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Table 3 Strategies and programs for NCD prevention and management in China

From: A community-based approach to non-communicable chronic disease management within a context of advancing universal health coverage in China: progress and challenges


Selected Public Health Programs

Selected assessment indicators

• Financial support from each level government

• Advocacy and social mobilization to develop supportive community environment for NCD prevention and control

• Community health education and promotion

• Clarification of NCD prevention and control responsibility by different health facilities (e.g. CDC, NCD specialist, CHC etc.)

• Training health practitioners of CHCs on NCD diagnosis, treatment and rehabilitation services

• Comprehensive control for multiple risk factors including health guidance on diet, fitness activity and tobacco control etc.

• Promoting NCD patient self-management model and home services by general practitioners

• Population-based public health interventions:

- Establishing health file

- Providing health education and consultant services

- Screening examination

• Individual-based health interventions:

- Four times follow up visits

- Health guidance

• Knowledge of population on NCDs: ≥ 70%

• Knowledge on blood pressure: ≥ 70%

• Knowledge on blood glucose: ≥ 30%

• Registration rates: hypertension and DM ≥ 60% of local prevalence or national average level

• Management rate of chronic diseases: hypertension ≥ 35%, DM ≥ 30%

• Control rate of chronic diseases: hypertension ≥ 50%, DM ≥ 50%

  1. CHCs: community health centers; CDC: center for disease control; DM: diabetics mellitus; NCD: non-communicable diseases