RE-AIM domain | Key indicators |
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Reach | Proportion of adults ages 30 and older in the community screened for hypertension by a government healthcare provider |
Proportion of adults ages 30 and older in the community screened for diabetes by a government healthcare provider | |
Number of patients seeking care for hypertension and diabetes at a government health facility who have an eCRF | |
Effectiveness | Reduction in mean blood pressure in patients receiving care in program facilities |
Reduction in mean blood glucose in patients receiving care in program facilities | |
Proportion who achieve blood pressure and blood glucose control among patients receiving care in program facilities | |
Proportion who achieve blood glucose control among patients receiving care in program facilities | |
Reduction in mean blood pressure in the community | |
Reduction in mean blood glucose in the community | |
Proportion of hypertension patients who achieve blood pressure control in the community | |
Proportion of diabetes patients who achieve blood glucose control in the community | |
Adoption | Proportion of healthcare providers (by type) who log into the NCD portal |
Proportion of clinicians who fully or partially accept CDSS prompts | |
Proportion of healthcare providers (by type) who report satisfaction with the eCRF+CDSS | |
Implementation | Percentage of hypertension patients who received guideline-based care through the eCRF+CDSS (of all registered patients with hypertension) |
Percentage of diabetes patients who received guideline-based care through the eCRF+CDSS (of all registered patients with diabetes) | |
Percentage of hypertension patients who made repeat visits to health facility | |
Percentage of diabetes patients who made repeat visits to health facility | |
Percentage of “up-referral” cases who attend appointments | |
Percentage of patients who were seen at a higher level facility that returned to the Sub-Centre for ongoing management (“closing the referral loop” and ensuring continuity of care) | |
Percentage of patients tracked with multiple visits over the course of the program | |
Mean time for data upload from each level of facility to central server | |
Maintenance | Views of program sustainability and barriers to sustaining and disseminating the program (qualitative) |