260 extractive question-and-answer pairs built from Annexure 1: Community Based Assessment Checklist (CBAC), published by nhm.gov.in. Every answer is a verbatim span of text the source prints, and each row carries the passage it sits in, its offset in that passage, the source quote, the page and the location in the document, so any row can be checked against the original. 166 of the 260 pairs (63.8%) are explanatory questions and 94 restate a figure. 98.46% of rows pass the corpus quality gate.
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df = desidata.load("operational-guidelines-for-non-communicable-diseases-question-and-answer-dataset")
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Usable for analysis, but expect some cleaning before you rely on it.
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First 10 of 260 rows
| question | answer | context | answer_start | question_type | knowledge_quality_score | source_quote | source_page | source_location | confidence | validation_status |
|---|---|---|---|---|---|---|---|---|---|---|
| What do the guidelines build on and serve as an adjunct to? | an adjunct to and build on the relevant recommendations of the NPCDCS guidelines2 and recently developed Operational Framework for Cancer Screening and management | Essentially the focus of these guidelines is on: screening and diagnosing (xiii) common NCDs; identifying and addressing modifiable risk factors, referral of pre-cancerous conditions, hypertension and diabetes, based on protocols, and community level follow up. The guidelines are an adjunct to and build on the relevant recommendations of the NPCDCS guidelines2 and recently developed Operational Framework for Cancer Screening and management. Thus details of roles and responsibilities of the MOs, Staff nurses, etc, above are not elucidated, since they are already covered in the NPCDCS Operational Guidelines and Operational Framework. | 281 | definition | 1.000 | The guidelines are an adjunct to and build on the relevant recommendations of the NPCDCS guidelines2 and recently developed Operational Framework for Cancer Screening and management. | 27 | page=27,block=0 | 0.850 | valid |
| What is the purpose of scoring in the context of identifying risk factors? | not a point of elimination but a means to highlight risk factors | ASHA/ANM will be sensitized to the fact that a low risk score does not mean that the individual is to be exempted from screening, as NCDs could exist, even in the absence of risk factors. The scoring is not a point of elimination but a means to highlight risk factors. In addition, the tool includes questions related to symptoms for cancer cervix, breast cancer, oral cancers, epilepsy and COPD, so that such cases may be identified and referred to appropriate centres. | 203 | definition | 1.000 | The scoring is not a point of elimination but a means to highlight risk factors. | 29 | page=29,block=0 | 0.850 | valid |
| What is essential for managing non-communicable diseases effectively? | early detection and adequate management | Message The spectre of Non Communicable Diseases (NCDs) looms large over India’s health horizon, contributing to nearly three fifths of mortality and morbidity. They affect not only the economically productive adult age group, but also the elderly, which is a growing population. Some NCDs are asymptomatic in the early stages, with the result that most patients do not seek care, or even if they do come to the health facilities, they are missed by the system. While we must make efforts for health promotion and primary prevention, early detection and adequate management is the key to controlling these diseases. These guidelines work towards population basing of interventions for NCD that were initiated through the National Programme for the Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). | 534 | definition | 1.000 | While we must make efforts for health promotion and primary prevention, early detection and adequate management is the key to controlling these diseases. | 7 | page=7,block=0 | 0.700 | valid |
| What is the function of the health cards given to each family member? | to document health events (screening/disease/treatment/complications, etc) and would also help in generation of population based statistics. | The health cards issued to each family member would be used to document health events (screening/disease/treatment/complications, etc) and would also help in generation of population based statistics. The Ministry is also working to develop an IT application to develop and maintain (v) Electronic Health Records (EHR), to facilitate continuum of care. This would be shared with the states as and when finalized. iii. The Service Delivery Framework At the start of the programme, ASHAs will complete a Community Based (i) Assessment Checklist (CBAC) (Annexure 1) for all women and men over 30 years in their population (we assume a normative population of 1000 in the service area of one ASHA). | 60 | definition | 1.000 | The health cards issued to each family member would be used to document health events (screening/disease/treatment/complications, etc) and would also help in generation of population based statistics. The Ministry is also working to develop an IT application to develop and maintain (v) Electronic Health Records (EHR), to facilitate continuum of care. | 29 | |||
| What is the goal of an integrated health promotion strategy? | convergence, multitasking and pooling of resources from various programmes | Operational Guidelines for Common Non–Communicable Diseases |11 Implementation of this programme would be through the regular health system, (xviii) supported by the District NCD cell for planning, monitoring and reporting. iv. Health Promotion Including the use of IEC for Behaviour Change Communication Promoting healthy behaviours to effect lifestyle behaviour change, is critical for (i) prevention and control of hypertension and diabetes and some other forms of non-communicable disease. States would develop context specific strategies for lifestyle modification and for promoting healthy behaviours for primary prevention. Such strategies would need to be targeted at individuals, families, and communities. States should develop an Integrated health promotion strategy that envisages convergence, multitasking and pooling of resources from various programmes. | 794 | definition | 1.000 | States should develop an Integrated health promotion strategy that envisages convergence, multitasking and pooling of resources from various programmes. | 33 | page=33,block=0 | 0.700 | |
| What approach is considered the most effective for cervical cancer screening and treatment? | the single visit approach in which screening and treatment can be offered on the same visit | Those who are found positive for cancer/precancerous lesions will be referred (ii) by ANM/Staff Nurses in specified screening sites to the appropriate PHCs/CHC/ DH for confirmation and treatment by trained specialists, as per the Operational Framework developed for Cancer Screening and Management. While the most effective approach for cervical cancer is the single visit approach in which screening and treatment can be offered on the same visit, states will need | 356 | definition | 1.000 | While the most effective approach for cervical cancer is the single visit approach in which screening and treatment can be offered on the same visit, states will need | 34 | page=34,block=0 | 0.700 | valid |
| What responsibilities do ASHAs have in assisting patients at health facilities? | ASHAs to accompany patients to health facilities/ referral centres and guide them through the consultation and diagnostic processes, on an as required basis | Operational Guidelines for Common Non–Communicable Diseases |21 Activity Role of ASHA Role of ANM* Role of PHC Team (MO, Lady Health Visitor, Laboratory Technician) Navigation Services ASHAs to accompany patients to health facilities/ referral centres and guide them through the consultation and diagnostic processes, on an as required basis. To be done by ASHA on the basis of need and availability (however to be compensated for travel and day wages) Document and record maintenance Maintains village register and record those cases on treatment including referral history. | 185 | definition | 1.000 | Operational Guidelines for Common Non–Communicable Diseases |21 Activity Role of ASHA Role of ANM* Role of PHC Team (MO, Lady Health Visitor, Laboratory Technician) Navigation Services ASHAs to accompany patients to health facilities/ referral centres and guide them through the consultation and diagnostic processes, on an as required basis. | 43 | page=43,block=0 | 0.700 | |
| What is the purpose of the one-day orientation for VHSNC members? | to review preventable deaths – as a form of community monitoring | Operational Guidelines for Common Non–Communicable Diseases |15 For HT/DM, MOs to be (re) trained in a one-day module covering programmatic (iv) elements, supportive supervision, standard treatment guidelines, cardio vascular risk assessments, (use telemedicine/consultation with internal medicine specialists CHC/DH), assessment for complications, etc. A one-day orientation and training of VHSNC members on NCD: risk factors (v) and to review preventable deaths – as a form of community monitoring, will be undertaken. A one day Orientation of Programme officers and BPM/DPM would be required (vi) so that they are in synergy with the programme features and understand the roles and responsibilities related to support (including availability of drugs and consumables), monitoring (reports, records) and supervision. viii. | 435 | definition | 1.000 | A one-day orientation and training of VHSNC members on NCD: risk factors (v) and to review preventable deaths – as a form of community monitoring, will be undertaken. | 37 | page=37,block=0 | 0.700 | valid |
| What platform did the National Health Mission provide? | the platform for health systems strengthening | Message The National Health Mission (NHM) provided the platform for health systems strengthening and thereby enabled several focused initiatives that resulted in the near universal coverage for several conditions related to Reproductive and Child Health and Communicable diseases. Given the contribution of Non Communicable Diseases (NCD) to mortality and morbidity, in rural and urban areas, our journey is far from over. These guidelines represent an effort to enable states to integrate the early detection and management of NCDs programme in the context of the NHM. The aim is to integrate the intervention within a health systems framework rather than implement it as a vertical intervention. The MOHFW has also initiated support to states for comprehensive primary health care to be available at the level of the sub centre through a primary care team. | 51 | definition | 1.000 | Message The National Health Mission (NHM) provided the platform for health systems strengthening and thereby enabled several focused initiatives that resulted in the near universal coverage for several conditions related to Reproductive and Child Health and Communicable diseases. | 11 | |||
| What does the Operational Framework for screening and management of common cancers provide? | operational details on screening, early detection, treatment, referral and follow-up | 6| Operational Guidelines for Common Non–Communicable Diseases and the main PHC itself were to offer screening facilities, additional investments in terms of equipment and Human Resources could be focused only on them. The Operational Framework for screening and management of common cancers provides operational details on screening, early detection, treatment, referral and follow-up. In urban areas, states would need to evolve strategies that combine effective (xvii) outreach and facility based primary health care services to serve as a platform for the delivery of this intervention. Screening is envisaged to take place at the level of the Urban PHCs and the CHCs. The range of facilities and outreach mechanisms vary widely between and (xviii) within states, and local, context specific mechanisms would need to evolve through a process of piloting and study before being scaled up. | 301 | definition | 1.000 | The Operational Framework for screening and management of common cancers provides operational details on screening, early detection, treatment, referral and follow-up. | 28 |
Read straight from the file — download or use the API URL for the full dataset.
| page=29,block=0 |
| 0.700 |
| valid |
| valid |
| valid |
| page=11,block=0 |
| 0.700 |
| valid |
| page=28,block=0 |
| 0.700 |
| valid |