Vitalizing Community for Health Promotion Against Modifiable Risk Factors of Noncommunicable Diseases (V-CaN) in
Anuj Mundra1, Ashwini Kalantri1, Arjunkumar Jakasania1
1Department of Community Medicine, Mahatma Gandhi Institute of Medical Sciences, Kasturba Health Society, Wardha, India.
JMIR Research Protocols
|September 29, 2023
Summary
This study evaluates community-based health promotion programs using Village Health Nutrition and Sanitation Committees (VHNSCs), women
Area of Science:
- Public Health and Preventive Medicine
- Health Promotion and Education
- Noncommunicable Disease (NCD) Prevention
Background:
- Low- and middle-income countries face a growing burden of noncommunicable diseases (NCDs), with risk factors originating in youth.
- Primary prevention through community-based programs is crucial for controlling the global NCD epidemic.
- Existing community structures like VHNSCs, SHGs, and schools offer potential platforms for NCD prevention initiatives.
Purpose of the Study:
- To develop, implement, and evaluate a participatory health promotion initiative targeting modifiable NCD risk factors in young people (10-30 years).
- To leverage existing community mechanisms (VHNSCs, SHGs, schools) as change agents for NCD prevention.
- To assess the effectiveness of different community-based strategies in reducing NCD risk factors.
Main Methods:
- A type II hybrid effectiveness-implementation cluster randomized field trial in 100 villages across 4 primary health centers (PHCs) in Wardha, India.
- Randomized allocation of PHCs to intervention arms utilizing VHNSC, SHG, or school members as change agents, or a control arm.
- Three-phase study (Jan 2022-Dec 2024): preparatory (baseline assessment, module development), implementation (capacity building, community events, participatory assessment), and evaluation (effectiveness assessment).
Main Results:
- Baseline and endline assessments of behavioral (n=12,000) and biochemical (n=1600) risk factors.
- Statistical analyses including difference-in-differences, ANOVA, ANCOVA, and regression to assess intervention effectiveness.
- Qualitative data (focus groups, stories of change) analyzed thematically; implementation outcomes reported using PRISM and RE-AIM frameworks.
Conclusions:
- The study will elucidate the magnitude and determinants of NCD risk factors in the target population.
- It will provide evidence on the feasibility and effectiveness of community-based interventions and health promotion models for NCD prevention.
- Findings will inform the development of sustainable NCD prevention strategies in similar settings.
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