Themes derived for coding | Definitions |
---|---|
Case finding | Passive screening for NCDs of patients presenting to local health facilities |
Modify risk factors | Everyone seen in primary care should be assessed for common risk factors such as smoking, alcohol, obesity and counseled in lifestyle modifications |
Standardized treatment | Algorithm protocol for which medications and dose for DM, asthma, COPD or HTN |
Standardized diagnosis | Algorithm outlining protocol for making a diagnosis of DM, asthma, COPD or HTN |
Standardized referral pathway | Algorithm with protocol for when to refer a patient needing more complex management to secondary or tertiary care |
Standardized follow-up appointments | Guidelines outlining when patients should return for follow-up appointment, ensuring that pre-booked appointments are available at the clinic |
Adherence support | Some form of support to patients for adherence to medication and follow up appointments at the clinic (i.e. text message reminder) |
Task-shifting/Multidisciplinary clinic | NPC to have the primary role in screening, preventing and managing NCDs |
Training of staff | Curriculum to train the health care staff delivering care for NCDs management |
Decentralized care | Primary care clinics should be available and accessible to patients living in rural areas |
Essential medicines | Consistent supply and access to medicines needed to treat NCDs, primarily drugs outlined in treatment algorithm so that treatment is not interrupted |
Essential diagnostics | Essential equipment needed to follow diagnostic protocol for screening and follow-up of NCDs |
Systematic monitoring and evaluation | Efficient system for data collection of NCDs (of key indicators such as number died, lost to follow-up, stopped treatment or referral) |