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Table 5 Service provision for NCD patients and perceived challenges to adequately manage them: perspectives from providers and scheme managers

From: Managing non-communicable diseases at health district level in Cambodia: a systems analysis and suggestions for improvement

 

Providers

Scheme managers

N = 27

N = 17

 

N

%

N

%

What services do you provide for NCD patients?

Screening

22

81

10

59

Diagnostic

16

59

9

53

Treatment

18

67

10

59

Follow-up

16

59

9

53

Management of more complicated cases

8

30

2

12

Referral of complications

25

93

8

47

Incentives to stay within the program,

2

7

2

12

Counselling, lifestyle changes, peer support

8

30

9

53

Primary prevention of diabetes and hypertension

0

0

1

6

What are the challenges to adequately manage NCD patients?

Medicine availability

18

67

15

88

Diagnostic tests/screening

10

37

7

41

Follow-up

9

33

6

35

Management of more complicated cases

7

26

2

12

Referral of complications

4

15

5

29

Incentives to stay within the program

1

4

2

12

Counselling, lifestyle changes, peer support

6

22

6

35

Population awareness

8

30

5

29

Late diagnosis (advances stage)

4

15

2

12

Establishment of permanent health facility for patients with CNCD

0

0

1

6

Need specialized medical staff to treat patients with diabetes

7

26

3

18

Sufficient medical devices

4

15

3

18