Raj Utsav, Akshaya Kibballi Madhukeshwar, Bhargava Madhavi
Department of Community and Family Medicine, All India Institute of Medical Sciences, Raipur, Chattisgarh, India.
Department of Community Medicine, Yenepoya Medical College, Yenepoya (Deemed to be University), Mangaluru, Karnataka, India.
Indian J Community Med. 2021 Jan-Mar;46(1):130-133. doi: 10.4103/ijcm.IJCM_150_20. Epub 2021 Mar 1.
India is in the middle of epidemiological and demographic transitions, with an estimated 63% of the deaths attributed to noncommunicable diseases (NCDs). Primary health centers (PHCs) can deliver a package of services to prevent and control NCDs.
The aim of this sudy is to assess the status of health promotion activities and availability of resources for screening and the treatment of NCDs in PHCs of Dakshina Kannada district, Karnataka.
A cross-sectional facility-based assessment of all the 65 functioning PHCs (2016-2017) was conducted for the status of health promotion activities, and availability of resources using a checklist evolved from the World Health Organization Package of Essential NCD Interventions framework and Indian Public Health Standards.
Forty-eight (74%) PHCs had displayed materials on the intake of healthy foods and avoiding junk food. Warning signs of cancer were displayed at 43 (66%) PHCs. The availability of drugs for the management of hypertension (Atenolol and Amlodepine) and diabetes mellitus (Metformin) were seen in all the PHCs. Insulin was available in 64 (98%) PHCs. Sorbitrate and Nifedefine were found in 11 (17%) and 7 (11%) PHCs. More than a quarter of the PHCs were not having the medical officer and other health-care professionals to manage NCDs.
Preparedness of the PHCs in the health promotion domain was good. The availability of human resources, laboratory support and emergency drugs for the management of NCDs needs improvement.
印度正处于流行病学和人口结构转型之中，估计63%的死亡归因于非传染性疾病（NCDs）。初级卫生保健中心（PHCs）可以提供一系列预防和控制非传染性疾病的服务。
本研究的目的是评估卡纳塔克邦达卡希纳坎纳达地区初级卫生保健中心在促进健康活动方面的状况以及用于非传染性疾病筛查和治疗的资源可用性。
对所有65个正常运作的初级卫生保健中心（2016 - 2017年）进行基于机构的横断面评估，以了解促进健康活动的状况以及使用从世界卫生组织基本非传染性疾病干预措施框架和印度公共卫生标准演变而来的清单评估资源可用性。
48个（74%）初级卫生保健中心展示了关于健康饮食摄入和避免垃圾食品的资料。43个（66%）初级卫生保健中心展示了癌症警示标志。所有初级卫生保健中心都有用于治疗高血压（阿替洛尔和氨氯地平）和糖尿病（二甲双胍）的药物。64个（98%）初级卫生保健中心有胰岛素。11个（17%）初级卫生保健中心有硝酸异山梨酯，7个（11%）初级卫生保健中心有硝苯地平。超过四分之一的初级卫生保健中心没有负责管理非传染性疾病的医务人员和其他卫生保健专业人员。
初级卫生保健中心在健康促进领域的准备情况良好。在管理非传染性疾病方面，人力资源、实验室支持和急救药物的可用性需要改进。
