Effectiveness of nurse led screening and intervention for common non communicable diseases in a peri urban community of Chandigarh

Damini Paul, Kavita Kavita, Jarnail Singh Thakur, Pooja Sikka


Background: Globally the non-communicable diseases (NCDs) are accountable for most of mortality and disability. The Lack of skilled human resources for health is one of the contributing factors for low screening coverage. Nurses plays a vital role, in the early detection and prevention of common NCDs. Objective of the study was to assess the effectiveness of nurse-led screening and intervention for common NCDs on risk factor modifications.

Methods: Pre-experimental design was used in the present study. The study was done in slum area Indra colony Chandigarh. A total of 500 individuals aged ≥30 years were enrolled from 2,700 households. All the subjects were screened for hypertension, diabetes mellitus and oral cancer. However in female participants addition screening of breast, and cervical cancer was also done. WHO STEPS survey was used to assess the risk factor of common NCDs. The interventional package on risk factor modifications for prevention of common NCDs was developed and was delivered to all subjects during home visits. The follow up to assess risk factor modifications was done after one month. The primary outcome of the study was risk factor modifications and prevalence of common NCDs.

Results: There was significant mean change in systolic blood pressure (0.65±6.31 mmHg), diastolic blood pressure (1.19±3.7 mmHg), body mass index (0.95±0.85 kg/m2), and waist circumference (1.5±1.46 cm) among subjects after one month of intervention (p value <0.05).

Conclusions: The Nurse-led screening and intervention for common NCDs was effective in risk factor modification among studied subjects.


Interventional package, Nurse led screening, Non communicable diseases

Full Text:



Benziger CP, Roth GA, Moran AE. The Global Burden of Disease study and the preventable burden of NCD. Global Heart. 2016;11(4):393-7.

Gregory A, Abate D, Abate HK, Abay SM, Abbafati C, Abbasi N, et al. Global, regional, and national age-sex-specific mortality for 282 causes of death in 195 countries and territories, 1980–2017: a systematic analysis for the Global Burden of Disease Study 2017. Lancet. 2018;392:10159.

WHO. Non communicable diseases. Available at https:// /news-room/fact sheets/ detail/ non communicable-disease. Accessed on 12 February 2020.

Hwe H, Kyu H, Abate D, Abate KH, Abay SM, Abbafati C. Global, regional, and national disability-adjusted life-years (DALYs) for 359 diseases and injuries and healthy life expectancy (HALE) for 195 countries and territories, 1990–2017: a systematic analysis. Global Burden Dis Study. 2017;392:1859-1922.

Thomas H, Diamond J, Vieco A, Chaudhuri S, Shinnar E, Cromer S, et al. Global Atlas of Cardiovascular Disease 2000-2016. The path to prevention and control. Global Heart. 2018;13(3):143-63.

NCDs. Noncommunicable diseases. Available at Accessed on 12 July 2020.

Sharma A. Global research priorities for noncommunicable diseases prevention, management, and control. Int J Non-Commun Dis. 2017;2:107-12.

Bavoria S, Nongkynrih B, Krishnan A. Health workforce availability and competency to manage noncommunicable diseases at secondary care level hospitals of Delhi. IJNCD. 2019;4(2):38-42.

Kashyap V, Shivaswamy M. Assessment of implementation of the national programme for the prevention and control of cancer, diabetes, cardiovascular diseases, and stroke at subcenters of Belagavi taluka: a cross-sectional study. Indian J Health Sci Biomed Res. 2019;12(1):21.

Mechcatie K, Elizabeth MA. The WHO highlights nurses’ role in reducing noncommunicable diseases. Am J Nurs. 2018;118(9):16.

Kavita, Thakur JS, Vijayvergiya R, Ghai S. Task Shifting of cardiovascular risk assessment and communication by nurses for primary and secondary prevention of cardiovascular diseases in a tertiary health care setting of Northern India. BMC Health Service Research. 2020;20:10.

Voogdt-Pruis HR, Beusmans G, Gorgels AP, Kester AD, Ree JW. Effectiveness of nurse delivered cardiovascular risk management in primary care: a randomised trial. Br J Gen Pract. 2010;60:0-46.

Kavita, Thakur JS, Vijayvergiya R, Ghai S. Nurses role in cardiovascular risk assessment and communication: Indian nurses perspective. Int J Non Commun Dis. 2020;5(1):410.

Kavita, Thakur JS. Epidemic of non communicable diseases: role of nurse practitioners. Nurs J India. 2015;106(6):274-7.

Sharma S. Exploring role of independent nurse practitioners in prevention and management of NCDs in India. J Indian Med Association. 2018;116:8.

WHO report recognises pivotal role of nurses in combatting NCDs and mental health problems. ICN - International Council of Nurses. 2020. Available at Accessed on 4 August 2020.

Thakur JS, Jeet G, Nangia R, Singh D, Grover S, Lyngdoh T, et al. Non-communicable diseases risk factors and their determinants: a cross-sectional state-wide STEPS survey, Haryana, North India. PLoS One. 2019;14(11):e0208872.

Abebe S, Andargie G, Shimeka A, Alemu K, Kebede Y, Wubeshet M, et al. The prevalence of non-communicable diseases in northwest Ethiopia: survey of Dabat health and demographic surveillance system. BMJ Open. 2017;7(10):e015496.

Thakur JS, Jeet G, Pal A, Singh S, Singh A, Deepti S, et al. Profile of risk factors for non-communicable diseases in Punjab, Northern India: results of a state-wide STEPS Survey. PLoS One. 2016;11(7):e0157705.

Bhattacherjee S, Bhar D, Das D. Behavioral and biological risk factors of non communicable diseases among tribal adults of rural siliguri in Darjeeling District, West Bengal: a cross-sectional study. Indian J Public Health. 2019;63(2):119.

ICMR. ICMR- India diabetes. Available at summary INDIAB Phase I.pdf. Accessed on 12 July 2020.

Anand T, Kishore J, Isaakidis P, Gupte HA, Kaur G, Kumari S, et al. Integrating screening for non-communicable diseases and their risk factors in routine tuberculosis care in Delhi, India: a mixed-methods study. PLoS One. 2008;13(8):7155.

Vedantham H, Silver MI, Kalpana B, Rekha C, Karuna BP, Vidyadhari K, et al. Determinants of VIA (Visual inspection of the cervix after acetic acid application) positivity in cervical cancer screening of women in a peri-urban area in Andhra Pradesh, India. Cancer Epidemiol Biomarkers Prev. 2010;19(5):1373-80.

Takkar N, Kochhar S, Garg P, Pandey AK, Dalal UR, Handa U. Screening methods (clinical breast examination and mammography) to detect breast cancer in women aged 40-49 years. J Midlife Health. 2017;8(1):2-10.

Sharma M, Banerjee B, and Garg S. Effect of mHealth on modifying behavioural risk-factors of non-communicable diseases in an adult, rural population in Delhi, India. J Health. 2017;3:42.