Evidence map›Paper›PMID 33397663›Full record

ArticleBMJ open2021

Early detection and management of major non-communicable diseases in urban primary healthcare facilities in Ethiopia: a study protocol for a type-3 hybrid implementation-effectiveness design.

Helen Yifter, Afrah Omer, Seid Gugsa, Abebaw Fekadu, Abraham Kebede, Tewodros Gebremariam, Addisu Melkie, Negussie Deyessa

Open access · goldAbstract read
In one paragraph

Article in BMJ open, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
1.7field-weighted citation impact, top 15% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed, 12 citations in OpenAlex.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 2 institutions in 2 countries.

Helen YifterDepartment of Internal Medicine, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
Afrah OmerDepartment of Public Health Nutrition and Dietetics, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia afrahsanni@gmail.com.ORCID 0000-0001-7775-4335
Seid GugsaDepartment of Internal Medicine, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
Abebaw FekaduCentre for Innovative Drug Development and Therapeutic Trials for Africa (CDT-Africa), Addis Ababa University, Addis Ababa, Ethiopia.ORCID 0000-0003-2219-0952
Abraham KebedeSchool of Health Sciences, University of Brighton, Brighton, UK.ORCID 0000-0003-2551-502X
Tewodros GebremariamDepartment of Internal Medicine, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
Addisu MelkieDepartment of Internal Medicine, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
Negussie DeyessaDepartment of Epidemiology and Biostatistics, Addis Ababa University College of Health Sciences, Addis Ababa, Ethiopia.
Addis Ababa University · ETUniversity of Brighton · GB

Funding

Medical Research Council MR/M025470/1
6 · The paper itself

Abstract

introductionIntegrating early detection and management of non-communicable diseases in primary healthcare has an unprecedented role in making healthcare more accessible particularly in low- and middle-income countries such as Ethiopia. This study aims to design, implement and evaluate an evidence-based intervention guided by the HEARTS technical package and implementation guide to address barriers and facilitators of integrating early detection and management of hypertension, diabetes mellitus and cardiovascular diseases in primary healthcare settings of Addis Ababa. METHODOLOGY: We will employ a type-3 hybrid implementation-effectiveness study from November 2020 to May 2022. This study will target patients ≥40 years of age. Ten health centres will be randomly selected from each subcity of Addis Ababa. The study will have four phases: (1) Baseline situational analysis (PEN facility-capacity assessment, 150 observations of patient healthcare provider interactions and 697 patient medical record reviews), (2) Consolidated Framework for Implementation Research (CFIR) inspired qualitative assessment of barriers and facilitators (20 in-depth interviews of key stakeholders), (3) Design of intervention protocol. The intervention will have capacity enhancement components including training of non-communicabledisease (NCDservice providers, provision of essential equipment/supporting materials and monthly monitoring and feedback and (4) Implementation monitoring and evaluation phase using the RE-AIM (reach, efficacy, adoption, implementation and maintenance) framework. Outcomes on early detection and management of NCDs will be assessed to examine the effectiveness of the study. ETHICS AND DISSEMINATION PLAN: Ethical clearance was obtained from the Addis Ababa University, College of Health Sciences Institutional Review Board and Addis Ababa Health Bureau. We plan to present the findings from this research in conferences and publish them in peer-reviewed journals.

Indexed as

Noncommunicable DiseasesEthiopiaHealth PersonnelHumansPrimary Health CareQualitative Researchgeneral diabeteshypertensionprimary careprotocols & guidelinespublic health

Identifiers

PMID33397663
PMCPMC7783522
OpenAlexW3119005741

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.