Assessment of National Program for Prevention and Control of Cancer, Diabetes, CVD and Stroke (NPCDCS)

Abstract

Introduction: Non-communicable diseases (NCDs) are increasing in trend and associated with modifiable risk factors and subsequently reducing physical activity; hence the Government of India (GOI) has launched a National Programme for Prevention and Control of Cancers, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) in 2010 to curb increasing prevalence. The present study was planned for assessment of the activities conducted under NPCDCS in rural Jaipur. Methods and Material: This observational study was conducted in rural Jaipur. NPCDCS reports, status of logistics and manpower were assessed for 1 year. Field level cross-checking survey was done to assess the gap between the actual screening work done and the work reported. All staffs were assessed for the level of awareness regarding NCDs as well as NPCDCS programs. Data were entered and analysed in Microsoft excel. Result: Around 48% (6674/13917) of persons >30 years were screened during 1 year study period. Around 51.5% of the screened persons had one or more NCDs (13.5% newly screened NCDs cases and 38% were prediagnosed of NCD cases). Status reports that 10 (83.33%) out of the total 12 expected reports were sent regularly on a monthly basis. Reason for not sending reports was a sudden lockdown due to COVID-19. Conclusion: The study concludes that the implementation of NPCDCS program activities is not in synch with the health staff awareness level. IEC activities were deficient and no work was done for adoption of behavioural change and healthy lifestyle. Actual cases of hypertension were more while cases of diabetes were less than the reported cases found on cross-check survey.

A Review on Case Burden of Diabetes Mellitus Before and After the Implementation of National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke

“…A comprehensive assessment of the NPCDCS's performance for 2019-20 was carried out in a specific study conducted in Jaipur, Rajasthan. This descriptive observational study was conducted at a community health center and involved on-the-ground screening activities in evaluating the program's impact [ 27 ]. This field-level cross-checking aimed to identify any disparities or gaps between the reported and actual screening activities.…”

Community cancer screening at primary care level in Northern India: determinants and policy implications for cancer prevention

“…They also reported a lack of cervical cancer screening in the study area. 11 Thus, by far, programme-based cancer screening is lacking, and there is a delay in reporting by the patients to the healthcare system even after symptom development due to a lack of cancer awareness. The communitybased camps supported by various stakeholders can help bridge the gap.…”

Medication adherence and environmental barriers to self-care practice among people with diabetes: A cross-sectional study in a lifestyle clinic in eastern India

“…However, contemporary evidence suggests that the program is nascent and requires substantial improvement in lifestyle modification delivery. 11 , 12 Hence, baseline information is needed to support lifestyle modification among people with diabetes. Evidence is lacking in the eastern region of India.…”