Assessment Of Facility-Level Preparedness At Primary And Secondary Health Care Levels For Prevention And Control Of Non-Communicable Diseases
Assessment Of Facility-Level Preparedness For Prevention And Control Of Non-Communicable Diseases
DOI:
https://doi.org/10.70284/njirm.v9i6.2453Abstract
Background: Non-communicable diseases (NCDs) are of significant public health concern, causing high mortality, lifelong morbidity and high out of pocket expenditure. Primary and secondary level health facilities can play a key role for screening, treatment, and referral and follow up services. With this view, study is designed to find out facility-level preparedness at primary and secondary health care levels. Identified gaps though this tool will be valuable for decision makers to develop NCDs prevention and control services. Objective: To find out facility-level gaps for prevention and control of Non-communicable diseases and To prepare monitoring tool for NCD prevention and control services Methodology: Baseline study has been done with pre tested standardized checklist. Key details has been taken from responsible health personnel working at primary and secondary health care levels – primary health center (PHC) ,urban health center (UHC) and community health center (CHC) . Availability of equipments and Treatment guidelines, health personnel training need assessment, drug supply, and laboratory services has been assessed. Results: Gaps regarding were lack of trained health personnel, no system of collection of health statistics about non communicable diseases, Diagnostic criteria, Treatment protocol & Referral criteria was not available. Only screening criteria of diabetes and hypertension were available. Conclusion: Gaps exist in the human resource capacity and service delivery at the primary care level in both urban and rural area and secondary care level at community health center. [ Ahir G Natl J Integr Res Med, 2018; 9(6):36-39]
References
2. Operational Guidelines for Implementation of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) for year 2013-17. https://mohfw.gov.in
3. Bhagyalaxmi A Trivedi Atul Jain sikha . Prevalence of Risk Factors of Non-communicable Diseases in a District of Gujarat, India. journal of health , population and nutrition 2013; 3(1): 77-85.
4. Ministry of Health and Family Welfare, Government of India. Annual Report to the People on Health 2014-15 (source http://www.mohfw.nic.in/WriteReadData/l892s/7896321456325698.pdf.
5. Late Deoki Nandan, Adhish Vivek, Neera Dhar. Relevance of Primary health care in controlling NCDs in india. Indian Journal of Community Medicine 2011; 36(supplement): S4- S6
6. Package of Essential Non communicable (PEN) Disease Interventions for Primary Health Care in Low-Resource Settings. http://www.who.int/nmh/publications/essential_ncd_interventions_lr_settings.pdf
7. Implementation tools Package of Essential Noncommunicable (PEN) disease interventions for primary health care in low-resource settings. http://apps.who.int/iris/bitstream/10665/133525/1/9789241506557_eng.pdf (accessed 05 January 2017).
8. Abhijit Pakhare, Sanjeev Kumar, Swati Goyal and Rajnish Joshi. Assessment of primary care facilities for cardiovascular disease preparedness in Madhya Pradesh, India. BMC health service research 2015; 15: 1-8.
9. Robert peck et al. Preparedness of Tanzanian health facilities for outpatient primary care of hypertension and diabetes: a cross sectional survey. Lancet global ehalth May 2014; 2(5): e285–e292.
10. Rose gebart et al. Identifying gaps in the continuum of care for hypertension and diabetes in two Indian communities. BMC health service research 2017; 17:486.
JS Thakur et al. Profile of Risk Factors for Non-Communicable Diseases in Punjab, Northern India: Results of a State-Wide STEPS Survey. PLOS 2016;
