COHESION (COmmunity HEalth System InnovatiON) – project with the objective of improve the response of the healthcare system against the double charge of malnutrition of non-communicable diseases and neglected tropical diseases

Aim:

The project COHESION (COmmunity HEalth System InnovatiON) aims to evaluate if sustainable gender-focused and locally adapted interventions in different levels (political, health system and community) could be developed and integrated in the response given by the primary care level through a clear comprehension of the barriers and facilitators in the diagnostic, management and care of non-communicable diseases and neglected diseases.

Study design:

In this study, the methodology of the Project PRIME – Programme for Improving Mental Health Care will be adapted, whose objective is to generate evidence to implementing and scaling-up integrated primary care packages in low-and-middle income countries. The methodology to be used includes: an analysis of the politics at global and national level; an evaluation of the health system, qualitative interviews, and the development of an intervention.

Result:

Completed project.

Contact:

María Amalia Pesantes, MA, MPH, PhD
maria.pesantes.v@upch.pe

María Kathia Cárdenas, BSc, MSc
maria.cardenas.g@upch.pe

Place of study
Mozambique, Nepal y Perú.

Funding
The Swiss Agency for Development and Cooperation; The Swiss National Science Foundation.

Duration of the study
2016-2018

Reserachers

J Jaime Miranda

María Amalia Pesantes

María Kathia Cárdenas

Collaborators

David Beran, Geneva University Hospitals and University of Geneva.

Sandro Cattacin, University of Geneva.

François Chappuis, Geneva University Hospitals and University of Geneva.

Albertino Damasceno, Eduardo Mondlane University, Maputo, Mozambique.

Nilambar Jha, B.P. Koirala Institute of Health Sciences, Dharan, Nepal.

Claire Somerville, Graduate Institute of International and Development Studies.

L. Suzanne Suggs, Universit della Svizzera italiana.

Publications

  • Pesantes MA, Somerville C, Singh SB, Perez-Leon S, Madede T, Suggs S, et al. Disruption, changes, and adaptation: Experiences with chronic conditions in Mozambique, Nepal and Peru. Global Public Health. 2020 Mar 3;15(3):372–83.
  • Pesantes MA, Moyano LM, Sommerville C. Neurocysticercosis in Northern Peru: Qualitative Insights from men and women about living with seizures. PLoS Negl Trop Dis. 2020 Oct 9;14(10):e0008715.
  • Cárdenas MK, Pérez-León S, Singh SB, Madede T, Munguambe S, Govo V, et al. Forty years after Alma-Ata: primary health-care preparedness for chronic diseases in Mozambique, Nepal and Peru. Global Health Action. 2021 Jan 1;14(1):1975920
  • David Beran, Maria Lazo-Porras, Maria Kathia Cardenas, François Chappuis, Albertino Damasceno, Nilambar Jha, Tavares Madede, Sarah Lachat, Silvana Perez Leon, Nathaly Aya Pastrana, Maria Amalia Pesantes, Suman Bahadur Singh, Sanjib Sharma, Claire Somerville, L Suzanne Suggs, J Jaime Miranda. Moving from formative research to co-creation of interventions: insights from a community health system project in Mozambique, Nepal and Peru. BMJ Glob Health. 2018 Nov 16;3(6):e001183. doi: 10.1136/bmjgh-2018-001183. eCollection 2018. https://pubmed.ncbi.nlm.nih.gov/30498592/
  • Maria Lazo-Porras, Silvana Perez-Leon, Maria Kathia Cardenas, M Amalia Pesantes, J Jaime Miranda, L Suzanne Suggs, François Chappuis, Pablo Perel, David Beran. Lessons learned about co-creation: developing a complex intervention in rural Peru. Glob Health Action. 2020 Dec 1;13(1):1754016. doi: 10.1080/16549716.2020.1754016. https://pubmed.ncbi.nlm.nih.gov/32406330/

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