Objective | Activity/intervention | Measured outcome | Method |
---|---|---|---|
Assess situation and needs | Preliminary survey of availability of equipment and drugs | Status of equipment and drugs for diabetes and hypertension in 2007 | Investigators made inventories of 75 (95%) of the health centres (2007) |
Provide equipment to health centres | Equipment with sphygmomanometers, stethoscopes and blood glucose meters. Basic medication added to pharmacy stocks. | Status of equipment and drugs for diabetes and hypertension in 2009 | Investigators made inventories of equipped health centres after two years (2009) |
Train NPCs | Initial three-day training modules; Six-monthly one-day refresher courses; | Knowledge of NPCs before, directly after and 2 years post-training | Multiple-choice tests before, directly after and at 2 years post-training (2007-2009) |
Improve care for hypertensive and diabetic patients | Checks of equipment and patient-records integrated into the protocol of regular supervisions carried out by the district health committee. | Numbers of patients identified, treated and followed by trained NPCs (2007-2009) Change of BP and FPG among patients followed by trained NPCs (2007-2009) | Standardised medical record forms |