Last Updated:  12/08/2020

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Project Pitch By: People to People Health Foundation

 

Proposed Project Title


Accelerated Action to Combat NCDs

 

Thematic Area

Eradicating hunger, poverty and malnutrition, promoting health care, sanitation & safe drinking water

Sub Thematic Area

Hospital infrastructure, medical camps, surgeries, healthcare awareness & rehabilitation

Project Synopsis

Project will be implemented in one block of one aspirational district in the chosen State. The program focus is to work collaboratively with the State Government to improve service delivery to families for improved NCDs related healthy practices. Under the proposed intervention, PPHF will engage with government health team and other stakeholders in improving the service delivery and bridging the program implementation gaps. The focus will be on building the capacity of key government staff to implement the National Program on NCDs. The key strategic approaches are: 1) promote communications, social and behavioral change through interpersonal communication and community mobilization, 2) enhance systems and capacity for treatment and management of complications at NCD clinics (only referral to tertiary care), 3) create an enabling environment for improved partnership, 4) expand learning for planning, management and scaling NCD interventions and 5) conduct evidence-based advocacy for improved NCD services and coverage.
 
 
 

Overview of the Proposed Project

Estimated Budget
INR 1.0 Cr - INR 5.0 Cr
Proposed Location
1 block of aspirational dist.

Key Project Partners
Government,NGOs,Companies

Project Status
Proposed
 

Facts

Beneficiary Type (Primary): Urban, rural and tribal population between the age group 30 to 65 yrs
Beneficiary Type (Secondary): Children
Estimated No. of Beneficiaries: above 10000 Individuals
Status of Baseline Survey: Yet To Be Done
 
 
 

Proposed Project Description

Context:

The growth of NCDs impacts not just in the urban and economically well-off population, but also the underprivileged. In fact, the Indian rural population and urban poor tend to ignore the disease due to poor access to healthcare, high cost of treatment, social stigma, and low awareness. In India, the lack of trained health care workers, primary care providers armed with inadequate knowledge and skills, along with less role clarity providing care to people have been key hurdles in combating the growing burden of NCDs. Government of India has been implementing NCD programs for prevention and management of NCDs. However, there are many operational challenges to implement these guidelines. 


Goal:

Contribute to the national goal of reducing mortality from NCDs (Diabetes, Hypertension and Common cancers)


Objectives:

  1. To increase healthy behaviors and lifestyle changes to prevent and control common NCDs
  2. To improve health systems for the prevention, early diagnosis, referral, treatment, and management of common NCDs
  3. To build capacity (technical training and management) of the health providers


Expected Outcomes:

  1. Increased capacity of health providers on technical, program and management of NCDs
  2. Improved referral systems from community to facility level
  3. Increased knowledge and practices among health workers about NCDs
  4. Improved knowledge about NCDs in the community


Project Strategy Framework:



Technical Interventions:

1) Situational Analysis: We will conduct an assessment on the context in which the health system is operating and the status of NCD program in the program area. We will understand the NCD-related health problems faced by the target audience and the key factors that contribute to these problems. Based on the assessment, the program’s interventions and activities may be modified to align with the key findings. 


2) Social and Behavioural Change for lifestyle modifications: We will develop a behaviour change communication strategy for different segments of the population, including providers. Health promotion and risk reduction actions under this area aim to promote the development of population-wide interventions to reduce exposure to key risk factors through local media, mid-media, and community mobilization activities. 


3) Enhance systems and capacity for delivery of quality NCD services: Actions under this area aim to strengthen health systems, particularly the primary health care system. Full implementation of actions in this area will lead to improve access to health-care services, increase competence of primary health care workers, referral mechanism, and empowerment of communities and individuals for self-care and treatment adherence. We will work with the health system to build their capacity on the following:

  • Active Screening: The project will implement a community awareness call to action drive to encourage people for screening on diabetes, hypertension, and cancers. The frontline health workers will be trained on the basics of high-risk screening. They will be empowered to assist with follow up visits of at-risk families and sensitize community on the importance of NCD prevention and health promotion activities. They will also provide information on regular screening campaigns and importance of annual screening. We will be assisting the government in implementation of screening activities at H&W centres for a total of 200 screening days.
  • Home Visits: Engaging ASHAs to identify NCDs potentials in the family during their home visits and refer for screening.
  • Training: 100 MOs and 300 paramedical staff will be trained on NCDs with a focus on active screening, counseling, management, and timely referral.
  • Referral: We will work with health system to strengthen the referral chain from the community to the facility level. Early identification and timely referral of complications to the appropriate facility will be emphasized for better care and management.
  • Treatment: We will work with the MoH to improve the functions of the NCD clinics. We will work with health system to facilitate and streamline packages of services to be made available at different levels.
  • Use of IEC Materials: PPHF will review and identify gaps in existing NCD materials produced by the Government and others for frontline workers. Then with Government consultation, PPHF will develop prototypes of additional/improved materials for use and will identify the best opportunities within the Government system to improve health worker skills by using these materials.


4) Establish a Technical Advocacy Group (TAG): We will establish a Technical Advocacy Group (TAG) to provide integrated and comprehensive technical advice for program. In doing so, the TAG will advise on technical, strategic policy and programme issues and provide directions on an ongoing basis. A detailed term of reference will be developed.


5) Innovations: We will constantly be looking for new innovative approaches that can be tested and implemented to improve effectiveness and advance state-of-the-art NCD interventions, such as the Positive Deviance approach, ICT based interventions, etc.  


6) Documentation and Results Dissemination: We will place great emphasis on the documentation of the project processes and lessons learned. The major outcomes of this intervention will be shared with the larger world. The process documentation undertaken throughout the project period will bring out success stories, major hurdles, and strategies to overcome challenges. 


7) Monitoring & Evaluation: PPHF’s approach to M&E is participatory, evidence-based, and results-orientated. PPHF has an integrated Program Design and Quarterly Reporting system that begins in the planning stage and tracks indicators and results throughout the duration of the program. There would be an end-line assessment conducted for this project.


Project Area:

PPHF proposes to implement the program in one block of an aspirational district of the chosen State in India. PPHF will work closely with local authorities to ensure success of the program.


Sustainability Action:

We will work with the health system to achieve at- scale impact to positively change NCD indicators. We will work at the state and district level to raise awareness and advocate for better policies and programs and an increased, appropriate budget to improve NCD prevalence.

 
 

Salient Features

  1. Use existing systems, structure, and materials to the maximum extent possible, rather than creating new ones
  2. Provision of strategic technical support, not actual service delivery or implementation
  3. Establish a Technical Advocacy Group (TAG) to provide technical direction and policy engagement
 

About People to People Health Foundation

PPHF, formerly known as Project HOPE India, a global health non -profit organization, works towards transforming lives for improved health and wellbeing through locally- driven solutions. It has worked in about 12 states of India to build the skills of health care providers, strengthen management capacity, help create sustainable systems to improve access to quality health services. PPHF work closely with communities and key actors on sustainable solutions for public health challenges :1) Non-Communicable Diseases;2) Women, Adolescent and Child health;3) Nutrition; 4) Infectious diseases and; 5) Environmental Health. We focus on building public health capacity and community actions for better health outcomes. We work collaboratively with stakeholders, leveraging partnerships and influencing policies and practices. Drawing on our experiences and recognizing the unique needs of each region in India, PPHF works in partnership with key stakeholders to design and deliver targeted responses. All of our programs integrate innovative, evidence-based interventions in three key areas: 1)Building the skills of health care workers and the capacity of the local health care system; 2)Improving access to quality services; and 3) Establishing and expanding community support systems.

 
 

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