Publication:

Health facility assessment on the readiness to provide basic health-care interventions for management of non-communicable diseases based on the World Health Organization-package of essential non-communicable disease intervention in Manipur

Background As disease pattern of the world is transitioning from communicable to non-communicable diseases (NCD), it is pertinent to study how ready the health facilities are to handle this changing burden. This study was done to assess the readiness of government health facilities in Manipur to provide essential NCD intervention as per the WHO-PEN guidelines.

Methods A cross-sectional study was conducted across government health facilities in Manipur during 2022 to 2025. The DHs and CHCs were selected by universal sampling while PHCs were selected by Simple random sampling method. The facilities were assessed using a structured checklist adapted from the WHO-PEN facility assessment consisting of nine domains.

Results A total of 53 health facilities were assessed covering 35 from valley and 18 from hill districts out of which 62% were PHCs. All three types of facilities were prepared in the domains of patient care services, human resources/staff, and outreach activities as the scores in these domains are above the cutoff of 70%. In the records and reports, monitoring and evaluation, and referral systems domains, PHCs and CHCs were not prepared, but only DHs were. All the three categories of facilities were not prepared in the crucial areas of medications, technologies, and tools.

Conclusions The study concluded that PHCs were not ready to manage NCDs while CHCs and DHs were ready.