
  • Postma, MaartenUniv Groningen, Univ Med Ctr, Dept Hlth Sci, Unit Global Hlth, Groningen, Netherlands. (författare)
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  • Birungi, JosephineMed Res Council Uganda Virus Res Inst, Entebbe, Uganda.;London Sch Hyg & Trop Med MRC UVRI & LSHTM, Entebbe, Uganda.;AIDS Support Org TASO, Entebbe, Uganda. (författare)
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  • Schouw, DarcelleStellenbosch Univ, Div Family Med & Primary Care, Cape Town, South Africa. (författare)
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Sammanhörande titlar

  • Ingår i:BMJ Open: BMJ Publishing Group Ltd122044-6055

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