Facility-Based Assessment of NCD Service Preparedness at Sub-Centres in Satara District, Maharashtra
DOI:
https://doi.org/10.52783/jns.v14.3358Keywords:
NPCDCS, NP-NCD, PROGRAM EVALUATION, NCD, PROGRAM IMPLEMENTATION, FACILITY PREPAREDNESSAbstract
Background: Our world is facing a great challenge of tackling burden of non-communicable diseases (NCDs). India has to be prepared for tackling NCDs at both urban and rural populations in coming years. We have initiated many health initiatives towards this goal over the years. However, if the well-equipped and well-prepared health facilities are the basic foundation for any health initiatives. In this study we are going assess how well the sub centers in Satara District are ready to face NCDs.
Material & Methods: This Facility based cross sectional study was conducted in 15 sub centers located in Satara District. Facilities were inspected to assess their readiness for implementation of NPCDCS in Satara district in accordance with IPHS standards and program guidelines. Statistical analysis was carried out using SPSS version 20. Institution ethical committee approved this study. This study was planned to assess their readiness to tackle NCDs through NPCDCS program in Satara district.
Results: There were no dedicated staff positions created for program at SC level. However the number of staff working for NCDs was sufficient. Essential medicines required for NCDs were scarce. Also supply of consumables like dip sticks for urine test was not sufficient.
Conclusion: Overall, the Sub Centre faced several challenges but also presented opportunities for improvement. These highlight the need to strengthen public education, standardize care protocols, upgrade infrastructure and equipment, and improve data management systems to effectively tackle non-communicable diseases (NCDs) in the community.
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Budreviciute A, Damiati S, Sabir DK, Onder K, Schuller-Goetzburg P, Plakys G, Katileviciute A, Khoja S, Kodzius R. Management and prevention strategies for non-communicable diseases (NCDs) and their risk factors. Frontiers in public health. 2020 Nov 26;8:574111.
Wilson RW, Drury TF. Interpreting trends in illness and disability: health statistics and health status. Annual Review of Public Health. 1984 May;5(1):83-106.
World Health Organization. Non communicable Diseases (NCD). (2023). Available online at: https://www.who.int/news-room/fact-sheets/detail/noncommunicable-diseases (accessed on July 5, 2024).
Global Status Report on Noncommunicable diseases 2014, World Health Organization. Available from: http://www. who.int/ nmh/ publications/ncd-status-report-2014/en/. [Last cited on 2017 Nov 12.
Noncommunicable Diseases, Factsheet, World Health Organization. Available from: http://www.who.int/ mediacentre/ fact sheets/fs355/en/. [Last cited on 2017 Nov 10].
Bloom DE, Cafiero ET, Jané-Llopis E, Abrahams-Gessel S, Bloom LR, Fathima S, et al. The Global Economic Burden of Noncommunicable Diseases. Geneva: World Economic Forum; 2011. Available from: http://apps.who.int/ medicinedocs/documents / s1 8806en/s18806en.pdf. [Last cited on 2017 Nov 12.
India: Health of the Nation’s States, The India State-Level Disease Burden Initiative. (2017). Available from: https://www.healthdata.org/sites/default/files/files/2017_India_ State-Level_Disease_Burden_Initiative_-_Full_Report%5B1%5D.pdf [Accessed 24th September 2022.]
Indian Council of Medical Research, Madras Diabetes Research Foundation. ICMR-INdia DIABetes [INDIAB] study (Phase I) Final Report (2008–11). Indian Council of Medical Research, Madras Diabetes Research Foundation; 2016.
International Institute for Population Sciences (IIPS) and ICF. National Family Health Survey (NFHS-4), 2015-16: India. Mumbai:IIPS; 2017)
OPERATIONAL GUIDELINES (REVISED: 2013-17). Directorate General of Health Services Ministry of Health & Family welfare Government Of India; 2013.
OPERATIONAL GUIDELINES NATIONAL PROGRAMME FOR PREVENTION AND CONTROL OF NON-COMMUNICABLE DISEASES 2023-2030. Ministry of Health & Family Welfare Government of India;
Nath A, Shalini MA, Mathur P. Health systems challenges and opportunities in tackling non-communicable diseases in rural areas of India. Natl Med J India. 2021 Jan 1;34(1):29.
Orji IA, Baldridge AS, Omitiran K, Guo M, Ajisegiri WS, Ojo TM, Shedul G, Kandula NR, Hirschhorn LR, Huffman MD, Ojji DB. Capacity and site readiness for hypertension control program implementation in the Federal Capital Territory of Nigeria: a cross-sectional study. BMC health services research. 2021 Dec;21:1-2.
Jasani P, Nimavat J, Joshi J, Jadeja Y, Kartha G. A study on evaluation of non-communicable disease control programme in Surendranagar district. Int J Sci Res. 2015;4:685-8.
Mane AA, Patil SS, Patil SR. Study to Determine the Barriers in the Implementation of the National Program for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke in Satara District, Maharashtra: A Stakeholder’s Perspective. Journal of Datta Meghe Institute of Medical Sciences University. 2024 Jul 1;19(3):463-8.
Raj U, Akshaya KM, Bhargava M. Are primary health centers prepared for noncommunicable disease management? A facility-based mapping of gaps in coastal Karnataka, India. Indian J Community Med 2021;46:130-3.
Parmar CP, Saiyed SL, Vora KS. Health System Preparedness for Screening of Cervical Cancer: Situational Analysis in Tribal District of Gujarat State, India. Community Med. 2020 Feb 29;11(2):57-63.
Thakur JS, Nangia R. Status of service delivery for major noncommunicable diseases at health facilities: Service availability and readiness assessment in Manimajra block, UT Chandigarh. Int J Non-Commun Dis 2023;8:151-6.
Patil SS, Gaikwad RA, Deshpande TN, Patil SR, Durgawale PM. Gaps in facilities available at community health Centers/ Rural Hospitals as per Indian public health standards – Study from Western Maharashtra. J Family Med Prim Care 2020;9:4869-74.
Gaikwad RA, Patil SS, Patil SR, Durgawale PM. Assessment of the Level of Satisfaction Related To Quality of Health Care at Public Health Facilities in Satara District Maharashtra. Natl J Community Med 2017; 8(5):268-271.
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