Table 1 Intervention components
Healthcare facility level | I-TREC components | Available Staff | Tasks and functions |
|---|---|---|---|
Level 1: Village Sub-Centre | eCRF | ANM | Universal screening of hypertension and diabetes for adults ages ≥ 30 y in the community Enrol community members into the NCD portal Adults with blood pressure  ≥ 140/90 or random blood glucose ≥140 mg/dl referred to medical officer at nearest facility (level 2) for confirmation and initiation of treatment |
Level 2: Primary Health Centre | eCRF+CDSS | SN, MO | Confirmatory diagnosis of hypertension and diabetes of suspected cases referred from sub-centre Routine management of adults with stable hypertension and diabetes Generate and update eCRF Use CDSS to develop treatment plan and determine need for up-referral |
Level 3: Community Health Centre | eCRF+CDSS | SN, MO | Run dedicated NCD clinics Routine management of adults with stable hypertension and diabetes Generate and update eCRF Use CDSS to develop treatment plan and determine need for up- or down-referral |
Level 4: District Hospital | eCRF+CDSS | SN, MO | Secondary care available for all health conditions and complications Management of medically complex patients with hypertension and diabetes Generate and update eCRF Use CDSS to develop treatment plan and determine need for up- or down-referral |