Project Title
STrengthening Ambulatory care for Non Communicable Diseases- STAR NCD
Program Officer
Dr. Roopa Shivashankar | Scientist E Division of Delivery Research
NHRP Area
Ambulatory Non-Communicable Disease (NCD) Care
Project Status
Currently ongoing-Model-1 implementation phase
Date of Start
1st March 2024
Duration
36 months
- Non commancable disease (NCDs) are the leading cause of death and diability globally with marly 40% of the bunden ppcoming in manoume countres suph India in india, NCDs account for appronataly two-thirds of alle and 70% of prematar metality Candrevasmlar diseases and chest respirary diseases are ammy tim maj. Despite national efforts, supudicant gags rethan in the prevention, diagnosis, treatment, and long-tems mariagermere of comemort NCDs, particulary hypertamaton and diabetes. The National Noncommurabie Gissnae Muutoring Survey highlighted poor avarmess testment and finoms.
- India nas empimento actiatives, including the National Programme for Prevention and Cutttmi of Non Commancabile Dronases (NP-NCO) and the inda Hypertension Conti Initative (HC). Howevec challenges such as inadequane models of came mited manting systems, pour integration of services, and maufficient support for chrottic disease management cortiue No affect outcomes. Similar gape saint in the management of respicatory dioeness and secondary presention of coronary artary disanan witte praty. This implementation rennant study aims to strengthen ambulatory care services fir comman NCDs actos four geographically diversen daticts in midia. Through a co deargried thatctdegmentation mode the study will improve the constage φu and equity of services hyperten, type 2 diabetes mellitus, temataryan asthma, an secondary prevention of coronary artery disease. The findings will inform scalable strategies for strengthening NCD care unde the National Programme for Non-Commable Disnases.
- This study addreasen a mitical blin health need ity developing and evaluating a district wide implimentation imodel to strengthım ambulatury cars services fur common NCDs within the ensing public healthcare system lly focusing on ingrowing spicely caremuntradas retention in vare, the study aims to enhance the sialty., coreraun, and equity of NCD services. The smarty is particularty reinsert india's commitment towards achieving liniversal Heim Coverage and Sustainable Develogiment Goal (100) 34, which to reduce prernation mortality from NCDs by one-thirst toy 2020. The findings will generate ingiementation evidence on scalable and sustainable strategies for integrating hypertension, diabetes, chronic , and secondary sandalar disanan prevention arrvices to toute primary healthcare The lessons rmed can inform pellicy and programme strengthening under the National Programme for Prevention and Control of Ne Communicable Dibeaine (NP-NCD and contribute to improved health outcomes for tisilions of people living with chronic.
- Despite the exporminer of the Rational Programme for Prevention and Commn of Noo-Communicabis NCD) significant gupt remain in the cominuam of care for common NCDs in India Low of awareness, treatment follow-up, and dlemsse contrul for hypedansinė and distietes, along with limited integration of samices for chenni respiratory doenses and secondary prevention of coronary artery disease contine contribute the preventable morbidity and premature mortality. Health system challenges, including inadequate hurman resources, stoestant availability of medicines and diagnosis, weak Imation systems, and fragmented some dalivery, furthe limit the effecteness of NCD care the solable and sustamable models of amtutatory care that strengthen the quality, cosetage, continuity, and puity of NCD services within the public healthcare systern.
- Primary Objectives:
1. To annnes the status oftion of the NCD program in summa of its coverage, quality of service delivery and equity NCDs atent levels of the health care delivery system and assess trailiness simplement strategies for inveng ambulatory NCO com. - 2. To design the impermentation strategies, develop a model faramped anlivery of NCD care at antacted clioticts and iteratively implement the model and refime for scaling to the distinct.
- 3. Taungtlement the model and study impairmentation outstimes of coverage quality of arvice delivery, and equity and dirtermine the incremental cost implication for the health care drinary system in the contest of the national prigram for NOO.
- 1. AIIMS, Madurai
- 2. AIIMS, Nagpur
- 3. AIIMS, New Delhi
- 4. CCDC, New Delhi
- 5. CMC Vellore
- 1. Hypertension (WHO target): Blood pressure control in at least 50% of adults having high blood pressure.
- 2. Diabetes (WHO global diabetes compact): 80% of people to be tested for diabetes; 60% of those on treatment to achieve blood glycemic control.
- 3. Coronary artery disease (CAD): To assess the feasibility of implementing secondary prevention of CAD care at primary care facilities.
- 4. Chronic Respiratory Disease (CRD): Operationalize diagnostics and follow-up care for CRD at primary care facilities.
- Year 1 Listing Activities:
1. ICMR team meeting at the state level with designated officials.
2. DG ICMR meeting with all the Mission Directors of Maharashtra, Andhra Pradesh, and Tripura, and CHO Punjab. - Year 1 Technical Support Activities:
1. Organized training on the NCD portal (MoHFW) and state platform (DAC) for a better understanding of digital tools.
2. Convened the expert group meeting to operationalize models/pathways.
3. Organized state-level meeting to design/finalize models/pathways.
4. Organized orientation training in Anantapur.
5. Review of progress of the project.
6. Implementation research support/alignment meeting with experts for Chittoor (Andhra Pradesh). - Year 2 Listing Activities:
1. Meeting with Health Secretary, Tripura in Agartala.
2. Meeting with Health Secretary, Haryana, and Mission Director National Health Mission (NHM) Haryana.
3. Meeting with Additional Chief Secretary (ACS) Health, Faridabad, Haryana.
4. Field visit to Haryana.
5. Meeting with Chief Secretary (Health), Maharashtra with DG ICMR to present the NHRP STAR-NCD and the ICMR projects in Mumbai.
6. Meeting with Commissioner and Mission Director, Maharashtra National Health Panchayat.
7. Steering committee members along with STAR NCD team visit to Tripura. - Year 2 Technical Support Activities:
1. Supply chain and management related meetings for NCDs in Tripura.
2. Brainstorming and meeting with STAR NCD team, Tripura in Agartala.
3. Field visit to Chittoor (Andhra Pradesh).
4. Field visit to Faridabad, Haryana.
5. Piloting and upscaling NP-NCD digital interventions.
6. Implementation research support and alignment meeting with experts for Tripura.
- Thin mady will generne actionable evidence on the implementation of integrated, people-cermered ambulatory care modals for common non commancable disentes within tridara public health stem. The findings will leform policy decesure related to strengthening service delivery under the National Programme for Prevention and Control of Non-Communicable Disnaans MCU), particularly the areas of scrung, Treatment protocols, followers cars human resources supply chain managemant and health information. By identifying effective anıt aratatile zateges to improve the continuum of came for trypertension, abetes, chrome resumatory dismeses anil sedary pmverofmmary artery disease, the shady has the petmal to hame service coverage, quality mmmuty and trauter. The evidence generated can mapport national and state governs in optimizing resource allocation, strengthening primary heartlicare systems and accelerating progress towards Universal Health Coverage and lustainable Development Goal 14, ultimately contributing to reduced roorbidity jmmature mortality, ant dieubrity due to NCDs in india.
- 1. Haryana government issued a letter for AYUSH Medical Officers (AMOs) of the State to actively participate in NP-NCD programme activities at Ayushman Arogya Mandirs such as health promotion, early detection, patient follow-up, and dispensing of medicines prescribed by the Medical Officer in-Charge (Health).
- 2. District Health Administration of Gomati district, Tripura issued a letter for implementation of Standard Operating Procedure (SOP) for Model intervention under STAR NCD Project.
- 3. Government of Tripura under Mukhya Mantri Samagra Arogya Abhiyaan, the Chief Minister's Lifestyle Disease Priority Initiative launched a campaign for conducting 14 days special Comprehensive NCD (Non-Communicable Disease) screening, detection, and treatment for individuals aged 30 and above. This will be done bi-annually in campaign mode.