Package of Essential Noncommunicable Disease Services at Peri-Urban Community Setting in Chandigarh, India- An Implementation Research Study
Keywords:Non-Communicable diseases, quasi experimental study, PEN, India
Background: The National Programme for prevention and control of cancer, diabetes, cardiovasculardisease,
and stroke (NPCDCS) has been launched since 2011-2012 but there is paucity of information on progress
and implementation of this program.
Method: The objective was to do situational analysis for assessing the current implementation of NCD
programs in peri-urban area and to implement the package of essential NCD services by capacity building
of existing staff through routine health care delivery for effective coverage. After training of ANMs
implementation was started. Baseline assessment was performed through pre-tested questionnaire among
subjects (n=1026) who were aged> 30 years and residing in that area for >6 months.
Result: About 37% (n= 406) of the people were screened for hypertension, 34% (n=352) were screened for
diabetes in the last one year. Post intervention screening coverage was increased to 96.9%, 97.5% for blood
sugar and blood pressure respectively and 95.4%, 93.4% and 54.8% for oral, breast and cervical cancer.
After implementation 23(2.4%) new cases of diabetes and 132 (13.2%) new cases of hypertension were
Conclusion: Screening coverage at baseline analysis was found to be 37.1% and 34% for blood pressure and
blood sugar measurement respectively and 0.5%, 0.2%, 0.3% for oral, breast and cervical cancer screening,
respectively. This highlights the poor implementation of the programme. After implementation, screening
coverage for measurement of blood pressure and blood sugar improved by about 60% and by about 90% for
three common cancers.
How to Cite
This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.