How to Effectively Monitor and Evaluate NCD Programmes in India.

Area of Science:

• Public Health
• Health Program Management
• Noncommunicable Disease Control

Background:

• The Ministry of Health and Family Welfare, Government of India, launched the National Programme for Prevention and Control of Cancer, Diabetes, Cardio-vascular diseases and Stroke (NPCDCS).
• This program aims to prevent and control common noncommunicable diseases (NCDs) through lifestyle changes, early diagnosis, and management.
• Effective program monitoring and evaluation (M and E) are essential for strategic planning and ensuring the success of public health initiatives.

Purpose of the Study:

• To outline the critical components and proposed indicators for the M and E of the NPCDCS program.
• To propose a framework for effective M and E systems for NCD control programs in India.
• To emphasize the importance of data collection, analysis, and utilization for program improvement.

Main Methods:

• Identification of indicators to measure program inputs, processes, outputs, and outcomes.
• Proposal of a phased approach for M and E, including indicator finalization, surveillance system development, baseline assessment, target setting, and periodic reviews.
• Defining roles and responsibilities for data collection, compilation, and analysis among different health entities.

Main Results:

• A comprehensive set of indicators across different domains and strategies of NPCDCS has been proposed.
• A clear pathway for effective M and E is outlined, involving multiple stakeholders and coordinated actions.
• The necessity of establishing sustainable surveillance systems and external review mechanisms is highlighted.

Conclusions:

• Successful implementation of NPCDCS hinges on robust and continuous monitoring and evaluation.
• Coordinated efforts by NCD Cells, Central Bureau of Health Intelligence, and National Centre for Disease Control are vital for effective M and E.
• Meaningful policy briefs derived from compiled data will guide programmatic interventions and ensure the long-term success of NCD control efforts.