Official websites use .gov

A .gov website belongs to an official government organization in the United States.

Secure .gov websites use HTTPS

A lock ( 🔒 ) or https:// means you've safely connected to the .gov website. Share sensitive information only on official, secure websites.

Need Help

Pilot feasibility study of the WHO Lay Health Worker Dementia Care, with Internal Facilitation (WLDC+IF) in rural Uganda

Award Number: R21TW012563
ORGANIZATION: FOGARTY INTERNATIONAL CENTER
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)
PERIOD OF PERFORMANCE START DATE: 04/01/2024
PERIOD OF PERFORMANCE END DATE: 01/31/2026

Group Awards By:

View Award Description

Pilot feasibility study of the WHO Lay Health Worker Dementia Care, with Internal Facilitation (WLDC+IF) in rural Uganda - ABSTRACT There is paucity of information on culturally tailored implementation strategies to promote interventions for people with dementia and their caregivers from LMICs, and yet dementia is a growing concern in resource limited settings (e.g., Uganda). Approximately 80% of Uganda’s population resides in the rural areas where awareness about dementia is limited. The proportion of households in rural Uganda with at least one older adult ≥60 years is 23.2%, and yet data on the prevalence of dementia in Uganda is scarce. While the hallmark of comprehensive dementia care should include early detection, management plan, and family caregivers support, dementia awareness and support services are virtually non-existent in Uganda. The World Health Organization (WHO) developed the dementia toolkit for community workers, consisting of evidence-based practices for early detection and management of dementia and caregiver support. However, the toolkit has not been adopted because there is lack of an appropriate and effective implementation strategy. Uganda’s decentralized health delivery system leverages indigenous Lay Health Workers [LHWs]) at the village level to address the human resources shortage countrywide. Working with an indigenous member of the community to support implementation of interventions is a potentially effective strategy. In our prior work, we demonstrated that training LHWs in the WHO dementia care toolkit was feasible. However, subsequent implementation and delivery of dementia care was minimal and highly variable because there is lack of an appropriate and effective implementation strategy. Our overall objective in this proposal is to develop and evaluate the feasibility of a culturally tailored implementation strategy consisting of the WHO dementia toolkit by indigenous village-based LHWs to provide dementia care at village level, supported by internal facilitation from indigenous HAs as supervisors: the “WHO Lay Health Worker Dementia Care, with Internal Facilitation (WLDC+IF)”. Our proposition is that internal facilitation by indigenous providers is feasible in achieving adoption and implementation of WHO evidence-based dementia care by village-based LHWs in rural settings. The pilot feasibility study is informed by the integrated Promoting Action on Research Implementation in Health Services (i-PARIHS) framework. The framework allows us to use internal facilitation as an ‘active ingredient’ to integrate action around the innovation, and recipients within the local, organizational and wider health system context to enable successful adoption of WLDC+IF. We will co- design an implementation strategy guide for the WLDC+IF (Aim1), and evaluate feasibility of the implementation strategy consisting of WLDC+IF (Aim 2). Our expected outcomes are to establish the feasibility, acceptability, adoption, fidelity, and appropriateness of a culturally tailored implementation strategy for dementia care at village level by indigenous community members.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = -$160,562 )
2026	2025	MBARARA UNIVERSITY OF SCIENCE AND TECHNOLOGY	PLOT 8-18 KABALE ROAD	MBARARA				UGA	International Research and Research Training	000	2	5/14/2026	NON-COMPETING CONTINUATION	-$160,562
														Subtotal = -$160,562

Issue Date FY: 2025 ( Subtotal = $160,554 )
2025	2025	MBARARA UNIVERSITY OF SCIENCE AND TECHNOLOGY	PLOT 8-18 KABALE ROAD	MBARARA				UGA	International Research and Research Training	000	2	1/13/2025	NON-COMPETING CONTINUATION	$160,554
														Subtotal = $160,554

Issue Date FY: 2024 ( Subtotal = $124,251 )
2024	2024	MBARARA UNIVERSITY OF SCIENCE AND TECHNOLOGY	PLOT 8-18 KABALE ROAD	MBARARA				UGA	International Research and Research Training	001	1	5/2/2024	NEW	$0
2024	2024	MBARARA UNIVERSITY OF SCIENCE AND TECHNOLOGY	PLOT 8-18 KABALE ROAD	MBARARA				UGA	International Research and Research Training	000	1	3/26/2024	NEW	$124,251
														Subtotal = $124,251

Grand Total All Awards = $124,243

Top

All Categories

About

Search

Reports

Data Submission

Award Information

Pilot feasibility study of the WHO Lay Health Worker Dementia Care, with Internal Facilitation (WLDC+IF) in rural Uganda

Award Number: R21TW012563

ORGANIZATION: FOGARTY INTERNATIONAL CENTER

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: SCIENTIFIC/HEALTH RESEARCH (INCLUDES SURVEYS)

PERIOD OF PERFORMANCE START DATE: 04/01/2024

PERIOD OF PERFORMANCE END DATE: 01/31/2026

Federal Websites

Department of Health & Human Services

HHS Operating Divisions

HHS Staff Divisions

Download A Document Viewer