Formative evaluation of an existing community-based intervention for alcohol addiction in the Soliga tribal community in Chamarajanagar, Karnataka.
- 1Center for Training, Research & Innovation in Tribal Health, Institute of Public Health, Bengaluru, Karnataka, India.
- 2Department of Social & Health Innovation, Prasanna School of Public Health, Manipal Academy of Higher Education, Manipal, Karnataka, India.
Abstract
Background
Socioeconomic stressors, cultural transitions, and limited access to healthcare often influence alcohol addiction among Indigenous communities. The Soliga tribal community lacks culturally tailored de-addiction services in the Chamarajanagar district of Karnataka, India. The Hosa Jeevana (HJ) program is a community-based intervention that integrates clinical care, peer-led support, and culturally relevant awareness strategies to support addiction recovery. This study protocol outlines the plan for evaluating the HJ program's acceptability, adoption, and short-term patient outcomes through a formative approach.Study setting
The study will be conducted in the HJ clinic and 17 Soliga settlements in B.R. Hills, Karnataka, India, where the intervention is implemented.Method
This study will use an explanatory sequential mixed-methods design. In the first phase, clinical records, Alcohol Use Disorders Identification Test (AUDIT) scores, and program retention rates will be analysed to assess engagement, participation, and early indicators of recovery. In the second phase, in-depth interviews will explore facilitators and barriers to care-seeking and perceptions of program acceptability and adoption among Soliga individuals enrolled in the HJ program, HJ Champions (peer mentors), and other stakeholders such as community health workers and physicians. The qualitative findings will contextualise the trends observed in the quantitative analysis. Expected outcomes Implementation outcomes, i.e. acceptability, adoption and identification of barriers and facilitators of the program, are the expected outcomes of the study protocol.Discussion
The study findings will help refine the existing community-driven addiction recovery program and inform scaling up the intervention. While long-term sustainability falls outside the study's scope, insights from this evaluation will lay the foundation for future research and policy integration.
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BibTeX
@article{alexander2026formative,
title = {{Formative evaluation of an existing community-based intervention for alcohol addiction in the Soliga tribal community in Chamarajanagar, Karnataka.}},
author = {Alen Chandy Alexander and Rahul Amruthapuri and Teddy Andrews Jaihind Jothikaran and Prashanth N Srinivas},
journal = {Wellcome open research},
year = {2026},
month = oct,
doi = {10.12688/wellcomeopenres.24075.2},
url = {https://europepmc.org/article/MED/42968716},
note = {CC BY},
}
RIS
TY - JOUR
TI - Formative evaluation of an existing community-based intervention for alcohol addiction in the Soliga tribal community in Chamarajanagar, Karnataka.
AU - Alen Chandy Alexander
AU - Rahul Amruthapuri
AU - Teddy Andrews Jaihind Jothikaran
AU - Prashanth N Srinivas
PY - 2026
DA - 2026/10/22
JO - Wellcome open research
DO - 10.12688/wellcomeopenres.24075.2
UR - https://europepmc.org/article/MED/42968716
AB - Background Socioeconomic stressors, cultural transitions, and limited access to healthcare often influence alcohol addiction among Indigenous communities. The Soliga tribal community lacks culturally tailored de-addiction services in the Chamarajanagar district of Karnataka, India. The Hosa Jeevana (HJ) program is a community-based intervention that integrates clinical care, peer-led support, and culturally relevant awareness strategies to support addiction recovery. This study protocol outlines the plan for evaluating the HJ program's acceptability, adoption, and short-term patient outcomes through a formative approach.Study setting The study will be conducted in the HJ clinic and 17 Soliga settlements in B.R. Hills, Karnataka, India, where the intervention is implemented.Method This study will use an explanatory sequential mixed-methods design. In the first phase, clinical records, Alcohol Use Disorders Identification Test (AUDIT) scores, and program retention rates will be analysed to assess engagement, participation, and early indicators of recovery. In the second phase, in-depth interviews will explore facilitators and barriers to care-seeking and perceptions of program acceptability and adoption among Soliga individuals enrolled in the HJ program, HJ Champions (peer mentors), and other stakeholders such as community health workers and physicians. The qualitative findings will contextualise the trends observed in the quantitative analysis. Expected outcomes Implementation outcomes, i.e. acceptability, adoption and identification of barriers and facilitators of the program, are the expected outcomes of the study protocol.Discussion The study findings will help refine the existing community-driven addiction recovery program and inform scaling up the intervention. While long-term sustainability falls outside the study's scope, insights from this evaluation will lay the foundation for future research and policy integration.
SN - 2398-502X
ER -