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Table 1 Availability (%) of essential medicines and technologies for major NCDs at primary care facilities

From: Preparedness of primary and secondary health facilities in India to address major noncommunicable diseases: results of a National Noncommunicable Disease Monitoring Survey (NNMS)

Disease

Items & Definition

Public Primary

Private Primary

Urban

N = 257

Rural

N = 280

Total

N = 537

Urban

N = 277

Rural

N = 235

Total

N = 512

Availability (95% CI)

Diabetes mellitus

Medicine - Available medicines for Diabetes are Metformin and Insulin.

21.0 (16.4–26.4)

20.4 (16.0–25.5)

20.7 (17.4–24.3)

62.1 (56.2–67.6)

57.0 (50.6–63.2)

59.8 (55.4–63.9)

Technologies - At least one of each technology related to Diabetes, including glucometer, glucostrips and urine strips, should be available at the facility.

47.5 (41.4–53.6)

52.9 (47.0–58.7)

50.3 (46.0–54.5)

87.4 (82.9–90.8)

79.6 (73.9–84.3)

83.8 (80.3–86.7)

Both Medicines & Technologies as defined above

10.9 (7.6–15.3)

14.3 (10.6–18.9)

12.7 (10.1–15.8)

59.6 (53.7–65.2)

51.9 (45.5–58.3)

56.1 (51.7–60.3)

Cardio-vascular diseases

Medicine - Available medicines for Hypertension and CVDs are Aspirin, at least one ‘long acting calcium channel blocker, ACE inhibitor, or diuretic’ and at least one statin.

37.4 (31.6–43.5)

24.6 (19.9–30.0)

30.7 (27.0–34.8)

46.2 (40.4–52.1)

40.4 (34.3–46.8)

43.6 (39.3–47.9)

Technologies - At least one of each technology related to Hypertension and CVDs, including BP apparatus, weighing scale and height scale, stethoscope, should be available at the facility.

67.7 (61.7–73.2)

60.0 (54.1–65.6)

63.7 (59.5–67.9)

14.8 (11.1–19.5)

12.3 (8.7–17.2)

13.7 (11.0–16.9)

Both Medicines & Technologies as defined above

32.7 (27.2–38.7)

19.3 (15.1–24.3)

25.7 (22.2–29.6)

10.1 (7.1–14.3)

7.7 (4.9–11.8)

9.0 (6.8–11.8)

Chronic Respiratory Diseases

Medicine - Available medicines for COPD are at least one Bronchodilator and a steroid inhalant.

15.6 (11.6–20.5)

13.9 (10.3–18.5)

14.7 (12.0–18.0)

59.9 (54.0–65.6)

52.8 (46.4–59.1)

56.6 (52.3–60.9)

Technologies - At least one ‘Stethoscope’, should be available at the facility for COPD.

99.2 (96.9–99.8)

99.3 (97.2–99.8)

99.3 (98.0–99.7)

90.3 (86.1–93.2)

87.2 (82.3–90.9)

88.9 (85.8–91.3)

Both Medicines & Technologies as defined above

15.6 (11.6–20.5)

13.9 (10.3–18.5)

14.7 (12.0–18.0)

57.0 (51.1–62.8)

51.5 (45.1–57.8)

54.5 (50.1–58.8)

All above NCDs

Medicine - See above for disease-specific definitions

4.3 (2.4–7.6)

2.1 (1.0–4.7)

3.2 (2.0–5.0)

42.6 (36.9–48.5)

33.2 (27.4–39.5)

38.3 (34.2–42.6)

Technologies - See above for disease-specific definitions

38.1 (32.4–44.2)

38.2 (32.7–44.1)

38.2 (34.1–42.4)

14.8 (11.1–19.5)

11.5 (8.0–16.3)

13.3 (10.6–16.5)

Both Medicines & Technologies

Both as defined above

2.3 (1.0–5.1)

1.1 (0.3–3.3)

1.7 (0.9–3.2)

9.0 (6.2–13.0)

6.8 (4.2–10.8)

8.0 (5.9–10.7)