1. Community Health Assessment Program in the Philippines (CHAP-P) – DM04
Principal Investigators: Gina Agarwal (Canada NPI)1, Fortunato Cristobal (Philippines NPI)2, Lisa Dolovich1, Janusz Kaczorowski3, Ricardo Angeles1
McMaster University Department of Family Medicine, Canada
Ateneo de Zamboanga University School of Medicine, Philippines
University of Montreal Department of Family & Emergency Medicine, Canada

2. Aims & Objectives
To adapt the Canadian-based Cardiovascular Health Awareness Program (CHAP) to a low- to middle-income country (LMIC) setting as the Community Health Assessment Program in the Philippines (CHAP-P)
To determine the effect of CHAP-P on HbA1c of residents from selected communities of the Zamboanga Peninsula, Philippines

3. CHAP-Philippines: A 5-year, 4-phase, mixed methods project
Project Status
CHAP-Philippines: A 5-year, 4-phase, mixed methods project
Phase 1 (complete) – qualitative adaptation to sociocultural & economic setting
Phase 2 (complete) – pilot studies
Phase 3 (in progress) – 26-community parallel cluster randomized controlled trial (RCT)
100 participants per community; n = 2600
Phase 4 (upcoming; 2019) – analysis & knowledge translation

4. Community blood pressure testing
Conducting questionnaires via tablet

5. Milestones 2017-2018 Full pilot completed
296 participants in 3 communities:
Higher participation rate in rural communities
Higher diabetes incidence in urban communities
15.1% of those without diabetes had a high or very high risk of developing it
59.6% of those with diabetes were untreated
CHAP-P feasible & acceptable locally

6. Challenges & Solutions
Challenge: HbA1c kits are sensitive to the heat & humidity of the Philippines
Solution: Changed processes to conduct all A1C tests at a community location (with refrigeration) instead of in the homes

7. Challenges & Solutions
Challenge: some survey questions – e.g., physical activity examples – were not applicable to the setting
Solution: interviewers supplied locally-relevant examples
Community coordination

8. Challenges & Solutions
Challenge: starting in Month 3, community health workers had some lapses in fidelity to the 15-step CHAP-P protocol
Solution: volunteers were re-trained on CHAP-P protocol
Training community health workers

9. Stakeholder Engagement
Presenting Pilot results
Giving certificates of appreciation to CHAP-P volunteers
Meeting in City Health Office, Zamboanga City

10. Acknowledgments
Thank you to all of our participants, stakeholders, research & implementation teams, Project Advisory Team, and sponsors!