System Efficiency of Community-Based NCDs Prevention Centers: A Sustainable Approach to Reducing Non-Communicable Diseases

Abstract

 Non-communicable diseases (NCDs) have become a major public health challenge, significantly affecting population health and burdening the healthcare system. The establishment of community-based NCD prevention centers is a key mechanism for implementing preventive actions at the local level. This article aims to analyze the system efficiency of these centers and propose development strategies to sustainably reduce NCD risk factors. A literature review and thematic analysis were conducted using 32 documents, based on the Logic Model framework. The findings indicate that the centers play a critical role in screening, health counseling, follow-up care, and seamless service integration across primary, secondary, and tertiary care levels. However, operational challenges still remain, including shortages of human resources, unlinked health information systems, and disruptions caused by the decentralization of primary care services. Recommended development strategies include policy support, capacity building for health personnel, promotion of community participation, and the use of digital health technologies to enhance the long-term efficiency and sustainability of the centers.

It is recommended that there should be a collaborative systemic problem analysis between healthcare service units and local administrative organizations, while promoting public participation at all stages, to ensure that the center becomes an effective and sustainable mechanism for truly controlling NCDs.