Non Communicable Diseases in urban India: The challenges and opportunity for the physiotherapist

2016-05-04T12-40-31Z
Source: International Journal of Therapies and Rehabilitation Research
Nalin Kumar, Bhupinder Singh.
Introduction and background The Global burden of Disease (GBD) study mentions how India has been a huge contributor to the GBD. India is facing challenges to strengthen basic public health infrastructure and health care delivery system. The health systems are unprepared to address the sudden manic due to the change in the disease distribution. NCDs act as a public health burden of both the rural and urban India. India was become the diabetic capital of the world with 50 million diabetics and an estimated 77 million pre-diabetics. There is high presence of associated risk factors for NCDs in the urban areas. Physiotherapist form an integral part of the health system and this study explores if the training of physiotherapist meets the essential requirements for NCDs prevention and control. The scope of their work can be increased by investigating the increase in NCDs and the lack of health care human resource in the country. Methodology The study involves a review of literature on NCDs prevention and control and the need of training of Physiotherapist. The methodology involves selection of university curriculum of both the private and government universities offering graduate physiotherapy education (BPT). The latest curriculum was assessed of 22 universities and colleges. A policy analysis of NCDs prevention and control was done for National Programme for Prevention & Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS) along with Health Systems review. Findings The findings of the study are congruent with the earlier findings of ODonoghue et al. (2014). The physiotherapy curriculum in INDIA does not meet the essential requirements to address the associated risk factors for NCDs. The policy analysis of NPCDS and Health Systems highlights the role of physiotherapist in India is considered as a health promotive and rehabilitative professional. A recommendation of World Health Professional Alliance (WHPA) and World Confederation of Physical Therapist (WCPT) mentions the important role of Physiotherapist in combating NCDs by prevention of the risk factors and the necessary role to combat NCDs. Interpretation There is a need for policy/program/curriculum adaptation required to provide physiotherapist with necessary skills required to address the NCDs.


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