Global Excellence in Chronic Diseases (GECo): Implementation of COPD case finding and self-management action plan

In Low and Middle income countries (LMIC), chronic obstructive pulmonary disease (COPD) represents a high burden of disease; more than 90% of deaths due to COPD take place at LMIC. It also generates an economic burden on those who suffer from COPD, given that not just the cost of treatment, but the impact on productivity and lack of quality of life impair people suffering from this chronic disease. An important part of COPD treatment is self-management, this can help people living with COPD identify symptoms of exacerbation on time so disease control is achieved.


This study aims to evaluate the accuracy of a questionnaire and a measurement of pike flow in the detection of COPD. It will also assess the effectiveness, cost-effectiveness and implementation of a self-management plan for exacerbations using an action plan that involves community health workers and “rescue pack” of medications.


This is a randomized controlled trial with one arm of intervention and another of control. The intervention consists on a self-management educational program that will be implemented with the participation of community health care workers. The control group will receive usual care.


This project has started in 2017.


J. Jaime Miranda, MD, MSc, PhD


Bhaktapur (Nepal), Lima (Peru) and Nakaseke (Uganda).


Medical Research Council UK


2017 – 2020

Research team

J. Jaime Miranda, CRONICAS, Universidad Peruana Cayetano Heredia.
Maria Kathia Cárdenas, CRONICAS, Universidad Peruana Cayetano Heredia.

Contributors: University College London, UK. (PI: John Hurst)
Makerere University, Uganda.
Nepal Nutrition Intervention Project, Nepal.
York Centre for Health Economics, UK.
Johns Hopkins University, USA.
Universidad Peruana Cayetano Heredia, Perú.
Asociación Benéfica PRISMA, Perú.