Centre for Implementation Research

Nearly 80% of premature deaths due to NCDs occurs in low‑ and middle‑income countries (LMICs). In the global framework of “Public Health Approach” to combat any disease, it needs a standard protocol to screen, diagnose, and manage. However, there were no comprehensive guidelines or protocols available on the prevention, surveillance, and management of common NCDs at primary and secondary healthcare facilities of low resource settings, except for a few conditions.

The World NCD Federation developed guidelines which provides simple and comprehensive guidance on the prevention, surveillance, and management aspects of common NCDs targeting primarily healthcare professionals, including community health workers (CHWs), program managers, policy maker, and implementers at these healthcare settings. The management part is developed for NCDs, namely type 2 diabetes mellitus (DM), hypertension, cardiovascular diseases (CVDs), chronic respiratory diseases (CRDs), cancers, mental health disorders, cerebrovascular diseases/Stroke, chronic kidney diseases (CKDs), and chronic liver diseases (alcoholic liver disease [ALD] and nonalcoholic fatty liver disease [NAFLD]). The implementation framework of these guidelines for reduction of premature NCD mortality, especially in the context of the low resource setting has also been designed.6 The aim of the current proposal is to pilot the implementation of WNF prevention and management guidelines in primary and secondary healthcare settings in 2 districts in LMICs to determine their utility at population and facility level.

Objectives

  1. To undertake the situation analysis for strengthening of primary and secondary healthcare settings of the selected districts
  2. To implement WNF guidelines for prevention, surveillance, and management of NCDs in selected districts.
  3. To evaluate the progress of implementation as per set implementation framework of NCDs guidelines.

BaseLine and Endline Activities

The effectiveness of the developed guidelines would be assessed at Health System and Population Level. After the 12 months the of implementation of the guidelines, the baseline and the end line data will be compared for improvements and efficacy of the guidelines in primary and secondary health care settings. The various components included in the assessment will be:

  • Trainings of Doctors and Staff Nurses
  • Knowledge Assessment of Medical Officers
  • Skill Assessment of Health Workers
  • Patient Satisfaction
  • Health Facility Assessment
  • Data Quality