To evaluate the coverage and performance of the Non-Communicable Disease (NCD) care cascade under the Makkalai Thedi Maruthuvam (MTM) doorstep screening program in Tamil Nadu, focusing on specific evaluation criteria.
Key Findings:
Proportion of adults screened for diabetes and hypertension under MTM.
Proportion of diagnosed individuals receiving treatment.
Extent of disease control among treated individuals.
Coverage of cervical and breast cancer screening among eligible women.
Socio-demographic disparities in NCD screening, treatment, and control.
Interpretation:
The MTM program aims to improve access to NCD care through doorstep services, specifically addressing urban-rural and socio-economic disparities in healthcare access by providing tailored interventions.
Limitations:
Limited evidence on the effectiveness of the MTM program across the NCD care cascade, which may affect the generalizability of findings.
Potential biases in self-reported data from participants, which could influence the accuracy of the results.
Conclusion:
The MTM program represents a scalable model for advancing health equity through community-based primary care and doorstep service delivery, highlighting the need for further research to optimize its implementation.
These 10 states make it more practical for physicians to participate in hospital ownership by aligning statutory structure, corporate practice of medicine rules, and population trends.
Tamoxifen is commonly prescribed in hormone receptor-positive breast cancer but also associated with weight gain, which can complicate survivorship care. This narrative review summarizes evidence on tamoxifen-associated weight gain and outlines pharmacologic weight management options in this population.
