Core services and Model of Care

• Establishment of a patient-centered approach
• Core benefit package of NCD intervention integrated into PHC
• At PHC facility level is sore throat/ streptococcal suspicion
• At PHC, secondary prevention of RF and RHD is implemented by registering patients on regular prophylactic penicillin.
• The formal efficient process exists at the PHC level for referral of NCD patients for other levels of management

Facility Organization and Management

• Existence of evidence-based national guidelines for screening and management of non-communicable diseases
• % of PHC facilities that utilize the evidence-based national guidelines/ protocols/ standards available for the management of each of the four main NCDs
• In-facility, patient care pathways for tracer conditions for NCDs at the PHC level

Systems for improving quality of care

• Existence of regular training and coaching mechanisms for HW for NCD management
• Existence of quality improvement systems for detection and management of NCD at the facility
• Conducting regular assessments to evaluate adherence to clinical standards/guidelines for NCDs for primary care tracer services