Community Health Promotion for COVID-19 Prevention and NCD Risk Reduction in Rural Sri Lanka
COVID 19 · Noncommunicable Diseases · Obesity, Abdominal
What this study involves
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- Study type
- Interventional
- Phase
- Not applicable
- Age range
- Not specified - Not specified
- Sex eligible
- All sexes
- Healthy volunteers
- Accepted
- Participants
- 246 Actual
These are starting points, not an eligibility decision. The research team must review the full requirements.
About the research
This study evaluated a community health promotion programme, funded by the World Health Organization Sri Lanka Country Office, that addressed COVID-19 prevention and household non-communicable disease (NCD) risk together in six rural villages of Alawwa Divisional Secretariat, Kurunegala District, Sri Lanka, between December 2020 and April 2021. Community groups followed a four-step community-based health promotion process and co-designed three monitoring tools (the Corona Calendar, the Kussi \[kitchen\] Calendar and the Happiness Calendar). The study describes self-rated household NCD risk before and after initial sessions, baseline waist circumference and kitchen dietary risk, practices reported by families at programme end, and community members' experiences.
Read the full description
Seven initial sessions (one in each of six villages and one with a children's group; 246 participants) were followed by 17 follow-up contacts by health promotion facilitators through home visits, telephone and social media. The programme followed four steps: identifying prevention of COVID-19 spread as a collective goal; understanding the determinants of COVID-19 spread and NCD risk; identifying and prioritising actions; and implementing and monitoring actions using indicators agreed with the community.
Data were recorded in aggregated, village-level form: session-mean self-ratings of household NCD risk (0 to 10, 10 = highest risk) at the start and end of the initial session; baseline waist circumference classified against South Asian cut-off points; household kitchen risk classified by the Kussi Calendar (oil, sugar, salt and rice); and counts of families and community members reporting practices at programme end, obtained by telephone and a group discussion. Audio-recorded group discussions in Sinhala were translated into English and analysed thematically.
The study was single-arm with no comparison group, and all analyses were descriptive.
Who may be able to participate?
The list below is the sponsor’s full registry wording. It can include conditions, prior treatment, test results and other requirements. A match in search does not mean you qualify.
Inclusion Criteria:
- Resident of one of the six programme villages (Galoliyawa, Welikare, Nallura, Boyawalana, Henduwawa or Pangolla) in Alawwa Divisional Secretariat, Kurunegala District, Sri Lanka
- Chose to take part in the community health promotion programme
Exclusion Criteria:
- None
Treatment, groups and participation
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- Assignment
- Not applicable
- Masking
- No masking
Community health promotion programme
Community members of six villages and a children's group who took part in the initial sessions and community groups.
Behavioral: Community-based health promotion programme
Community-based health promotion programme BEHAVIORAL
Initial session on COVID-19 transmission and prevention, the link between NCDs and severe COVID-19, NCD risk factors, family happiness and home gardening; formation of community groups; follow-up contacts by health promotion facilitators; and community co-designed monitoring tools (Corona, Kussi and Happiness Calendars), following a four-step community-based health promotion process.
What researchers are measuring
Outcome measures describe what is being studied. They are not proof that a treatment works.
Primary measures
Self-rated household NCD risk
Time frame: Day 1 (immediately before and immediately after the initial session)
Session-mean rating by participants of the risk of non-communicable diseases in their own home on a scale of 0 (lowest risk) to 10 (highest risk), recorded at the start and end of the initial session.
Proportion of active families reporting COVID-19 preventive practices
Time frame: Up to 5 months (end of programme)
Number of active families reporting a household handwashing place, removing slippers or changing clothes before entering the house, as a proportion of active families in each village.
Secondary measures
Proportion of active families reporting dietary changes
Time frame: Up to 5 months (end of programme)
Number of active families reporting reduced consumption of oil, sugar, salt, flour or junk food, or checking E-numbers on packaged food, as a proportion of active families in each village.
Community members reporting weight reduction
Time frame: Baseline (Day 1) to 5 months (end of programme)
Number of community members who monitored their weight and reported a reduction.
Other measures
Waist circumference above cut-off
Time frame: Baseline
Proportion of participants with waist circumference above the cut-off (women more than 80 cm; men more than 90 cm).
Household kitchen NCD risk classification
Time frame: Baseline
Proportion of households classified red, orange or green by the Kussi Calendar according to consumption of oil, sugar, salt and rice against household-agreed levels.
Review the complete result tables and limitations in the official record.
Open official results ↗Research locations (1)
The overall study status and a local site’s status can differ. Confirm that location’s availability before traveling.
1 locations
Alawwa Divisional Secretariat area (six community villages)Alawwa, North Western Province, Sri LankaStatus unknown
Study team and timeline
- Lead sponsor
- The Foundation for Health Promotion
- Study start
- Dec 1, 2020 Actual
- Primary completion
- Apr 30, 2021 Actual
- Study completion
- Apr 30, 2021 Actual
- First posted
- Nov 10, 2026 Actual
- Last updated
- Nov 10, 2026 Actual
Official study contacts
No central contact is listed. Check the locations and the official record.
Official study title
Community Empowerment for COVID-19 Prevention and Non-Communicable Disease Risk Reduction Using a Health Promotion Approach: A Mixed-Methods Community Intervention Study From Rural Sri Lanka
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Source: ClinicalTrials.gov API v2. Information is submitted by sponsors and investigators. NLM does not approve the safety or science of all listed studies. Registry disclaimer.
Retrieved: Nov 12, 2026 · Last registry update: Nov 10, 2026