DOI: http://dx.doi.org/10.18203/2394-6040.ijcmph20220232

Performance of community health centres for providing non-communicable diseases services: non-communicable diseases clinics and context for actions

Gangadhar Rao

Abstract


Background: The increasing burden of noncommunicable diseases (NCDs) has been seen as a significant development barrier in the twenty-first-century era. In 2016, nearly 4.1 crore mortalities happened due to noncommunicable diseases only, equivalent to 71% of the overall 5.7 crore deaths.Most of these mortalities were triggered by the four main NCDs, like cardiovascular disease, cancer, chronic respiratory disease and diabetes. These NCDs have become one of the significant health systems challenges in developing countries.

Methods: The current study is a concurrent mixed methodological approach which gives equal weightage.

Results: The study has identified nine significant domains from the qualitative part. The content analysis was used for quantitative approach which has found that nearly 89.6% feels services are available and 10.4% feels there are lacuna in services. The diseases distribution was diabetes 25.3%, cardiovascular diseases account for 30.9%, chronic respiratory account for 26.9%, cancer 3.9%, and multimorbidity accounts for 12.6%. From the content analysis, it is understood from the beneficiaries that whenever the healthcare professional is free, they are providing the promotive and preventive service, 59.5%.

Conclusions: It was understood that the NCD clinics are functional. The NCD clinics are providing the basic services for majority of NCDs. Although the lacuna exists in the health systems with respect to human resources and other factors. There is increased utilization of services compared with past. The role efficacy was found to be high.


Keywords


Non-communicable diseases, NCD clinics, Curative services, Health education, Role efficacy, Utilization

Full Text:

PDF

References


Clarke V, Braun V. Teaching thematic analysis: Overcoming challenges and developing strategies for effective learning. The psychologist. 2013;26(2).

World Health Organization. WHO global coordination mechanism on the prevention and control of noncommunicable diseases: final report: WHO GCM/NCD working group on the alignment of international cooperation with national NCD plans (Working group 3.2, 2016–2017). In WHO global coordination mechanism on the prevention and control of noncommunicable diseases: final report: WHO GCM/NCD working group on the alignment of international cooperation with national NCD plans (Working group 3.2, 2016–2017). 2018. Available at: https://apps.who.int/iris/handle/10665/312273. Accessed on 15 September 2021.

Ainapure K, Kumar S, Pattanshetty S. A study on implementation of national programme for prevention and control of cancer, diabetes, cardiovascular diseases and stroke in Udupi district, Karnataka. Int J Comm Med Public Health. 2018;5(6):2384-7.

Rath S, Tariq M, Mushoriwa F, Chigumete T, Morobi T, Srinivas S. Economics of Non-Communicable Diseases: Case Study of South Africa and India. Indian J Pharm Pract. 2015;8(3):91.

Sinha R, Pati S. Addressing the escalating burden of chronic diseases in India: need for strengthening primary care. J Fam Med Prim Care. 2017;6(4):701.

ICMR PI, PHFI I. India: health of the nation’s states: the india state-level disease burden initiative. New Delhi, India. 2017. Available at: https://phfi.org/the-work/research/the-india-state-level-disease-burden-initiative/. Accessedon 15 September 2021.

Seshadri SR, Hebbare V. A Benefit-Cost Analysis of Screening and Treatment for Noncommunicable Diseases: the case for Andhra Pradesh. India Consensus Project. 2018.

Gujjarlapudi C, Prabakaran J, Dulipala P, Rao J. Risk factors for Non Communicable Diseases among people aged above 30 years in an urban slum of Guntur city-A cross sectional Study. National J Res in Community Med. 2016;5(4):288-93.

Ponnaganti SC, Undavalli VK, Sayyad AP, Narni H, Muthe AM. Prevalence of hypertension and its associated risk factors in the rural field practice area of a tertiary care teaching hospital of Coastal Andhra Pradesh. Int J Res Med Sci. 2018;6(5):1747-51.

National Institute of Medical Statistics (ICMR). 2009. IDSP Non-Communicable Disease Risk Factors Survey, Phase-I States of India, 2007-08. Available at: https://www.google.com/url?sa=t&rct= j&q=&esrc=s&source=web&cd=&cad=rja&uact=8&ved=2ahUKEwj1luLz5sT1AhXsSWwGHQSnDTYQFnoECAsQAQ&url=https%3A%2F%2Fwww.who.int%2Fncds%2Fsurveillance%2Fsteps%2F2007_STEPS_Report_India_7States.pdf&usg=AOvVaw0FsW0y4gvIOPJ2tjLswV-Q. Accessed on 15 September 2021.

Bodhare TN, Venkatesh K, Bele S, Kashiram G, Devi S, Vivekanand A. Behavioural risk factors for Noncommunicable disease among rural adults in Andra Pradesh. Natl J Community Med. 2013;4(3):439-42.

Avvaru K, Vanka S. Assessment of risk factors for non comminicable diseases in an urban area of Visakhapatnam, Andhra Pradesh. Int J Res Med. 2014;3(2);16-8.

Udayar SE, Sampath S, Arun D, Sravan S. Epidemiological study of cardiovascular risk factors among public transport drivers in rural area of Chittoor district of Andhra Pradesh. 2015;2(4).

Reddy KS. Primordial prevention of coronary heart disease in India: challenges and opportunities. Preventive medicine. 1999;29(6):119-23.

Arena R, Guazzi M, Lianov L, Whitsel L, Berra K, Lavie CJ, Kaminsky L, Williams M, Hivert MF, Cherie Franklin N, Myers J. Healthy lifestyle interventions to combat noncommunicable disease—a novel nonhierarchical connectivity model for key stakeholders: a policy statement from the American Heart Association, European Society of Cardiology, European Association for Cardiovascular Prevention and Rehabilitation, and American College of Preventive Medicine. European heart journal. 2015 Aug 14;36(31):2097-109.

Reddy KS. Prevention and contrl of non-Communicable diseases: Status and strategies. Working paper. 2003.

Nikolic IA, Stanciole AE, Zaydman M. Chronic emergency: why NCDs matter. 2011. Available at: https://openknowledge.worldbank.org/handle/10986/13591. Accessed on 15 September 2021.

Nowell LS, Norris JM, White DE, Moules NJ. Thematic analysis: Striving to meet the trustworthiness criteria. International journal of qualitative methods. 2017;16(1):1609406917733 847.

Noble H, Smith J. Issues of validity and reliability in qualitative research. Evidence-based nursing. 2015;18(2):34-5.

Nethan S, Sinha D, Mehrotra R. Non communicable disease risk factors and their trends in India. Asian Pacific journal of cancer prevention: APJCP. 2017;18(7):2005.

Omran AR. The epidemiologic transition theory revisited thirty years later. World health statistics quarterly. 1998;53(2-4):99-119.

Pakhare A, Kumar S, Goyal S, Joshi R. Assessment of primary care facilities for cardiovascular disease preparedness in Madhya Pradesh, India. BMC Health Services Res. 2015;15(1):1-8.

Pandey R. Health system strengthening for the control of noncommunicable diseases and risk factors. Int J Noncommunic Dis. 2017;2(4):94.

Parajuli J, Horey D. Barriers to and facilitators of health services utilisation by refugees in resettlement countries: an overview of systematic reviews. Australian Health Review. 2019;44(1):132-42.

Pati S, Sinha R, Mahapatra P. Non-communicable disease risk reduction teaching in India: a curricular landscape. Front Public Health. 2019;7:133.

Riffe D, Lacy S, Watson BR, Fico F. Analyzing media messages: Using quantitative content analysis in research. Routledge. 2019.