Assessing Fairness in Non-Communicable Disease Management via a Community-Based Primary Health Initiative in Tamil Nadu, India - Report - MDSpire

Assessing Fairness in Non-Communicable Disease Management via a Community-Based Primary Health Initiative in Tamil Nadu, India

  • By

  • Sudharshini Subramaniam

  • Anavarathan Somasundaram

  • Cowshik E

  • Judson Neslin J

  • Ponnien Selvan K.N

  • Jannath Hameeda Banu

  • Getrude Banumathi

  • Suganthi Selvarajan

  • Sabitha Devi Chandrasekaran

  • Sharon Cynthia

  • December 15, 2025

  • 0 min

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Clinical Report: Assessing Fairness in Non-Communicable Disease Management

Overview

The study evaluates the effectiveness of the Makkalai Thedi Maruthuvam (MTM) program in Tamil Nadu, India, focusing on screening and treatment for non-communicable diseases (NCDs). It highlights significant disparities in service coverage across demographic and socio-economic groups.

Background

Non-communicable diseases (NCDs) are a leading cause of morbidity and mortality globally, particularly in low- and middle-income countries like India. The MTM program aims to enhance access to NCD care through community-based, doorstep services, addressing barriers faced by vulnerable populations. Understanding the effectiveness of such initiatives is crucial for improving health equity and informing future public health strategies.

Data Highlights

No numerical data provided in the source material.

Key Findings

  • The MTM program provides comprehensive NCD services, including screening for diabetes, hypertension, and cancers.
  • It employs a tiered workforce to deliver healthcare directly to beneficiaries' homes, improving access for disadvantaged groups.
  • Limited evidence exists on the program's effectiveness across the NCD care cascade, necessitating further evaluation.
  • Disparities in service coverage were observed across gender, caste, locality, and economic strata.
  • The program aligns with global efforts to reduce access barriers in underserved populations.

Clinical Implications

Healthcare professionals should consider the MTM program as a model for delivering NCD care in community settings. Addressing disparities in service coverage is essential for achieving equitable health outcomes.

Conclusion

The MTM program represents a significant step towards improving NCD management in Tamil Nadu, but further evaluation is needed to optimize its effectiveness and address existing disparities.

References

  1. Makkalai Thedi Maruthuvam: evaluating equity in non-communicable disease care through a doorstep primary health program in Tamil Nadu, India - PMC
  2. India’s current policy framework for NCD screening and management - NHM
  3. New High Blood Pressure Guideline Emphasizes Prevention, Early Treatment to Reduce CVD Risk - American College of Cardiology
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  9. Makkalai Thedi Maruthuvam: evaluating equity in non-communicable disease care through a doorstep primary health program in Tamil Nadu, India - PMC
  10. New High Blood Pressure Guideline Emphasizes Prevention, Early Treatment to Reduce CVD Risk - American College of Cardiology
  11. Application for the addition of triple drug fixed dose anti-
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  15. Impact of a Community Engagement Program on Treatment Outcomes among People with Noncommunicable Diseases Attending Primary Care Clinics in Two South Indian States - PubMed

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