A Community based Non Communicable disease Prevention Intervention among Urban Slum population in Surat city

Background: Non Communicable Diseases have been identified among top ten global threats by WHO. The role of Screening in Ice berg disease is pre-established. In India, Community Based Assessment Checklist is used to identify high-risk people for Non-Communicable Diseases. Methods: A cross sectional study done among 265 participants from households situated in field practice area attached to Government Medical College, Surat. Data was collected using World Health Organization Stepwise approach to surveillance. Results: Out of total participants 83 (31.32%) were classified high risk (CBAC>4) for Non-Communicable Diseases. Mean age of participants was 43.79 + 9.36 years. One-tenth 25 (9.4%) of participants were on treatment. Those classified high risk were significantly associated with age (p<0.05), education (p=0.03), occupation (p<0.01). Predictors for Non-Communicable Diseases identified were smoking (aOR=4.7, p=0.003), alcohol (aOR= 2.3, p<0.001), higher Body Mass Index (aOR= 3.8, p=0.03) and higher waist size (aOR= 4.3, p<0.001). Sensitivity, Specificity of tool and Area under Curve were found to be 73.3%, 75.8% and 0.72 respectively. Conclusion: To prevent and control Non-Communicable Diseases key behavioral risk factors to be targeted include smoking, alcohol, higher Body Mass Index and waist size which could be due to unhealthy diet & absence of exercise.