Work packages and activities

1. Diagnosis of local barriers and enablers to healthcare improvement

Aim: To explore and identify local barriers and enablers for the implementation of the intervention.

 

Activities:

  • Stakeholder mapping
  • Review and policy analysis
  • Focus groups and interviews
  • Ethnographic observations

 

Status: In progress

2. Co-development of intervention strategies with stakeholders

Aim: To co-develop the intervention’s components and contents through workshops with stakeholders.

 

Activities:

  • Workshops with patients
  • Workshops with community health workers
  • Workshops to refine the intervention components

Status: In progress

3. Pilot Testing to evaluate the feasibility and acceptability of the programme

Aim: To evaluate the usability, acceptability, feasibility and fidelity of the intervention and procedures.

 

Setting and participants:

  • 4 primary healthcare centers in Peru and Argentina (8 in total)
  • 16 patients per country (32 in total)

 

Measures: 

  • Baseline
  • 3-month follow-up

4. Cluster Randomized Controlled Trials to assess the programme’s clinical and cost-effectiveness

Aim: To evaluate the effectiveness and cost-effectiveness of the intervention through a cluster randomized controlled trial (cRCT).

 

Setting and participants:

  • 16 primary healthcare centers in Peru and Argentina (32 in total)
  • 33 patients per health center, 582 per country (1056 in total)

 

Measures: 

  • Baseline
  • 6-month follow-up
  • 12-month follow-up

 

Additional studies: Qualitative evaluation and cost-effectiveness analysis

5. Capacity Building to train healthcare professionals and researchers in the region

Aim: To deliver a comprehensive capacity building program focusing on the management of chronic comorbid conditions in Peru and Argentina and the región.

 

Activities:

  • Annual research workshops
  • International webinars
  • Research fellows
  • Masters students