India is home to over 72.9 million individuals with diabetes which is expected to rise to 134.3 million by 2045. Given the low doctor population ratio, maldistribution of specialists with an urban preference and initial diagnosis being made by non-specialists, strengthening primary health care is the key in effectively addressing this challenge. Considering the burden, Public Health Foundation of India in 2010 launched pan-India capacity building programs for PCPs. The aim of these programs is to enhance knowledge, skills and core competencies of PCPs in managing diabetes and comorbidities. The program is conceptualized and built on a PPP model with the involvement of various stakeholders including implementing, academic, funding partners, national experts (33), faculty (428), observers (150) and PCPs. Every stakeholder has unique role and responsibilities (Figure). A total 16878 PCPs have been trained under these programs in 101 cities across 27 states/UTs. Passing percentages ranged from 88 to 92 with an average score of 39 out of 50. PCPs reported a significant increase in knowledge (p<0.05) and confidence in managing diabetes in end line evaluation and establishing a referral linkage in an organic manner. The learning from the model is now adopted by other LMICs including Bangladesh, Nepal, Myanmar, Afghanistan and East African countries that are in throes of an alarming burden of diabetes and shortage of trained physicians.


S. Bhalla: None. P. Kumar: None. R. Mehra: None.

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