STRENGTHENING PRIMARY HEALTHCARE FOR PREVENTION AND TREATMENT OF NON COMMUNICABLE DISEASES

-Initiatives of ARK Foundation

Rumana Huque, PhDExecutive Director

ABOUT US

We are a partner of UKaid funded Communicable Disease - Health Service Delivery (COMDIS-HSD) research consortium, led by the Nuffield Centre for International Health and Development, University of Leeds, UK.

OBJECTIVES OF ARK’S INITIATIVES

To enhance capacity of service providers for early detection and management of selected NCDs at UpHC and CC

To establish a referral linkage from CC to Upazila Health Complex

To create awareness among population about NCD risk factors

MAJOR ACTIVITIES Development phase:

Skilled-based training material: Desk guide and Job-Aid

Treatment card ACSM materials

Intervention phase: Training provided to CHCPs Training provided to MOs and Nurses Monitoring and supervision

APPROACH

Bringing national and international experts together for planning and developing training materials

TECHNICAL WORKING GROUP MEETING

Materials used for improving services at NCD corners.

Training of CHCPs on Integrated Prevention and Management of Selected Acute and Chronic Illnesses

Doctors training on CVD, June 2015

Equipments distributed to NCD corners to support improved service delivery

ARK’S EXPERIENCE: ACHIEVEMENTS

Increased referral from OPD to NCD Corner

Increased referral from CC On an average 30 NCD (diabetic and

hypertensive) patients recruited per month

Improved record keeping and follow up Discussion on NCD during monthly CHCP

meeting at UpHC

ARK’S EXPERIENCE: CHALLENGES Service providers are not available full

time at NCD corners Limited referral from OPD than expected Limited follow-up mechanism Record keeping for individual patient Drugs are not always available Some laboratory tests are not available

at UpHC No assigned person for counseling Limited referral from CCs than expected Capacity of CHCPs Sustainability!

RECOMMENDATION Orientation of health

educators/counselors Assigning fulltime doctors and health

educators at NCD corners Supply of medicine for hypertensive and

diabetic patients Record keeping and reporting Orient doctors at OPD, and CHCPs for

referral to NCD corners Introduction of treatment cards for

proper follow up.

RECOMMENDATION

Strengthen public awareness activities to promote healthy lifestyle

Integrate NCD in primary/secondary education curriculum

Incorporating NCDs curriculum with primary care focus in pre-service and in-service training

Continue Action research to improve service delivery at primary healthcare level

With Thanks