Under construction – not a live service
Sign in
Not yet taking people in PeruNo phase

Tests a community health system project for hypertension, diabetes and neglected diseases

Tests a community health system project in adults with high blood pressure or diabetes.

Key facts

Who runs it
Universidad Peruana Cayetano Heredia
Where
Piura, PeruSee the siteAlso in 2 other countries, 2 sites
Trial code
Registry title
Implementation of the COmmunity HEalth System InnovatiON Project in Low- and Middle- Income Countries
Status
Not yet recruiting
People taking part
2,094 people, planned
Started
17 May 2025
Expected to end
30 Nov 2026
Type of study
Interventional, 3 groupsOne group gets no study treatment, for comparison.
Treatments tested
  • Co-creation (2016 to 2019) + Co-design (2023 to 2024)
  • Co-design only (2023 to 2024)
Record updated
25 May 2025

Who can take part

AI summary

From the trial's eligibility criteria. Machine-read from the registry text on this page, so it can be wrong. The registry text below and the trial team decide who can take part.

The trial is looking for adults aged 18 and over who used primary health care services in the last three months, in Peru, Nepal and Mozambique. Some have diabetes, high blood pressure or neurocysticercosis, and some do not.

Age
18 years and over
Sex
Women and men can join
Disease stage
People with type 2 diabetes, hypertension or neurocysticercosis (diagnosed or at estimated risk), and people without these conditions.

Main reasons for not taking part

  • Used no health services in the previous three months
  • Cannot listen to radio programs or other audio material
  • For the group without these conditions: diagnosis or estimated risk of type 2 diabetes, hypertension or neurocysticercosis

The registry criteria, word for word

Show all 8 criteriaShow less

Who can take part

  • Males or females aged 18 years and over, from the selected sites
  • Having used the health services in the previous three months
  • Diagnosis (or estimated risk) of diabetes mellitus type 2, hypertension, or neurocysticercosis
  • Must be able to listen to radio programs, or other audio material
  • Males or females aged 18 years and over, from the selected sites
  • Having used the health services in the previous three months
  • Must be able to listen to radio programs, or other audio material

Who cannot take part

  • Diagnosis (or estimated risk) of diabetes mellitus type 2, hypertension, or neurocysticercosis; The criteria mentioned above refer solely to the quantitative evaluation. For the other types of evaluation, some different populations will be included (such as healthcare workers, local authorities and other stakeholders)

Where in Peru

Also in 2 other countries, 2 sites

  • Universidad Peruana Cayetano HerediaPiura, PeruContact: María Lazo-Porras, MD, MSc, PhDNo longer taking part

About the trial

What the trial wants to find out

The COHESION-I project will evaluate the effects of the co-creation intervention (2016 to 2019) and the co-design intervention (2023 to 2024) on improving (a) health system responsiveness, and (b) patient satisfaction, at the primary health care level, in Peru, Nepal and Mozambique, in relation to chronic diseases (hypertension, and diabetes mellitus), as well as specific neglected tropical diseases. Each intervention has been tailored to the context and characteristics of each one of the aforementioned low- and middle-income countries.

Read full original descriptionShow less

For this quasi-experimental study, three arms were established: the co-creation (2016 to 2019) + co-design (2023 to 2024) arm; the co-design only (2023 to 2024) arm; and the control group (no intervention; usual care). The evaluation will be composed of four types of evaluations: quantitative; qualitative; economic; and process evaluation

The 3 groups in the trial

  • Co-creation (2016 to 2019) + Co-design (2023 to 2024)Treatment being tested

    PERU: * Radio programs with content related to health care * Capacity building on management of diabetes, hypertension and neurocysticercosis * Communication jar to prompt communication between health workers and patients * Decentralized decision-making on facility improvement NEPAL: * Radio and pamphlets to promote Primary Health Care (PHC) * Involvement of Female Community Health Volunteers * Capacity building on management of diabetes, hypertension and lepra * Flip charts, guidelines and posters for management of diseases and to prompt communication between health workers and patients * Decentralized decision-making on facility improvement MOZAMBIQUE: * Radio and pamphlets informing population on hypertension, PHC and appointment system * Facility based guideline/algorithm * Capacity building on hypertension, diabetes and schistosomiasis * Establishment of an "information booth" * Group discussions on challenges and opportunities * Advocacy on the issue of access to medicines

  • Co-design only (2023 to 2024)Treatment being tested

    PERU: * Radio programs with content related to health care * Capacity building on management of diabetes, hypertension and neurocysticercosis * Communication jar to prompt communication between health workers and patients * Decentralized decision-making on facility improvement NEPAL: * Radio and pamphlets to promote Primary Health Care (PHC) * Involvement of Female Community Health Volunteers * Capacity building on management of diabetes, hypertension and lepra * Flip charts, guidelines and posters for management of diseases and to prompt communication between health workers and patients * Decentralized decision-making on facility improvement MOZAMBIQUE: * Radio and pamphlets informing population on hypertension, PHC and appointment system * Facility based guideline/algorithm * Capacity building on hypertension, diabetes and schistosomiasis * Establishment of an "information booth" * Group discussions on challenges and opportunities * Advocacy on the issue of access to medicines

  • ControlNo study treatment, for comparison

    Usual care, understood as the Primary Health Care (PHC) that the target patient population receives as part of the conventional or usual medical practice in each of their communities, in Peru, Nepal, and Mozambique

Questions to ask the study team

  1. How often do I need to come in, and for how long each time?
  2. Are travel costs paid?
  3. Can I keep my own doctor?
  4. What happens if I want to stop?

Contact the study team: see the registry record → Contacts and Locations

Print a page for my doctor

Data and sources

Registry record
Listed on ClinicalTrials.gov.
Official title
GH Project: NIHR150261 - Implementation of the COmmunity HEalth System InnovatiON Project, COHESION-I
Plain-language title
Tests a community health system project for hypertension, diabetes and neglected diseasesGenerated from the registry record. The registry title is the official one.
AI summary
From the trial's eligibility criteria. Read by machine on 12 November 2026.
Record updated
25 May 2025