Readiness of Primary Health Care System to combat Non-Communicable Diseases at Costal District of Andhra Pradesh
DOI:
https://doi.org/10.37506/30408e07Keywords:
Non communicable diseases, primary care, WHO-PEN,Abstract
Background:
Non-Communicable Diseases (NCD’S) kill 41 million people each year, which is 74% of all deaths globally. NCDs are estimated for 63% of all deaths in country, of which the cardiovascular diseases (27%) followed by chronic respiratory diseases (11%), cancers (9%), diabetes (3%) and others (13%). WHO offers guidance and aid to Member States to enhance NCD outcomes, advocating cost-effective measures for NCD prevention and management. It developed Package of essential non-communicable (PEN) disease interventions for primary health care in low-resource settings. These are cost-effective and can be delivered to an acceptable quality in resource-poor settings. GOI has launched National Program for Prevention and Control of Cancer Diabetes Cardiovascular Diseases and Stroke (NPCDCS) in the year 2010.
Methods:
A cross-sectional study has been conducted among 38 Primary Health Centers (PHC) to assess their preparedness to handle NCD’s using WHO - PEN criteria as standards, questionnaire was self-administered to Medical Officers (MO) at the facilities of district. Facilities were assessed for items and domains (equipment, drug supplies and laboratory services) with a main focus on management of hypertension and diabetes mellitus. Responses were collected from MO s and compared availability of an items across levels of primary care facilities.
Conclusion: Primary health care facilities should gear up for comprehensive NCD prevention, early diagnosis, treatment, and management
References
Non communicable diseases [Internet]. World Health Organization; [cited 2024 Jan 19]. Available from: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases
National health profile 2022 17th issue.pdf [Internet]. [cited 2024 Jan 2]. Available from: https://cbhidghs.mohfw.gov.in/WriteReadData/l892s/94203846761680514146.pdf
National Programme for prevention & Control of Cancer, Diabetes, Cardiovascular Diseases & stroke (NPCDCS): National Health Mission [Internet]. [cited 2024 Jan 2]. Available from: https://nhm.gov.in/index1.php?lang=1&level=2&sublinkid=1048&lid=604
Perappadan BS. Government programme for non-communicable diseases renamed. The Hindu [Internet]. 2023 May 5 [cited 2024 Jan 2]; Available from: https://www.thehindu.com/sci-tech/health/new-diseases-and-initiatives-prompt-health-ministry-to-widen-and-rename-ncd-programme/article66816673.ece
WHO package of Essentials for Non-Communicable Diseases -eng.pdf [Internet]. [cited 2024 Jan 2]. Available from: https://iris.who.int/bitstream/handle/10665/334186/9789240009226-eng.pdf?sequence=1
Chokshi M, Patil B, Khanna R, Neogi SB, Sharma J, Paul VK, et al. Health systems in India. J Perinatol. 2016 Dec;36(s3):S9–12.
AP State Portal [Internet]. [cited 2024 Jan 2]. Available from: https://www.ap.gov.in/#/home
www.censusindia.co.in [Internet]. [cited 2024 Jan 2]. Andhra Pradesh Population Census 2011, Andhra Pradesh Religion, Literacy, Sex Ratio - Census India. Available from: https://www.censusindia.co.in/states/andhra-pradesh
Universal Health Coverage [Internet]. [cited 2024 Jan 9]. Available from: https://www.who.int/health-topics/universal-health-coverage
Narain JP. Integrating services for noncommunicable diseases prevention and control: use of primary health care approach. Indian J Community Med. 2011 Dec;36(Suppl 1): S67-71.
Albelbeisi AH, Albelbeisi A, El Bilbeisi AH, Taleb M, Takian A, Akbari-Sari A. Public Sector Capacity to Prevent and Control of Noncommunicable Diseases in Twelve Low- and Middle-Income Countries Based on WHO-PEN Standards: A Systematic Review. Health Serv Insights. 2021; 14:1178632920986233
Rogers HE, Akiteng AR, Mutungi G, Ettinger AS, Schwartz JI. Capacity of Ugandan public sector health facilities to prevent and control non-communicable diseases: an assessment based upon WHO-PEN standards. BMC Health Serv Res. 2018 Aug 6;18(1):606.
Pakhare A, Kumar S, Goyal S, Joshi R. Assessment of primary care facilities for cardiovascular disease preparedness in Madhya Pradesh, India. BMC Health Services Research. 2015;15(1). doi:10.1186/s12913-015-1075-x
Krishnan A, Mathur P, Kulothungan V, Salve HR, Leburu S, Amarchand R, et al. Preparedness of primary and secondary health facilities in India to address major noncommunicable diseases: results of a National Noncommunicable Disease Monitoring Survey (NNMS). BMC Health Services Research. 2021 Jul 31;21(1):757.
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