A Study to Assess the Validity of Community based Assessment Checklist – The Standard Non- Communicable Diseases Screening Tool of Frontline Health Workers

  • Vinoth Kumar Kalidoss All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
  • Rajeev Aravindakshan All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
  • Rakesh Kakkar All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
  • S Sathiyanarayanan All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
  • Desham Chelimela All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
  • Navya Krishna Naidu All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India
Keywords: Community Based Assessment Checklist, Validity, Non-Communicable Disease Screening

Abstract

Backgrounds: Around 63% of deaths in India are due to non-communicable diseases (NCD), and 1 in 4 Indians is at risk of premature death between 30 to 70 years of age. Considering this burden, the Government of India has introduced a Community Based Assessment Checklist (CBAC) to be used by frontline health workers for universal screening of populations aged more than 30 years for common NCDs as a part of Health and Wellness Centres under Ayushman Bharat.
Objectives: This study aimed to assess the validity of CBAC in the screening of common NCDs like diabetes mellitus and hypertension.
Methods: A cross-sectional study was done in the rural southern part of India among adults aged more than 30 years. A total of 110 participants were screened using CBAC. Random blood glucose(RBS) and blood pressure were measured. RBS more than 200 mg/dl and blood pressure equal to or more than 140/90 mmHg were considered as operational diagnostic criteria. The CBAC score >4 was considered to be a risk for these NCDs. Data were collected in MS excel, and analysis was done using R software.
Results: A majority of participants belonged to the age group above 50 years (71%) and male sex (69%). The study participants’ median (IQR) CBAC score was 5 (4-6), and 70% had scored more than 4. About 45% of participants had blood pressure equal to or more than 140/90 mmHg, 15% had RBS > 200 mg/dl, and 51% had at least one abnormal parameter. The sensitivity of the current CBAC score cut-off was 85.7% and 53.7%, respectively. Analysis showed that if the cut-off score is reduced to equal to or more than 4, sensitivity increases to 98%.
Conclusion: Community based assessment checklist is a valid tool for NCD screening and high-risk behaviour among the community. However, decreasing the cut-off score to equal to or more than four will increase the sensitivity of CBAC.

Author Biographies

Vinoth Kumar Kalidoss, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India

 (Tutor/Demonstrator), Department of Community and Family Medicine

Rajeev Aravindakshan, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India

 (Additional Professor), Department of Community and Family Medicine, 

Rakesh Kakkar, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India

 (Professor), Department of Community and Family Medicine

S Sathiyanarayanan, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India

 (Assistant Professor), Department of Community and Family Medicine

Desham Chelimela, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India

 (Associate Professor), Department of Community and Family Medicine

Navya Krishna Naidu, All India Institute of Medical Sciences (AIIMS), Mangalagiri, Andhra Pradesh, India

 (Tutor/Demonstrator), Department of Community and Family Medicine

Published
2021-03-26
How to Cite
Kalidoss, V., Aravindakshan, R., Kakkar, R., Sathiyanarayanan, S., Chelimela, D., & Naidu, N. (2021). A Study to Assess the Validity of Community based Assessment Checklist – The Standard Non- Communicable Diseases Screening Tool of Frontline Health Workers. IMA Kerala Medical Journal, 14(1), 3-6. Retrieved from https://www.keralamedicaljournal.com/index.php/KMJ/article/view/598
Section
Original Research