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Field
Secondary Outcomes (End Points)
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Before
Household-level:
1) physical health: Self-reported health and recovery from recent illness; ability to live well with chronic health conditions; health-related work disruption or loss;
2) psychological health: psychological wellbeing and access to psychological support;
3) health knowledge: knowledge of common illnesses, chronic conditions, and danger signs requiring referral;
4) preventive and treatment-related behaviours, including medication adherence, hygiene, diet, and care-seeking practices, including healthcare access during periods of extreme heat;
5) household decision-making over healthcare; costs and perceived affordability of care; perceived access to a trusted healthcare provider; trust in and satisfaction with available providers; understanding of health advice received;
6) awareness, experience, perceived barriers, preferences, and demand for telehealth. We will include unincentivized willingness to pay questions and hypothetical choices between telehealth and in-person providers.
CHE-level:
1) retention in the CHE role;
2) work effort and service activity: household outreach; health education, screening, vital-sign measurement, referrals, facilitated teleconsultations, and patient follow-up;
3) training and supervision;
4) availability and use of equipment and any digital tools;
5) earnings and pricing;
6) health knowledge and competence;
7) confidence, motivation, satisfaction, and perceived standing in the community.
Outcomes on the level of other healthcare providers:
1) provider entry and exit; staffing and availability;
2) service and activity: hours worked and patient volumes; home visits and remote-care provision; the range of services and tests offered; referrals;
3) fees, revenues, and earnings;
4) health knowledge and competence;
5) motivation and satisfaction.
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After
Household-level:
1) physical health: Self-reported health and recovery from recent illness; ability to live well with chronic health conditions; health-related work disruption or loss;
2) health knowledge: knowledge of common illnesses, chronic conditions, and danger signs requiring referral;
3) preventive and treatment-related behaviours, including medication adherence, hygiene, diet, and care-seeking practices, including healthcare access during periods of extreme heat;
4) household decision-making over healthcare; costs and perceived affordability of care; perceived access to a trusted healthcare provider; trust in and satisfaction with available providers; understanding of health advice received;
5) awareness, experience, perceived barriers, preferences, and demand for telehealth. We will include unincentivized willingness to pay questions and hypothetical choices between telehealth and in-person providers.
CHE-level:
1) retention in the CHE role;
2) work effort and service activity: household outreach; health education, screening, vital-sign measurement, referrals, facilitated teleconsultations, and patient follow-up;
3) training and supervision;
4) availability and use of equipment and any digital tools;
5) earnings and pricing;
6) health knowledge and competence;
7) confidence, motivation, satisfaction, and perceived standing in the community.
Outcomes on the level of other healthcare providers:
1) provider entry and exit; staffing and availability;
2) service and activity: hours worked and patient volumes; home visits and remote-care provision; the range of services and tests offered; referrals;
3) fees, revenues, and earnings;
4) health knowledge and competence;
5) motivation and satisfaction.
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