Process evaluation of a complex, multilevel, multicomponent scheme for the prevention and control of non-communicable diseases in Tamil Nadu, India: A mixed-methods protocol.

Door-delivery of NCD drugs Dr Joshua and I (Manickam) have worked together on this publication and contributed equally as shared first authorship Makkalai thedi maruthuvam Non-communicable diseases Population based screening Process evaluation Sustainable developmental goals Universal health coverage

Journal

MethodsX
ISSN: 2215-0161
Titre abrégé: MethodsX
Pays: Netherlands
ID NLM: 101639829

Informations de publication

Date de publication:
Jun 2024
Historique:
received: 23 12 2023
accepted: 29 04 2024
medline: 13 5 2024
pubmed: 13 5 2024
entrez: 13 5 2024
Statut: epublish

Résumé

Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality in India, necessitating development of multilevel and multicomponent interventions. The process evaluation uses mixed methods (secondary data analysis, key informant interviews, in-depth interviews, conceptual content analysis of documents, facility-based survey and non-participant observation) to evaluate the implementation of the MTM scheme. The broad evaluation questions addressed the fidelity, contexts, mechanisms of impact and challenges encountered by the scheme using the Consolidated Framework for Implementation Research (CFIR) framework. The specific evaluation questions addressed selected inputs and processes identified as critical to implementation by the stakeholders. The CFIR framework will guide the thematic analysis of the qualitative interviews to explore the adaptations and deviations introduced during implementation in various contexts. The quantitative data on the indicators developed for the specific evaluation questions will be cleaned and descriptively analysed.

Sections du résumé

Background UNASSIGNED
Non-communicable diseases (NCDs) are the leading cause of morbidity and mortality in India, necessitating development of multilevel and multicomponent interventions.
Methods and analysis UNASSIGNED
The process evaluation uses mixed methods (secondary data analysis, key informant interviews, in-depth interviews, conceptual content analysis of documents, facility-based survey and non-participant observation) to evaluate the implementation of the MTM scheme. The broad evaluation questions addressed the fidelity, contexts, mechanisms of impact and challenges encountered by the scheme using the Consolidated Framework for Implementation Research (CFIR) framework. The specific evaluation questions addressed selected inputs and processes identified as critical to implementation by the stakeholders. The CFIR framework will guide the thematic analysis of the qualitative interviews to explore the adaptations and deviations introduced during implementation in various contexts. The quantitative data on the indicators developed for the specific evaluation questions will be cleaned and descriptively analysed.

Identifiants

pubmed: 38737485
doi: 10.1016/j.mex.2024.102739
pii: S2215-0161(24)00192-4
pmc: PMC11087990
doi:

Types de publication

Journal Article

Langues

eng

Pagination

102739

Informations de copyright

© 2024 Published by Elsevier B.V.

Déclaration de conflit d'intérêts

The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper.

Auteurs

Manickam Ponnaiah (M)

ICMR - National Institute of Epidemiology, Chennai, India.

Joshua Chadwick (J)

ICMR - National Institute of Epidemiology, Chennai, India.

Malu Mohan (M)

ICMR - National Institute of Epidemiology, Chennai, India.

Bhavani Shankara Bagepally (BS)

ICMR - National Institute of Epidemiology, Chennai, India.

Sendhilkumar Muthappan (S)

ICMR - National Institute of Epidemiology, Chennai, India.

Nandhini Prabakaran (N)

ICMR - National Institute of Epidemiology, Chennai, India.

Jerard Selvam (J)

National Health Mission, Chennai, Tamil Nadu, India.

Harshavardhini Vasu (H)

Tamil Nadu Health System Reform Program, Chennai, Tamil Nadu, India.

Viduthalai Virumbi (V)

National Health Mission, Chennai, Tamil Nadu, India.

Aarushi Bhatnagar (A)

The World Bank, New Delhi, India.

Dinesh Nair (D)

The World Bank, New Delhi, India.
Directorate of Medical and Rural Services, Chennai, Tamil Nadu, India.

Priya Senthil Kumar (PS)

Directorate of Medical Education, Chennai, Tamil Nadu, India.

Vidhya Viswanathan (V)

Directorate of Public Health and Preventive Medicine, Chennai, Tamil Nadu, India.

K Krishnaraj (K)

Directorate of Public Health and Preventive Medicine, Chennai, Tamil Nadu, India.

V P Harisundari (VP)

Tamil Nadu Health System Reform Program, Chennai, Tamil Nadu, India.
Directorate of Medical and Rural Services, Chennai, Tamil Nadu, India.

T S Selvavinayagam (TS)

Directorate of Public Health and Preventive Medicine, Chennai, Tamil Nadu, India.

Darez Ahamed (D)

National Health Mission, Chennai, Tamil Nadu, India.

S Uma (S)

Tamil Nadu Health System Reform Program, Chennai, Tamil Nadu, India.

P Senthil Kumar (PS)

Health and Family Welfare Department Secretariat, Chennai, Tamil Nadu, India.

Manoj Murhekar (M)

ICMR - National Institute of Epidemiology, Chennai, India.

Classifications MeSH