Perception of poor quality of medicines

No combination drugs

Insulin not available at the PHC

No faith in the government medicines

Collection of FBS and PPBS is difficult

Access to Hb1AC is non-existent

No time to do a complete examination

No time to explain about the disease and its management

Rude staff

Not available on a regular basis

Available for a limited period of time

Not competent to diagnose and initiate treatment

Does not give pragmatic advice

Very fragmented

No review of the data collected

Not used for action, e.g. follow up of patients

Continuity of care lacking

Focus of the program on screening and detection

No linkage with other programs like the RMNCHA+ program

Limited understanding of DM/HT

Difficult to modify lifestyle patterns

Limited resources to exercise, change diet

Resistance in the family to change in diet, especially if the patient is a woman.

Geographical inaccessibility especially for the elderly

Program focuses on curative care, very little focus on promotive care

Even secondary prevention of end organ diseases are not provided

OOPE similar in both government and private facilities