Proposed Interventions as a Quality Improvement Initiative to Enhance the Coverage of Opportunistic Diabetes Mellitus Screening in Primary Government Health Facilities in West Sikkim in 2023
Abstract
SUMMARY: Opportunistic screening for diabetes mellitus (DM) is a key component of India's noncommunicable disease programme, yet its coverage remains poorly assessed. We conducted a cross-sectional study in ten primary healthcare facilities in West Sikkim over 7 weeks using register reviews and staff interviews. Among 4323 outpatient department attendees aged ≥30 years, 1515 (35%) were screened and 175 (12%) were newly diagnosed. Screening coverage ranged from 9% to 100% and yield from 0% to 36%. Fishbone analysis identified staff shortages, inadequate supplies, and low provider motivation. Targeted quality improvement strategies are recommended to improve screening and DM management.
Fields of Study & Subjects
Health Promotion and Cardiovascular Prevention
Diabetes Management and Education
Primary Care and Health Outcomes
Publication details
- Journal / source
- Indian Journal of Public Health
- Volume
- 70
- Issue
- Suppl 1
- Pages
- S74–S77
- Publication date
- 1 January 2026
- Language
- EN