1. Assess the needs of CVD prevention and management at provincial level |
Planned to stratify the data collection and analysis by the province |
Design |
2. Explore the prescription and availability of generic drugs as an option to lower drug cost |
Added the metrics to assess the availability of generic drugs; and added questions in the key informant interview guide to explore the use of generic drugs |
Design |
3. Explore the challenges of implementing PEN package in terms of access to medicine and referral mechanism |
Added a theme to explore barriers of PEN implementation |
Design |
4. Assess the availability of lifestyle modification programs at different levels of the health care system. |
Added a theme to assess the availability and functioning of lifestyle modification programs |
Design |
5. Explore the referral mechanism to treat CVD complication |
Added a theme to assess the availability and functioning of lifestyle modification programs |
Design |
6. Explore task shifting of CVD care and management from physicians to other health professionals |
Added a theme to explore the perception, facilitators and barriers to task-shifting of CVD and hypertension patient care to paramedics. |
Design |
7. Asses the current role of non-licensed providers (quacks) in treating hypertension and diabetes. |
Added quacks as one of the key informants to explore their role in hypertension and diabetes management in the community. |
Design |
8. Assess urban rural disparity in access to health care |
Added urban rural disparity assessment in data analysis plan |
Design |
9. Assess knowledge regarding the availability and cost of health services among CVD patients. |
Added a theme to explore health literacy among CVD patients |
Design |
10. Obtain health financing data from Social Health Security Section of Department of Health Services (DOHS) |
Added the Social Health Security Section as a data source on health financing. |
Design |
11. Communicate the assessment findings with policy makers in short reports. |
Added preparing and presenting research and policy briefs in the dissemination plan. |
Dissemination |
12. Disseminate the assessment findings to public using multiple portals |
Added plan to disseminate the findings in the general meetings of social clubs and annual review meetings of the department of health services |
Dissemination |
13. Facilitate the use of assessment results by CVD translational fellows and other researchers |
Planned to make the data and results available to the translational research fellows for further analysis |
Stakeholder engagement |
14. Add the department of health services (DoHS) and Department of health policy and planning (DoHPP) in the research team |
Invited the representatives of DoHS and DoHPP in the task force |
Stakeholder engagement |
15. Involve National Health Training Center (NHTC) in the assessment process |
Added NHTC on stakeholder roster and planned to invite them to subsequent meetings |
Stakeholder engagement |
16. Involve nutritionists and dieticians in the assessment process |
Added a nutritionist on stakeholder and planned to invite them to subsequent meetings |
Stakeholder engagement |