Public Health Centres Preparedness for Diabetes and Hypertension
Recent studies have brought into light the preparedness of public health centres in India to manage diabetes and hypertension. The Indian Council of Medical Research-National Centre for Disease Informatics and Research (ICMR-NCDIR) conducted a comprehensive survey across 19 districts in seven states. This survey assessed both public and private health facilities to determine their readiness for managing these chronic conditions.
Diabetes and Hypertension in India
India faces challenge with diabetes and hypertension. It is the second highest country in terms of adult diabetes prevalence. Over one-fourth of Indian adults are affected by hypertension. These conditions are major contributors to morbidity and mortality. The increasing burden necessitates effective management strategies within healthcare systems.
Study Overview
The ICMR-NCDIR study aimed to evaluate the preparedness of health facilities for diabetes and hypertension care. A total of 415 health facilities were surveyed. This included public and private institutions. The study used the World Health Organization’s SARA manual to assess readiness. The survey was conducted in two phases – the first from September to December 2021 and the second from February to June 2023.
Readiness Scores
The findings revealed varying levels of preparedness. Public Primary Health Centres (PHCs) scored 73% in readiness, making them the most prepared for managing these conditions. In contrast, Sub-Centres and Community Health Centres (CHCs) had lower scores of 61% and 59% respectively. Private primary care facilities scored 57%. District hospitals and private tertiary care facilities scored above 70%, indicating they were better equipped for these health issues.
Key Findings
The majority of facilities surveyed were public. Over half were primary care facilities, with portion located in rural areas. The study indicated a lack of diagnostic services at district hospitals. This gap marks the need for improved diagnostic capabilities to manage complications arising from diabetes and hypertension.
Recommendations for Improvement
Experts recommend several strategies to enhance healthcare delivery. These include ensuring adequate human resources and a reliable supply of essential medicines. Programme managers are necessary for effective implementation of health initiatives. Strengthening diagnostic services is crucial for comprehensive patient care.
Conclusion of Findings
The study puts stress on the importance of a robust healthcare infrastructure. It identifies the need for continuous improvements in primary healthcare facilities. This is essential to manage the growing burden of diabetes and hypertension effectively.
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