Improving access to quality NCD care in Bengaluru
Urban Health Action Research Project (UHARP) team has been working in KG Halli since 2009 with the aim to improve access to quality health care for the residents of KG Halli by working with the community, public and private health providers and the higher authority. The team started working in the area by conducting a census in ward no 30, KG Halli, to understand the socio-demographic and economic status of the community as well as the illness profile, health seeking behaviour of patients in the area. After completing the survey of 9,299 house holds, four women were trained to work in the area as community health assistants. Also team coordinated few rounds of meeting with providers in the area to explore options of collaboration for referral and improve quality of care and reduce cost of care.
Since 2013, considering the learning’s till then, the UHARP currently focuses on non communicable diseases (NCD) with the aim of improving access to quality diabetes and Hypertension care for the residents of ward 30, KG Halli, Bengaluru. Major activities are creating awareness in the community about management of illness, strengthening public health centre, introducing patient retained medical record and coordinating to make low cost quality medicines available in the area to reduce cost of care and improve adherence to medications.
The study is of six years duration. It commenced in 2009 and will continue until 2016.
To improve access to quality non communicable disease care for the residents of ward 30, Kadugondanahalli (KG Halli), Bengaluru.
- To improve affordability and adherence to common chronic conditions by facilitating provision of low cost and rational facility based primary care service
- To promote chronic disease management through promotive, preventive and curative care
- To strengthen the community health centre services availability by provision of training and motivational visits
- To promote use of patient retained health card and strengthen referral system
Action Research conducted in Kadugondanahalli, Bengaluru.
Baseline census of ward number 30, KG Halli was conducted between 2009-2010, using structured questionnaire to capture socio demographic details, illness profile, health seeking behaviour and cost of care. Following that midline survey was conducted using the same structured questionnaire in 2013 to compare the difference over three period and end line survey will be conducted in 2016 to assess the impact of intervention and compare the data over six years.
Data about awareness about diabetes and hypertension, generic medicine and other information will be collected using structured questionnaire with few open ended questions by community health assistants during home visits. The retained medical record booklet has been given to the individuals reported to behaving diabetes or hypertension or both as part of the project activity. A qualitative study will be conducted to understand the effectiveness of this initiative.
Duration of project
2009 – 2016
Dr Thriveni BS
Community Health Assistant
Dr Mrunalini G
Community Health Assistant
Community Health Assistant
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