Table 2 A priori framework with definitions of themes for coding

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)