Enhancing Non-communicable Disease Prevention and Control Through Parent-Teachers-Development Agents Network in Ethiopia

NCT06639412 | Completed DMC

• 1 other identifier: 17595/24
• Study Type: interventional
• Target: 408
• Locations: 1 country
• Sites: 1

Brief Summary

Background: Primary health care is an inclusive, equitable, cost-effective, and efficient approach to enhance the health of the community. Ethiopia has been implementing the primary healthcare approach for the last four decades. However, the performance of primary health care services in the country is not reaching the expected level, mainly in preventing non-communicable diseases. Objective: The aim of this study is to improve the performance of the primary healthcare system with a focus on preventing non-communicable diseases through the integrated efforts of parent-teachers association and agricultural extension workers with the health extension workers in West Gojjam Zone. Methods: A cluster randomized controlled community trial and a concurrent cross-sectional quantitative and qualitative approach will be used in this study. The study will be conducted in the West Gojjam Zone among 757 adults. A multistage sampling technique will be used. The intervention will be networking the indigenous parent-teacher association and agriculture development agents with the primary healthcare unit for enhancing non-communicable diseases prevention and control services. A structured interviewer-administered questionnaire will be used to collect quantitative data. Focus group discussions and key informant interviews will be conducted to collect qualitative data. Binary logistic regression analysis and Generalized Estimating Equation with a binary logit function will be computed. Thematic analysis will be used to analyze qualitative data. Work plan and budget: The project will be conducted from February 2023 to May 2024 using a total 10,000 US dollar. Benefits and beneficiaries: It will generate evidence on the contribution of networking institutions, community members, and the healthcare system to prevent and lower the burdens of major non-communicable diseases. Ministry of Health, Regional Health Bureaus, Zonal Health Departments, Woreda Health Offices, primary health care units, partners, and stockholders are potential beneficiaries of the project outputs.

Conditions

Network, Kinship

Keywords

non-communicable diseases; primary health care; Parent-Teachers-Development Agents network

Outcome Measures

Primary Outcomes (2)

• NCD care-seeking behavior of the community ( number of individuals who screened for NCD)

  NCD seeking service utilization of the community (checking blood pressure, blood glucose level, cervical cancer screening)

  nine months

• knowledge on NCD

  improved knowledge of the community about NCD will be assessed using knowledge assessment questions.

  nine months

Secondary Outcomes (1)

• Hypertension

  nine months

Study Arms (2)

Intervention arms

EXPERIMENTAL

The intervention arm will receive the intervention.The intervention will be networking the indigenous parent-teacher association and agriculture development agents with the PHC unit to enhance NCD prevention \& control services.

Behavioral: Networking the indigenous parent-teacher association and agriculture development agents with the PHC unit to enhance NCD prevention & control services.

Control arm

ACTIVE COMPARATOR

Control Arm is an arm to which the intervention will not be implemented. The community in the control arm will receive NCD prevention and control measures given through the health care system.

Other: Usual care

Interventions

Networking the indigenous parent-teacher association and agriculture development agents with the PHC unit to enhance NCD prevention & control services. BEHAVIORAL

The intervention will be networking the indigenous parent-teacher association and agriculture development agents with the PHC unit to enhance NCD prevention \& control services. In this major activity, the project team will establish the network by incorporating agricultural development agents and parents- teacher associations to the health post as foundational actors for educating the community on NCD prevention and control measures. We will implement tier system training to effectively create awareness on NCD and to enhance the NCD care-seeking behavior of the community.

Intervention arms

Usual care OTHER

The community in the control group will get noncommunicable disease prevention and control measures given through the health care system.

Control arm

Eligibility Criteria

• Age: 18 Years - 100 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Adult (18-64), Older Adult (65+)

You may qualify if:

• All adult individuals residing in the kebele will be included in the study.

You may not qualify if:

• none

Sponsors & Collaborators

• Bahir Dar University: lead

Study Sites (1)

Bahir Dar University

Bahir Dar, Ethiopia

Location

Related Publications (1)

• Demilew YM, Wassie GT, Guadie HA, Asemahagn MA, Anagaw TF, Alene GD, Kassie GM. The effect of health education on hypertension, diabetes mellitus, and cervical cancer screening service utilization among eligible adults in a district around Bahir Dar city, Ethiopia: a cluster randomized controlled community trial. BMC Public Health. 2025 Aug 12;25(1):2736. doi: 10.1186/s12889-025-23841-7.

  PMID: 40797194 DERIVED

Related Links

• Assefa Y, Hill PS, Gilks CF, Admassu M, Tesfaye D, Damme WV. Primary health care contributions to universal health coverage, Ethiopia. Bull World Health Organ. 2020;98:doi: http://dx.doi.org/10.2471/BLT.19.248328:894-905A
• Tesfay FH, Zorbas C, Alston L, Backholer K, Bowe SJ, Bennett CM. Prevalence of chronic non-communicable diseases in Ethiopia: A systematic review and meta-analysis of evidence. Front Public Health. 2022;10:936482.doi: 10.3389/fpubh.2022.

MeSH Terms

Conditions

Noncommunicable Diseases

Condition Hierarchy (Ancestors)

Disease Attributes; Pathologic Processes; Pathological Conditions, Signs and Symptoms

Study Officials

• Getu D Alene, PhD

  Bahir Dar University

  STUDY DIRECTOR

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: outcome assessors will not informed about the intervention and the group to which the intervention is assigned to avoid social desirability bias
• Purpose: PREVENTION
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: Associate professor

Model Details: A cluster randomized controlled community trial design will also be used to evaluate the effect of Parent-Teachers-Development Agents network.

Study Record Dates

• First Submitted: March 13, 2024
• First Posted: October 15, 2024
• Study Start: August 1, 2023
• Primary Completion: September 20, 2024
• Study Completion: November 20, 2024
• Last Updated: September 18, 2025

Record last verified: 2025-09

Locations

ET (1)