Table 5.
Service provision for NCD patients and perceived challenges to adequately manage them: perspectives from providers and scheme managers
| Providers | Scheme managers | |||
|---|---|---|---|---|
| N = 27 | N = 17 | |||
| N | % | N | % | |
| What services do you provide for NCD patients? | ||||
| Screening | 22 | 81 | 10 | 59 |
| Diagnostic | 16 | 59 | 9 | 53 |
| Treatment | 18 | 67 | 10 | 59 |
| Follow-up | 16 | 59 | 9 | 53 |
| Management of more complicated cases | 8 | 30 | 2 | 12 |
| Referral of complications | 25 | 93 | 8 | 47 |
| Incentives to stay within the program, | 2 | 7 | 2 | 12 |
| Counselling, lifestyle changes, peer support | 8 | 30 | 9 | 53 |
| Primary prevention of diabetes and hypertension | 0 | 0 | 1 | 6 |
| What are the challenges to adequately manage NCD patients? | ||||
| Medicine availability | 18 | 67 | 15 | 88 |
| Diagnostic tests/screening | 10 | 37 | 7 | 41 |
| Follow-up | 9 | 33 | 6 | 35 |
| Management of more complicated cases | 7 | 26 | 2 | 12 |
| Referral of complications | 4 | 15 | 5 | 29 |
| Incentives to stay within the program | 1 | 4 | 2 | 12 |
| Counselling, lifestyle changes, peer support | 6 | 22 | 6 | 35 |
| Population awareness | 8 | 30 | 5 | 29 |
| Late diagnosis (advances stage) | 4 | 15 | 2 | 12 |
| Establishment of permanent health facility for patients with CNCD | 0 | 0 | 1 | 6 |
| Need specialized medical staff to treat patients with diabetes | 7 | 26 | 3 | 18 |
| Sufficient medical devices | 4 | 15 | 3 | 18 |