Table 1. Domains and indicators used for assessing the readiness of primary health care units to manage diabetes and hypertension.
Domain | Indicator | Data collection and description |
---|---|---|
Basic amenities | Sanitation facilities | Observed availability of functioning |
Communication equipment’s | Sanitation facilities | |
Consultation room | Communication equipment’s | |
Water source, power source, emergency transportation and computer with internet | Consultation room Water source, power source, emergency transportation and computer with internet |
|
Staff training and guidelines | Guidelines for the diagnosis and management of DM and HPN | Observed availability of National Standard Treatment hard copy of Guidelines for DM and HPN. |
Staff trained in the diagnosis and management of DM and HPN | Observed availability of at least one trained staff providing | |
DM, HPN services who had completed refresher courses for the diagnosis and management of DM, HPN. | ||
Basic diagnostic equipment | DM: weight scale, height scale and measuring tape and glucometer. | Observed availability of functioning weight scale, height scale and glucometer with test strips and urine dipstick protein and ketone |
HPN: stethoscope and blood pressure (BP) apparatus | Observed availability of functioning digital or manual | |
BP apparatus in the facility | ||
Basic medicines | DM: metformin, glibenclamide and insulin injection. | Observed availability of a first-line regimen that had not expired; metformin (for obese patients), glibenclamide (for non-obese patients) and insulin injection for DM |
HPN: thiazide diuretics, ACE inhibitors, beta blockers and furosemide |
Observed availability of at least one type of thiazide diuretics as a first-line regimen for hypertension atleast one type of (ACE inhibitor+beta blocker furosemide). |