The report presents the findings from the Evaluation of the Pan-India Non-Communicable Diseases (NCD) Programme, guided by Tata Trusts. The evaluation involved interviews with health personnel at state, district, and sub-district levels, along with insights from Key Informant Interviews. Spearheaded by Tata Trusts and the Vijayavahini Charitable Foundation, the NCD Programme aims to transform healthcare, addressing gaps in NCD management despite ongoing challenges in resource allocation and uniform maintenance.
A core achievement of the programme is the implementation of the Digital Lifecare platform and NCD app, which have revolutionized data management and enabled expansive reach. These tools provide dashboards for health officials and offline accessibility, overcoming technological challenges. The programme’s strong commitment to training healthcare workers has led to higher-than-expected proficiency, even amid limitations. National and State Technical Support Units (TSUs) have been instrumental in enhancing operational efficiency, although disparities in resource allocation persist, requiring tailored strategies for different states.
Key achievements include substantial growth in enrolment, screenings, and referrals, all of which underscore the programme’s effectiveness. While the programme has faced challenges such as technological limitations and learning curves, it remains dedicated to improving healthcare delivery. Notable successes include significant increases in personnel training and patient referrals, outpacing the original targets.
Governance remains a key focus, as balancing customization with standardization across India’s diverse geography is critical. Leadership recommendations emphasize empowering local trainers through the train-the-trainer model to build local capacity. Advocacy strategies should engage community leaders, religious figures, and local influencers to build trust and support.
Policy harmonization and data integration are crucial for preventing duplication and enhancing programme efficiency. A cross-departmental policy committee is recommended to ensure alignment across health initiatives. Coordination between stakeholders requires precise communication mechanisms while financing challenges demand dynamic budgeting models and local sustainability funds. Additionally, logistics and infrastructure solutions should address geographic diversity, and training programs must embrace technology for remote learning and career progression pathways.
The report concludes that, despite challenges, the programme is aligned with government priorities and has the potential to further enhance NCD management. With strategic recommendations implemented, the programme can create a lasting impact on healthcare outcomes, strengthening the nation’s overall healthcare framework.
