Comprehensive Approach for Strengthening NCD Services through Health and Wellness Centres (Odisha)

Problem Statement

State Level Disease Burden Initiative (ICMR 2017) indicate that noncommunicable diseases (NCDs) increased from 30% to 55% and deaths caused due to NCD shave increased from 38% to 62% between 1996 to 2017 in Odisha.

Keeping this in view Odisha Government initiated universal screening of NCD services in July 2018.

Programme Description

An NCD campaign was carried out during the month of March 2019 to ensure that all eligible individuals are screened for NCDs. The campaign was implemented at all primary level facilities of seven Population Based Screening (PBS) districts.

Each facility which served as the focal point for screening with an average daily target of 120 cases, all villages under each facility were allocated to 5 fixed camp days, wherein individuals were mobilized on the respective days for screening. The last two camp days were dedicated to mop up rounds.

Public announcements were made at the beginning of the campaign while InterPersonal Communication was strengthened through ASHAs. Banners and large displays were displayed at health facilities. During the campaign, ASHAs undertook home visits to complete population enumeration, completion of CBAC formats and mobilization of 30+ individuals for screening during the assigned 8 days.

All service providers in the facility were engaged in NCD screening. In the non-PBS districts, the MPW-F (regular and contractual) from nearby SHCs/health facilities were mobilized to the camp venue. The data entry in the NCD application was ensured on a daily basis by incentivizing MPW-F. Monitoring mechanism was formed at each level for supportive supervision. State-level monitoring teams were assigned districts to monitor screening and data updation activities.

Programme Outcomes

By the end of the financial year, 34.9 lakh 30-plus population (22% of eligible) was screened out of which (17.6 lakh) were done in the NCD application.

Scalability

The model is easily scalable.

Implementation Partners

State NHM, Odisha, Tata Trust and USAID-MCSP/JHPEIGO

Financial Implications

NHM PIP

Source : We Care Coffee Table Book - Good, Replicable and Innovative Practices 2019