Non-Communicable Diseases (NCDs) are now the leading cause of premature and preventable death and illness globally. The four leading NCDs, as measured by their prevalence, are cardiovascular diseases, diabetes mellitus, Chronic Obstructive Pulmonary disease and Cancer. NCDs account for 63% of total deaths globally, with 40 million deaths estimated occurring annually. They contribute to 40% of the universal disease burden annually. In India NCDs accounted for 40% of all hospital stays and 35% of all outpatient visits in 2004. There has been an increase of nearly 50% in the out of pocket expenditure for NCDs i.e. from 31.6% in 1995-96 to 47.3%. The global dialogue on NCDs has gained significant momentum since the UN High Level Meeting on NCDs in September 2011. Government of India realized that there is an urgent need for a comprehensive scheme that should focus on health promotion and prevention of NCDs and their risk factors, and its comprehensive management at various levels across the country. As part of its commitment to the global target of a 25% reduction in pre-mature mortality from NCD by 2025, MAMTA aims to expand access to NCDs care for the underserved and marginalised population. Since 2011, MAMTA has been designing and implementing integrated-intervention models that are aligned to existing global and national health and development strategic plans through participatory analysis of the situation at individual, community, family and system level.
As most of the risk factors of NCDs originate during the adolescence stage, MAMTA with support from Sida and in partnership with Lund University, Sweden and state governments used an opportunity and integrated risk factor component into the existing adolescent reproductive and sexual health to strengthen the health systems for promotion and prevention of NCDs. This initiative set up 15 youth clinics, and trained 120 healthcare professionals including Program Managers, Medical Officers and frontline functionaries in Himachal Pradesh.
Through its Continuum of Care model, MAMTA with support from Medtronic Foundation and state governments conducted a methodological assessment of patient care pathway, and understood both the demand for NCD related healthcare on the part of community, and the capacity for healthcare delivery.
MAMTA Health Institute for Mother and Child, New Delhi, India with support of Government of Andhra Pradesh has commenced an intervention on integrating Maternal and Child Health services with Prevention and Management of Diabetes and Hypertension in three districts of Andhra Pradesh. This initiative is funded by Bristol-Myers Squibb (BMS) Foundation, USA. The project involved “Arogya Kiran” model which is an innovative mixed approach of ecosystem and patient empowerment. The model empowered and created health promoting environment and self-care management in 400 villages, 200 urban wards, 100 schools and 50 workplaces reached out over 700,000 adolescents and adults.