A national model to measure burden and map quality of care for type 2 diabetes mellitus rural population in India, involving medical colleges through primary health care setup- a feasibility study

Objectives

a. To describe the quality of care available for diabetes care and received by diabetes individuals at primary, secondary and tertiary settings for diabetes care in rural populations
b. To determine the association between known exposures/risk factors with pre-diabetes and diabetes
c. To estimate the burden of pre-diabetes, diabetes and its complications, and co-morbid NCD conditions in defined rural populations

Methodology
This is a population based longitudinal study conducted in villages covered under Model Rural Health Research Units (MRHRU) in four regions of India. All adults aged 18-69 years residing in selected villages for at least one year prior to start of study are the study population. Sample size for each participating centre is 6800. The survey involves household listing, interviews of adults and diabetes individuals and testing for blood glucose measurements at baseline, and end of first and second years. This also includes assessments of public and private health facility on the availability of diabetes related health services. Study tools include household questionnaire, adult questionnaire, anthropometry measurements, known diabetes questionnaire, health facility assessment, physician and non-physician health care provider questionnaire. The data is collected in digital tool.

Outcome
This study is expected to provides information on burden of diabetes in rural population, health seeking behaviour, availability of diabetes related health care services at community and facility level. The findings of the study will help in developing a model of continuum of care. The use of digital tool will help to provide crucial information on long term care of diabetics and patient-centred management of diabetes in Indian settings.