The SUNI-SEA study is an intervention study that measures effectiveness and cost-effectiveness of prevention and early diagnosis of diabetes and cardiovascular diseases in communities and primary healthcare (PHC) facilities in Indonesia, Myanmar and Vietnam.
The study takes place in Vietnam and Indonesia in Intergenerational Self-Help Clubs (ISHGs), where community members assemble for activities concerning social, economical improvement and health and well-being. Volunteers in these ISHGs are trained in performing screening for diabetes and cardiovascular diseases and counselling participants concerning healthy living, or referral to primary healthcare facilities, if needed. At PHC level further diagnosis and if needed treatment is provided and referral back to ISHGs is done for lifestyle interventions. In Indonesia screening takes place in the Posbindu programme, where trained volunteers (cadres) screen and counsel participants. If needed referral to Puskesmas (primary healthcare facilities is done, where further diagnosis and treatment takes place. Activities for health promotion and lifestyle interventions take place under supervision of the Posbindu programme. In Myanmar and Indonesia individual monitoring and health education of participants is done through mobile applications. Measuring of uptake, follow-up and adherence to interventions is done through routine data collection, through surveys, and through semi-structured interviews and focus group discussions.
Study Type
INTERVENTIONAL
Allocation
NA
Purpose
SCREENING
Masking
NONE
Enrollment
16,850
Screening in Intergenerational solidarity clubs in Myanmar and Vietnam and in Posbindu programme in Indonesia
Health Strategy and Policy Institute
Hanoi, Vietnam
Uptake of NCD screening offered in communities
Number of adults eligible for NCD screening in communities who participate in screening
Time frame: 18 months from offering screening options in communities until measuring uptake
Adherence to follow-up advice
Percentage of participants in screening who follow up on recommendations given during screening (referral, lifestyle change)
Time frame: 12 months from counselling and advice to individual until measuring adherence to follow-up that has been recommended
Uptake of health education (health promotion, awareness of risk factors)
Percentage of adults above 21 years in communities participating in one or more health education sessions offered
Time frame: 12 year between first health education session and measuring uptake (based on participants' lists)
Unit costs of screening, prevention and early diagnosis of NCDs per Quality Adjusted Life Year gained
Unit costs of NCD screening, prevention, early diagnosis intervention per Quality Adjusted Life Year gained
Time frame: 18 months between starting calculation of costs of interventions and assessment of final assessment of benefits
Cost-effectiveness of NCD interventions
Comparison of costs and effects between intervention and business as usual, using diff in diff method
Time frame: 18 months between baseline survey and endline survey
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