Appraisal of Beneficiaries’ Perspective on Opportunities and Barriers of NCD Clinics in a Coastal District of Kerala


  • Aranya GN
  • Athirarani MR
  • Sujitha Elavally
  • Sairu Philip



NCD Clinics, Opportunities, Barriers, Kerala


Background: Non-Communicable diseases (NCDs) have become the main causes of morbidity and
mortality in many developing countries. In India, NCD Clinics are set up by the guidelines of National
Programme for Control of Diabetes, Hypertension, Cardiovascular Disease and Stroke (NPCDCS) for the
control, prevention and treatment of NCDs. Govt of Kerala introduced the NCD clinics to compact the
disease burden of the state in 2010 through the National Health Mission.
Objective: To appraise the beneficiaries’ perspective on opportunities and barriers of NCD Clinics in
Alappuzha district.
Methods: It was a qualitative study conducted over a period of 6 weeks among the people in the age
group of 30 years and above residing in Ambalappuzha taluk. 28 in-depth interviews and 18 focus group
discussions were conducted and the reviews of records in the primary health centres using a questionnaire
were done. Thematic analysis of observations and percentage estimation of service indicators were done.
Result: The study revealed a cluster of four themes such as awareness about the services, availability,
accessibility, acceptability of services and Satisfaction about the services. Although there is receptiveness
to the services, barriers to mainstreaming also exist which persuade them not to utilise these services. In all
PHCs the indicators for screening for NCDs are less than 80%. Screening services should be strengthened
more. So, the need to revamp the structure and systems to enhance the utilisation of the services of NCD
Clinics is highlighted.

Author Biographies

Aranya GN

Lecturer, Govt. School of Nursing, Govt. Medical College, Kozhikode. Kerala

Athirarani MR

Associate Professor ( CAP) Govt. College of Nursing, Govt. Medical College, Thiruvananthapuram. Kerala,

Sujitha Elavally

Assistant Professor, Govt. College of Nursing, Govt. Medical College, Thiruvananthapuram. Kerala

Sairu Philip

Vice Principal, Professor and Head of Department, Dept. of Community Medicine, Govt. TD Medical College, Alappuzha, Kerala