Management of hypertension and diabetes at primary care and improving access to medicines

The Institute of Public Health, Bengaluru supported by WHO alliance for health policy and systems research in partnership with Karnataka State Health System Resource Centre and in coordination with the Department of Health & Family Welfare, Tumkur organised a one day “Training” for medical officers in the intervention PHCs(26) in the study talukas in Tumkur district on 13th of May 2014. The training was conducted in the Hotel Naveen Regency, Tumkur.

This is a first of it’s kind training in the district on organising and managing NCD care and on improving access to medicines at primary health center level.

Objectives:

To build capacity of practicing medical officers on organizing and managing NCD care and improving access to medicines situation at primary health center level.

Accreditation:

This training was accredited two CME(Continuing Medical Education) credit points for each participants from KMC (Karnataka Medical Council). Dr. Krishna. M. C was the KMC observer for this training.

Organised By

Institute of Public Health, Bengaluru

Alliance for Health Policy and Systems Research

Inauguration session

Dr. Channamallaiah, then District Health(and Family Welfare) Officer, Tumkur, inaugurated the training programme by lightening the lamps and released the ATM training manual for medical officers. He spoke about importance of NCD care at primary level and responsibilities of primary health care providers in this. He said that NCD now become a global epidemic in real sense but management of it is still neglected in many health settings especially in India and lots of priorities had shifted to maternal health and child health. Dr N Devadasan, Director, IPH, Bangalore addressed the audience with the welcome speech and stressed how different countries including India has focused of late on importance of NCD prevention and management especially at primary care level. Dr.Purushottam (DSO) provided statistics of rising NCD socio-economic burden globally and for India and urged for requirement of life style change counselling to keep these burden under control.

Participants

Around 35 doctors that includes district programme managers and 21 PHC medical officers from three talukas of Tumkur attended this training as participants.

Sessions in the training ranged from topics like NCD burden in Tumkur (and in Karnataka), findings from ATM study in Tumkur to standard treatment guidelines for management of diabetes and hypertension at primary care. So we used both mix of public health management and clinical management of diabetes and hypertension at primary health centers. A session on public health aspects of diabetes and hypertension in primary care were taken by Dr. Giridhari Babu from IIPH, Bangalore. He covered again the epidemiological spread of diabetes and hypertension in India and Karnataka and the socio-economic burden of disease. The session on clinical management of diabetes and hypertension in primary care was taken by Dr. Thriveni from IPH, Bangalore. She largely focused on the standard treatment guidelines from the state on management of diabetes and hypertension particularly based on patients coming to a primary health care settings. Then in afternoon, Dr. Prashanth from IPH took the session on types of intervention (health service optimization and community platform strengthening) in improving NCD care at PHCs under access to medicines study. He also facilitated an interactive group work among participants discussing action plans for improving access to medicines at PHCs for NCD patients.

 
PHC medical officer 2014-ATMDr. Channamallaiah, then District Health(and Family Welfare) Officer, Tumkur, Dr. Purushottam T N, District NCD officer, Tumkur, Dr. Krishna M.C., CME observer from Karnataka Medical Council, and Dr. N Devadasn, Director, Institute of Public Health, Bengaluru releasing the ATM Training Manual for PHC medical officers.