Journal of Biomedical Advancement Scientific Research

Abstract

Non-communicable diseases (NCDs) contribute to 73.2% of all deaths in Bangladesh, posing a significant public health burden. To address this, the Non-Communicable Diseases Control (NCDC) program, initiated in 2012, established NCD corners at subdistrict hospitals and community clinics to facilitate awareness, risk screening, early detection, treatment, and referrals for hypertension, diabetes mellitus, bronchial asthma, and chronic obstructive pulmonary disease. This cross-sectional study, conducted from May 15 to June 7, 2022, assessed the operational effectiveness of these NCD corners across five subdistrict hospitals in four districts. Data spanning January 2016 to April 2022 were analyzed using a modified WHO STEPS surveillance approach, applying standard WHO case definitions. Healthcare workers were interviewed using semi-structured questionnaires to evaluate system attributes such as stability, simplicity, acceptability, timeliness, representativeness, and flexibility.

Findings indicate that NCD corners provide structured and accessible care, supported by standardized case definitions that facilitate easy implementation by healthcare providers. Community-based screenings effectively channel patients to these centers, improving early intervention. However, financial limitations constrain flexibility, while workforce shortages affect data quality and service delivery. Despite high acceptance among healthcare providers and patients, long-term sustainability depends on consistent funding and policy support.

To enhance the effectiveness of NCD corners, this study recommends the implementation of standardized guidelines, structured reporting mechanisms, sufficient staffing, logistical support, and continuous training programs. Strengthening these centers will contribute to sustainable NCD management and improved health care outcomes in Bangladesh.