An integrated intervention for chronic care management in rural Nepal: protocol of a type 2 hybrid effectiveness-implementation study.

ABSTRACT:

Background

In Nepal, the burden of noncommunicable, chronic diseases is rapidly rising, and disproportionately affecting low and middle-income countries. Integrated interventions are essential in strengthening primary care systems and addressing the burden of multiple comorbidities. A growing body of literature supports the involvement of frontline providers, namely mid-level practitioners and community health workers, in chronic care management. Important operational questions remain, however, around the digital, training, and supervisory structures to support the implementation of effective, affordable, and equitable chronic care management programs.

Methods

A 12-month, population-level, type 2 hybrid effectiveness-implementation study will be conducted in rural Nepal to e

SUBMITTER: Schwarz D 

PROVIDER: S-EPMC6990567 | biostudies-literature | 2020 Jan

REPOSITORIES: biostudies-literature