Non-communicable diseases (NCDs) commonly occurring amongst the people of 35 years and above, require a large quantum of health and social care, irrespective of socio-economic status. Most NCDs are chronic debilitating disease associated with a range of severe complications. Bangladesh has a large number of people living with NCDs. BRAC is going to undertake NCD pilot initiatives in 3 sub-districts of two districts (Narayanganj and Narsingdi) under EHC and 8 sub-districts of 5 districts under Leeds University COMDIS study project. Initially there will be screening, referral and follow up of hypertension and diabetes patients in the community.
To reduce the burden of chronic NCDs by promoting healthy lifestyles and reducing the prevalence of common risk factors through community based health care approach.
To provide an easy access for diagnostic, preventive and curative services of chronic diseases (especially diabetes, hypertension, chronic respiratory illness and cancer) by an integrated evidence-based suspicion with a referral backup support.
The frontline community health workers (CSWs) –shasthyashebikas and shasthyakormis will perform screening of hypertension and diabetes in the community. They will refer the patients with high blood pressure and high sugar to the hospital for confirmation of diagnosis and treatment; and perform post-treatment follow-up.
The CSWs will inform and educate people through door-to-door health education. They will also educate about healthy ageing, nutritional requirements, and lifestyle and behaviour changes during their regular household visit and follow-up.