Phase I: This phase has already been completed, and around 25 target communities (from 15 developing and developed countries) were selected, all based near existing research centres in order to take advantage of local expertise.
Phase II: This will be held in around eight of the original 25 target communities. These communities are chosen to be geographically diverse, but all are communities within which poor diet, physical inactivity and tobacco use are wreaking havoc. The project is likely to be held in:
The sites marked * have received funding, and field trials have been completed.
Phase III: This will involve baseline assessments of behaviour and environment, implementation of evidence-based interventions, assessment of the interventions, and cross-country comparative analysis of the process and outcomes. The knowledge gained from the different sites will then be compiled and disseminated. Interventions will take place in the four key settings of workplaces, schools, health-care centres and the community, and assessment will be made of around 6,000 people in each of the pilot areas. A further 6,000 people in a local, non-intervention community will be assessed for comparison.
Phase IV: This will use and refine the roadmap developed in the pilot study in at least 15 further sites. This will build an international group of specialists in interventions in chronic disease prevention – a group of experts who will then be well placed to advocate for international policy change as well as change at a local level.
The Oxford Health Alliance is a registered charity, no. 1117580