Linked Programmes

The Ripple Effect of IMPACT: One Training Package, Wider Reach

What happens when a research tool designed for one programme proves valuable beyond it? Its impact begins to ripple outward.

A hypertension training package originally developed for the Centre for IMPACT’s community-based work is now supporting frontline health workers in new settings across Sindh. Adapted through a separate initiative, the same evidence-based resources have reached 60 Lady Health Workers and primary healthcare physicians across Jamshoro, Sujawal, and Karachi East, demonstrating how investment in strong research tools can continue creating value well beyond the programme that first developed them.

From one programme to another

The latest trainings were led by Dr Zeerak Jarrar, NIH Fogarty (D43) Fellow and research faculty in the Department of Surgery at Aga Khan University, through an intramural grant secured by Dr Zeerak as Principal Investigator and generously funded by the MBBS Class of 1988.

Rather than developing training resources from scratch, the initiative drew on the hypertension training package already developed and used through the Centre for IMPACT. This is where the ripple effect becomes visible: knowledge and tools generated through research do not have to remain within the boundaries of a single project. When they are practical, evidence-based, and designed for real-world use, they can be adapted and carried forward into new programmes, settings and audiences.

Reaching different parts of the health system

The sessions were conducted by Dr Zeerak Jarrar and Dr Farhala Baloch, who delivered the training across three districts. Through the initiative, hypertension management training reached 15 Lady Health Workers in Jamshoro, 25 Lady Health Workers in Sujawal, and 20 primary healthcare physicians in District Karachi East.

The settings and roles may differ, but the key goal remains: strengthening the capacity of frontline health workers to support high-quality hypertension prevention, identification, and management. From household-level screening in rural Sindh to clinic-based management in urban Karachi, the training demonstrates how a shared evidence-based approach can support hypertension care at different points across the health system.

Building partnerships for wider impact

The trainings were also strengthened by engagement with district health leadership. We were grateful for the support of the Deputy District Health Officers of Jamshoro and Sujawal, and Dr Anila, Deputy District Health Officer, Karachi East. Their participation reflects the importance of working alongside the public health system when translating research knowledge into practice.

At the physician training in Karachi East, Ms Safia Awan joined as guest of honour and distributed certificates to participating physicians, recognising their commitment to strengthening hypertension care.

When research keeps working

The story of this training package is ultimately bigger than a series of training sessions. It shows what can happen when research programmes invest not only in generating evidence, but also in creating practical, reusable tools that others can take forward. A resource developed for one programme can become part of another initiative; a training designed for one group can strengthen the skills of another; and knowledge generated through research can continue travelling through the health system.

Congratulations to Dr Zeerak Jarrar, Dr Farhala Baloch, and the wider team for taking this work forward.


The impact of a good research tool does not necessarily end when the project that created it ends.

Put into the right hands, it can keep moving and reaching new health workers, new settings and, ultimately, new communities.

Written by Dr Zeerak Jarrar.

 

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