PMID- 36974253
OWN - NLM
STAT- PubMed-not-MEDLINE
LR  - 20230329
IS  - 2168-8184 (Print)
IS  - 2168-8184 (Electronic)
IS  - 2168-8184 (Linking)
VI  - 15
IP  - 2
DP  - 2023 Feb
TI  - Coverage of a Population-Based Non-Communicable Disease Screening Program Using 
      Lot Quality Assurance Sampling in Rural North India: A Mixed Methods Study.
PG  - e35330
LID - 10.7759/cureus.35330 [doi]
LID - e35330
AB  - AIM: We aimed to estimate the coverage of a population-based Non-communicable 
      Disease (NCD) screening program using lot quality assurance sampling (LQAS) and 
      identify factors affecting its implementation in district Nuh of Haryana, India. 
      METHOD: A mixed-methods study was conducted with an initial LQAS coverage survey, 
      followed by in-depth interviews. Thirty lots (villages or towns) were sampled in 
      the district, and 20 people aged >/= 30 years were randomly sampled from each lot. 
      Participants were asked about receiving services under the program. Weighted 
      coverage estimates, which is the proportion of people who had received screening 
      services, were estimated. Using a decision value of more than nine negative 
      responses out of 20 persons, all 30 lots were classified as good or poor 
      performing. In-depth interviews of healthcare providers of good performing lots 
      and district-level health officials were conducted, and factors affecting program 
      implementation were identified. FINDINGS: Six hundred participants were 
      interviewed (mean age of 44.8 years, 57.2% women). The proportion of people who 
      reported having undergone screening for diabetes or hypertension was 2.1%, and 
      all lots performed poorly based on decision value. Key factors affecting the 
      program were leadership, prioritization of NCD activities, ensuring human 
      resource and material requirements, regular incentives, qualities of workers, and 
      community engagement. CONCLUSION: The screening coverage under the 
      population-based NCD screening program was low in district Nuh, Haryana. This 
      needs to be improved by addressing the identified health system and 
      community-related factors.
CI  - Copyright (c) 2023, Lognathan et al.
FAU - Lognathan, Vignesh
AU  - Lognathan V
AD  - Centre for Community Medicine, All India Institute of Medical Sciences, New 
      Delhi, New Delhi, IND.
FAU - Malhotra, Sumit
AU  - Malhotra S
AD  - Centre for Community Medicine, All India Institute of Medical Sciences, New 
      Delhi, New Delhi, IND.
FAU - Kumar, Rakesh
AU  - Kumar R
AD  - Centre for Community Medicine, All India Institute of Medical Sciences, New 
      Delhi, New Delhi, IND.
FAU - Krishnan, Anand
AU  - Krishnan A
AD  - Centre for Community Medicine, All India Institute of Medical Sciences, New 
      Delhi, New Delhi, IND.
FAU - Gupta, Sanjeev K
AU  - Gupta SK
AD  - Centre for Community Medicine, All India Institute of Medical Sciences, New 
      Delhi, New Delhi, IND.
FAU - Nongkynrih, Baridalyne
AU  - Nongkynrih B
AD  - Centre for Community Medicine, All India Institute of Medical Sciences, New 
      Delhi, New Delhi, IND.
LA  - eng
PT  - Journal Article
DEP - 20230222
PL  - United States
TA  - Cureus
JT  - Cureus
JID - 101596737
PMC - PMC10038759
OTO - NOTNLM
OT  - lqas
OT  - monitoring and evaluation
OT  - non-communicable diseases
OT  - rapid epidemiological assessment methods
OT  - screening
COIS- The authors have declared financial relationships, which are detailed in the next 
      section.
EDAT- 2023/03/29 06:00
MHDA- 2023/03/29 06:01
PMCR- 2023/02/22
CRDT- 2023/03/28 01:57
PHST- 2023/02/19 00:00 [accepted]
PHST- 2023/03/29 06:01 [medline]
PHST- 2023/03/28 01:57 [entrez]
PHST- 2023/03/29 06:00 [pubmed]
PHST- 2023/02/22 00:00 [pmc-release]
AID - 10.7759/cureus.35330 [doi]
PST - epublish
SO  - Cureus. 2023 Feb 22;15(2):e35330. doi: 10.7759/cureus.35330. eCollection 2023 
      Feb.