The COHESION-I Project seeks to implement and evaluate context-specific, co-created and co-designed interventions in Mozambique, Nepal, and Peru to improve in patient satisfaction, health system responsiveness, and health system indicators through the empowerment of the communities to reach a sustainable change.
The Project also aims to explore the possibilities of optimizing the methods used and to understand the potential for adapting the COHESION (2016-2020) Approach in India. To attain these objectives, the project uses as tracer conditions noncommunicable diseases (NCD) and neglected tropical diseases (NTD).
Learn more about COHESION and COHESION-I
Components
COMPONENT 1 Mozambique, Nepal and Peru
We are working in six communities. Two communities (A&B) where we conducted formative research (2016-2020) will receive the co-created/co-designed intervention encompassing activities with the community’s health service users and health service providers. Two other communities (C&D) will receive a co-designed only intervention of the same duration. We will evaluate if interventions that were co-created in other communities will work in new communities with similar characteristics. The other two communities (E&F) will receive no intervention (“usual care arm”) to enable meaningful comparisons between intervention arms and usual care.
COMPONENT 2 India
We are following an optimized version of the approach used in the COHESION Project (2016-2020). We are conducting a national policy analysis, health system assessment, and community health perceptions study. This will be followed by a co-creation process to develop context-relevant interventions. The co-created interventions will be pilot tested in the field for feasibility, acceptability, and preliminary effectiveness. If the COHESION approach proves to be locally adaptable in India, a protocol for the COHESION methodology will be developed that can be adapted to different settings.