Stroke Action in the community: An RCT of Volunteer- Delivered Stroke Rehabilitation in the Central Region, Malawi

The primary clinical intervention effectiveness question to be addressed by this proposal is whether a multi-disciplinary led, community-implemented intervention can improve the functional abilities of adult stroke survivors in low-resource settings in Malawi, India, Nigeria, Rwanda, and South Africa, compared to usual care. The interventions to be implemented, including their underlying efficacy, are based on evidence developed in high-resource settings. However, the delivery of the interventions (i.e., in the community), including the human resources used for that delivery, needs to be tailored to low-resource settings.