Table 1

Current pattern of healthcare infrastructure in India relevant to NCD care

Health infrastructureKey functions for NCDs
Primary healthcarePrimary prevention and basic-level NCD care: Health promotion, screening, follow-up, referral and basic level NCD management at CHCs and home-based care at CHCs
Secondary healthcareSecondary prevention and advanced care: Early diagnosis and management of all NCDs except cancers requiring radiotherapy, complicated cases of renal diseases, cardiac cases requiring surgery, retinal diseases, NCDs requiring laser treatment, organ transplantations
Tertiary healthcareTertiary prevention and comprehensive care: comprehensive cancer treatment, cardiac care including cardiac surgery, neurosurgery, organ transplantation, tertiary-level care for ENT, ophthalmology, geriatrics, etc
  • Indian health facilities have a pyramidal structure tapering at the top with tertiary health care.24

  • CHC, community health centre; NCD, non-communicable disease.