Webber, Martin Paul orcid.org/0000-0003-3604-1376, Joubert, Jacques, Fendt-Newlin, Meredith Leah et al. (4 more authors) (2020) Towards the Development of an Intervention to Address Social Determinants of Non-Communicable Disease in Kerala, India: A Mixed Methods Study. International Journal of Environmental Research and Public Health. 8636. ISSN 1660-4601
Abstract
In India, cardiovascular disease (CVD), with hypertension as its foremost risk factor, has the highest prevalence rate of non-communicable diseases (NCDs) and a rising mortality. Previous research has found a clustering of behavioural and social risks pertaining to NCDs, though the latter are infrequently addressed in public health interventions in India. This paper reaches toward the development of a social intervention to address social determinants of NCD relating to hypertension and diabetes. We used Theory of Change (ToC) as a theoretical approach to programme design. Mixed methods were used, including qualitative interviews with community members (n = 20), Accredited Social Health Activists (n = 6) and health professionals (n = 8), and a stakeholder workshop (n = 5 participants). The recruitment of participants from one local area in Kerala enabled us to map service provision and gain a holistic understanding of how to utilise the existing workforce to target social risk factors. The findings suggest that social interventions need to focus on ensuring health behaviour information reaches all parts of the community, and that those with more social risk factors are identified and supported to engage with treatment. Further research is required to test the resulting intervention model.
Metadata
Item Type: | Article |
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Authors/Creators: |
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Dates: |
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Institution: | The University of York |
Academic Units: | The University of York > Faculty of Social Sciences (York) > Social Policy and Social Work (York) |
Depositing User: | Pure (York) |
Date Deposited: | 20 Nov 2020 18:00 |
Last Modified: | 29 Mar 2025 00:08 |
Published Version: | https://doi.org/10.3390/ijerph17228636 |
Status: | Published |
Refereed: | Yes |
Identification Number: | 10.3390/ijerph17228636 |
Open Archives Initiative ID (OAI ID): | oai:eprints.whiterose.ac.uk:168237 |