BACKGROUND: Government of India has launched National Program for Prevention _ Control of @entity5 , @entity6 , @entity65 and @entity64 (NPCDCS) to address high prevalence of @entity166 ( @entity166 ) in India. @entity65 ( @entity65 ) constitute a significant portion of NCD burden. While this program is yet to be launched in all districts of Madhya Pradesh state of India, we performed this study to understand facility-level gaps that need to be addressed to improve CVD services in primary care provided by the public sector. METHODS: This is a cross-sectional questionnaire based study. A standardized questionnaire was self-administered to 85 medical officers from as many primary care facilities from 24 districts of the state. These medical officers were working in two types of primary care facilities - primary health center (PHC) and @entity497 ( @entity497 ). Facilities were assessed for 36 items in 5 domains ( @entity1 -resource, equipment, drug supplies, point-of-care tests and laboratory services) with a focus on management of @entity101 and @entity6 in primary-care. Each item was to be answered as either present or absent at the facility where medical officer was working. We compared availability of an item across two levels of primary care facilities. All statistical analysis were done using Microsoft Excel. RESULTS: Availability of facilities was least in laboratory services, and @entity1 resource domains followed by drugs, and better in equipment and point-of-care supply domains. Across these domains, availability of items in CHCs was (37.1, 49.0, 56.1, 67.9 and 80.9  % respectively) and in PHCs (11.8, 18.2, 44.2, 55.1, and 55.3  % respectively). DISCUSSION: Current facility assessment study shows critical gaps in key items required for management of @entity166 at primary care level. @entity1 resource and laboratory services need to be strengthened the most, followed by sustained availability of all required drug classes, equipment and  related supplies, and upgrading point-of-care testing. There are larger gaps in PHCs, which are level 1 facilities, as compared to CHCs, which are level 2 facilities in primary-care. CONCLUSIONS: Increasing burden of @entity166 like @entity101 and @entity6 necessitates public health response through health systems. Therefore health system preparedness in form of trained @entity1 resources, functional laboratories and well stocked pharmacies are essential in primary care facilities.

Assessment of primary care facilities for XXXX preparedness in Madhya Pradesh, India.

@entity1 :: ('9606', 'Species') :: ['human', 'Human'] @entity64 :: ('MESH:D020521', 'Disease') :: ['Stroke'] @entity101 :: ('MESH:D006973', 'Disease') :: ['hypertension'] @entity6 :: ('MESH:D003920', 'Disease') :: ['Diabetes', 'diabetes mellitus'] @entity5 :: ('MESH:D009369', 'Disease') :: ['Cancer'] @entity497 :: ('MESH:D003147', 'Disease') :: ['community health centers', 'CHC'] @entity166 :: ('MESH:D003141', 'Disease') :: ['NCDs', 'non-communicable diseases'] @entity65 :: ('MESH:D002318', 'Disease') :: ['Cardiovascular Diseases', 'CVDs', 'Cardiovascular diseases']
@entity65 :: (MESH:D002318,Disease) :: ['cardiovascular disease']
