Political Commitment and leadership adjustment to the population need

• (Operational) National multisectoral commission, agency, or mechanism to oversee NCD engagement, policy coherence, and accountability of sectors beyond health.
• A unit/branch/department in the ministry of health or equivalent with responsibility for NCDs and their risk factors
• At least one full-time technical or professional staff member dedicated to NCDs in a unit, branch, or department

Governance and Policy Frameworks

• Operational integrated multisectoral plan that includes integration of specific NCDs into PHC
• Establishment of a national mechanism to develop clinical guidelines and protocols for prevention and management of NCDs, based on evidence and WHO recommendations

Health Information

• Presence of a PHC facility-based patient record system which includes NCD status
• Existence of a facility-level information system that includes CVD risk assessment, Diabetes, and Hypertension care
• Presence of regular national adult NCD risk factor surveillance, conducting assessments every 3 to 5 years (STEPS or other)
• Existence of a PHC facility-level register for patients with RF/RHD
• Are the NCDs among the national list of notifiable diseases?
• Percentage of facilities that provide the % of HTN
• Percentage of facilities that provide the % of diabetic patients
• Percentage of facilities that provide the % of cancer patients
• Percentage of facilities that provide the % of patients with chronic respiratory diseases
• % of NCD patients with regular follow-ups
• Estimation of populations at risk identified through surveys
• Register of NCD complications exist at PHC facility level
• Assessment of availability and affordability of NCD medicines in the Public/Private sector

Health Financing

• % of Expenditure on Specific NCDs (CVDs, DM, COPD, and Cancers)
• % of out of pocket expenditure on NCDs
• Funding sources for NCDs
• Are NCD interventions integrated into the benefits package of PHC

Health Workforce

• The density of HWF for NCDs
• Existence of guidance on distribution of staff responsibility and/or task shifting for the management of NCDs at the primary health care level
• Existence of mechanism for continuing NCD-related professional development training for primary health care workers in the public and private sectors

Medicines and Health Products

• The essential list of Medicines for NCDs at the PHC level
• list of Essential NCD technologies including standard priority diagnostics and equipment
• % of PHC facilities with NCD EML correlated to a package of services delivered in PHC
• % PHC facilities with a list of Essential NCD technologies including standard priority diagnostics and equipment
• % of PHC facilities with functional essential technologies for early detection, diagnosis, and monitoring of NCDs are available (the public and private health sector)
• availability and affordability of NCD medicines in the public/private sector