Implementation of community-based health checks and peer-to-peer support to promote functional ability for older people living in rural Zimbabwe
Project disclaimer
Description
MRC AGHRB award to develop and implement an evidence-based clinical framework for non-specialist assessment and management of chronic disorders of ageing which impact functional ability, to improve the health and wellbeing of older people living in rural communities in Zimbabwe.
Objectives
For rural community-dwelling older adults, 1. Adapting the WHO Integrated care for older people (ICOPE) model, develop and validate a healthy ageing screening approach which identifies challenges to functional ability 2. Develop a healthy ageing intervention programme which addresses these identified challenges to functional ability 3. Through community engagement & involvement (CEI), co-design and implement rural community-based healthy ageing peer-support groups and activities, to promote functional ability by facilitating self-management 4. Determine the feasibility, acceptability, effectiveness and costs of introducing rural community-based 'healthy ageing checks' (screening, intervention, plus peer-support) of functional ability in Zimbabwe 5. Develop a 'Healthy Ageing' Intervention Toolkit guiding a structured, comprehensive, person-centred approach for non-specialist assessment and management of functional ability in older people in SSA. Through formative work we will develop an integrated multi-component health check for rural community-dwelling older adults, and validate screening tools for conditions affecting mobility, nutrition, cognition, depression, vision, and hearing. If identified, initial on-the-spot care will be provided +/-appropriate referral(s), using an integrated personalised care plan. Interventions will be evidence-based, sensitive to local health policies/provision, and older people's preferences. We will determine the feasibility, acceptability, effectiveness and costs of introducing community-based healthy ageing checks in rural Zimbabwe, using a prospective hybrid effectiveness-intervention study design with a mixed-methods process and cost evaluation. Through community engagement and involvement, we will co-design and implement rural community-based peer support groups, promoting functional ability by facilitating self-management. We will co-develop an 'Intervention Toolkit' guiding a structured, comprehensive, person-centred approach for non-specialist assessment and management of functional ability in older people suitable for scale-up.
Location
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Status Implementation
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Programme Spend
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Download IATI Data for GB-GOV-26-OODA-MRC-TH84KLN-G3HDMXF-SGBR8FX