Project description
A new approach to chronic illness in Africa
In sub-Saharan Africa, fragmented health systems struggle to care for patients with multiple long-term conditions, including cardiometabolic diseases and common mental health issues. Treating each condition separately leaves many people without proper care. The EU-funded M-CARE project aims to introduce a unified approach to primary care in Ghana, Kenya, and Uganda. The project will build on WHO guidelines and work with local partners to conduct practical trials in regular primary care facilities. By merging evidence-based strategies with real-world practices, the project aims to increase patient engagement and retention. Within a year, it expects a 35 % rise in the number of patients receiving effective management, paving the way for broader adoption across sub-Saharan Africa.
Objective
Addressing multiple long-term conditions including non-communicable diseases (MLTC-NCDs) in fragile health systems in sub-Saharan African(SSA) demands a shift from fragmented models of care, that treat individual health issues separately to a more holistic integrated care that provides a whole-person focus. However, the feasibility and effectiveness of concurrently implementing evidence-based WHO PEN and mhGAP-IG for integrated care of NCDs and common mental health problems in real primary healthcare settings remain unexplored. In addition, the adoption and implementation of the WHO PEN and mhGAP-IG strategy has been poor in the SSA, where recent analysis found the adoption and implementation to be off-track.
M-CARE project therefore aims to improve primary care for patients (aged ≥18 years) with MLTC-cardiometabolic and common mental health conditions in three SSA countries (Ghana, Kenya & Uganda) by designing, deploying, and evaluating strategies for implementing the evidence-based integrated primary care model interventions that map onto WHO PEN and mhGAP-IG for PHC, taking into account diverse socioeconomic environments of these countries.
The intervention delivery will be a pragmatic trial implemented in usual primary care facilities by primary care providers through a parallel arm cluster randomized design. The trial is preceded by codesign of the integrated care with stakeholders.
This multi-sectoral approach will increase the capability, opportunity to improve integrated management of patients with MLTC-cardiometabolic disease and common mental health disorders in diverse SSA environments.
We anticipate that the M-CARE project will lead to 35% increase in proportion of patients with MLTC-NCDs to be engaged and retained in care for effective management within 12 months. The M-CARE project will pave the way for translation and broad scale-up implementation of the evidence-based interventions to manage patients with MLTC-NCDs in SSA and beyond.
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Keywords
Project’s keywords as indicated by the project coordinator. Not to be confused with the EuroSciVoc taxonomy (Fields of science)
Project’s keywords as indicated by the project coordinator. Not to be confused with the EuroSciVoc taxonomy (Fields of science)
Programme(s)
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
Multi-annual funding programmes that define the EU’s priorities for research and innovation.
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HORIZON.2.1 - Health
MAIN PROGRAMME
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HORIZON.2.1.3 - Non-Communicable and Rare Diseases
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Topic(s)
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
Calls for proposals are divided into topics. A topic defines a specific subject or area for which applicants can submit proposals. The description of a topic comprises its specific scope and the expected impact of the funded project.
Funding Scheme
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
Funding scheme (or “Type of Action”) inside a programme with common features. It specifies: the scope of what is funded; the reimbursement rate; specific evaluation criteria to qualify for funding; and the use of simplified forms of costs like lump sums.
HORIZON-RIA - HORIZON Research and Innovation Actions
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Call for proposal
Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
Procedure for inviting applicants to submit project proposals, with the aim of receiving EU funding.
(opens in new window) HORIZON-HLTH-2024-DISEASE-13
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Net EU financial contribution. The sum of money that the participant receives, deducted by the EU contribution to its linked third party. It considers the distribution of the EU financial contribution between direct beneficiaries of the project and other types of participants, like third-party participants.
1081 HV Amsterdam
Netherlands
The total costs incurred by this organisation to participate in the project, including direct and indirect costs. This amount is a subset of the overall project budget.