Box 1.
Packages of services to be made available at different levels under NPCDCS in India
| Health Facility | Packages of services |
|---|---|
| Sub-center | 1. Health promotion for behavior change |
| 2. “Opportunistic” screening using BP measurement and blood glucose by strip method | |
| 3. Referral of suspected cases to CHC | |
| CHC | 1. Prevention and health promotion including counseling |
| 2. Early diagnosis through clinical and laboratory investigations (common lab investigations: blood sugar, lipid profile, ECG, ultrasound, X ray, etc.) | |
| 3. Management of common CVD, diabetes and stroke cases (outpatient and inpatients.) | |
| 4. Home-based care for bed ridden chronic cases | |
| 5. Referral of difficult cases to district hospital/higher health care facility | |
| District hospital | 1. Early diagnosis of diabetes, CVDs, stroke and cancer |
| 2. Investigations: blood sugar, lipid profile, kidney function test (KFT), liver function test (LFT), ECG, ultrasound, X ray, colposcopy, mammography, etc. (if not available, will be outsourced) | |
| 3. Medical management of cases (outpatient, inpatient and intensive care) | |
| 4. Follow-up and care of bed ridden cases | |
| 5. Day care facility | |
| 6. Referral of difficult cases to higher health care facility | |
| 7. Health promotion for behavior change | |
| Tertiary care centre | In addition to the services above, comprehensive cancer care including prevention, early detection, diagnosis, treatment, minimal access surgery, after care, palliative care, rehabilitation |
Abbreviations: CHC, Community Health Centre; CVD, cardiovascular disease; ECG, electrocardiogram; BP, blood pressure; NPCDCS, National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke.