A description of ARK Foundation's research findings and initiatives on improving NCD prevention, diagnosis and treatment in Bangladesh.

1. -Initiatives of ARK Foundation
Rumana Huque, PhD
Executive Director

2. We are a partner of
UKaid funded
Communicable Disease -
Health Service
Delivery (COMDIS-HSD)
research consortium, led
by the Nuffield Centre
for International Health
and Development,
University of Leeds, UK.

3.  To enhance capacity of service providers for
early detection and management of selected
NCDs at UpHC and CC
 To establish a referral linkage from CC to
Upazila Health Complex
 To create awareness among population about
NCD risk factors

4.  Development phase:
 Skilled-based training material: Desk guide and Job-
Aid
 Treatment card
 ACSM materials
 Intervention phase:
 Training provided to CHCPs
 Training provided to MOs and Nurses
 Monitoring and supervision

5. APPROACH

6. Bringing national and international experts together for planning
and developing training materials

8. Materials used for improving services at NCD corners.

9. Training of CHCPs on Integrated Prevention and Management of
Selected Acute and Chronic Illnesses

10. Doctors training on CVD, June 2015

11. Equipments distributed to NCD corners to support improved
service delivery

12.  Increased referral from OPD to NCD Corner
 Increased referral from CC
 On an average 30 NCD (diabetic and
hypertensive) patients recruited per month
 Improved record keeping and follow up
 Discussion on NCD during monthly CHCP
meeting at UpHC

13.  Service providers are not available full time
at NCD corners
 Limited referral from OPD than expected
 Limited follow-up mechanism
 Record keeping for individual patient
 Drugs are not always available
 Some laboratory tests are not available at
UpHC
 No assigned person for counseling
 Limited referral from CCs than expected
 Capacity of CHCPs
 Sustainability!

14.  Orientation of health educators/counselors
 Assigning fulltime doctors and health
educators at NCD corners
 Supply of medicine for hypertensive and
diabetic patients
 Record keeping and reporting
 Orient doctors at OPD, and CHCPs for
referral to NCD corners
 Introduction of treatment cards for proper
follow up.

15.  Strengthen public awareness activities to
promote healthy lifestyle
 Integrate NCD in primary/secondary
education curriculum
 Incorporating NCDs curriculum with primary
care focus in pre-service and in-service
training
 Continue Action research to improve service
delivery at primary healthcare level

16. With Thanks