Experience of Integrated Approach to Expand and Strengthen Disease Care at Primary Healthcare Facilities for Non-communicable Diseases in India

Background: The state of Himachal Pradesh launched Mukhyamantri Nirog Yojna (MNY) in November 2018 as an integrated approach for chronic diseases. It was an addition to existing National Program for prevention and Control of Non-Communicable Diseases (NPNCDs). Objectives: Current study was done to assess the level of implementation of MNY as compared to NPNCDs in one district of the state. Material and Methods: A cross-sectional study was carried out from January to December 2024 where 51 public health care facilities, 132 health care professionals (HCPs), and 2,748 people were assessed for MNY and NPNCD. Results: Health facilities were capacitated with diagnostics and medicines for chronic diseases with lack of specialists. HCPs have better awareness about NPNCD than MNY mainly for hypertension and diabetes along with their common risk factors. Facilities showed better medicine utilization for hypertension, diabetes, and abnormal lipid profile. Community based screening was found to be about 60.0% with better disease awareness among people. Conclusion: Health care facilities and HCPs need to be capacitated to provide care for additional NCDs along with community awareness about additional NCD services available at health facilities.