Dr. D. Sridhar

Post graduate

Department of community medicine

MGMCRI

Manpower for providing service for NCD patients in PHC

Medical officer

Health assistant

NCD staff Lab-technician

Auxiliary nurse

midwifery

Pharmacist

Role of NCD clinic in PHC1. Conduct opportunistic screening

2. Laboratory Investigations for Blood sugar, Blood cholesterol etc.

3.Diagnose and treat Diabetes and Hypertension.

4. Provide Health education to the patients and general public.

5. Refer the complicated cases to district hospital

Role of Medical officer in PHC1 .To conduct comprehensive examination for diagnosis

and management of the NCD cases

2. To rule out complications or advanced stage

3. To refer complicated cases to higher care facility

4. To provide follow up care to the patients

5. Overall supervision of NCD Unit

6. Assist in training of health personnel

Role of NCD Staff Nurses1 .To conduct screening of Diabetes, Hypertension and

common Cancers

2. To assist the Physician during the examination of patients, BP measurement

3. To explain the patient and family about risk factors of NCDs and promote Healthy Lifestyle

4. To assist in follow up care

Roles of ANM, HA , OA AXILIARY NURSE MIDWIFERY

Counseling , referral to primary health , maintenance of NCD registers.

HEALTH ASSISTANT

To provide counseling on diet and life style management.

To assist in follow up care and referral.

OPHTHALMIC ASSISTANT

To asses the refractive error and diminution of any vision

IEC/BCC Increased intake of healthy foods

Salt reduction

Increased physical activity/regular exercise

Avoidance of tobacco and alcohol

Reduction of obesity Stress management.

Awareness about warning signs of cancer etc.

Regular health check-up

Things needed

Investigations availableHb%TC,DCurine routine Random blood sugarFasting blood sugarPostprandial blood sugar

ECGUSGX-RAY

Drugs AvailableFollowing drugs are provided for 15 days

Diabetes - Metformin hydrochloride 500mg

Daonil (Glibenclamide) 5mg

Hypertension- Amlodipine 2.5/5mg

Atenolol 50mg

Enalapril 2.5/5mg

Cva /Stroke - Aspirin 10mg

Clopidogrel 75mg

Atorvastatin 75mg

Summary of activities in PHC A. Screening

B. Prevention and health promotion

C. Lab. investigations and Diagnostics

D. Diagnosis and Management

E. Referral

F. Data recording and reporting

G. Human Resources for CHC NCD services