Letters Managing long term conditions

Education and support for self care management in chronic illnesses in India

BMJ 2014; 348 doi: http://dx.doi.org/10.1136/bmj.g4106 (Published 18 June 2014) Cite this as: BMJ 2014;348:g4106
  1. Reeta Devi, assistant professor1,
  2. Mongjam Meghachandra Singh, professor2,
  3. Bimla Kapoor, former professor1,
  4. Niharika Yedla, former student3
  1. 1School of Health Sciences, Indira Gandhi National Open University, New Delhi, India
  2. 2Department of Community Medicine, Maulana Azad Medical College, New Delhi, India
  3. 3Sikkim Manipal Insitute of Medical Sciences, Gangtok, Sikkim, India
  1. devireeta{at}gmail.com

We agree with Iongh that patients with chronic illnesses should be supported to take care of themselves.1

Realising the need for patient care in the home setting, Indira Gandhi National Open University in New Delhi, India, has started a certificate programme in home based healthcare (CHBHC), suitable for students who have completed a minimum of 10 years of schooling (10th Pass). The main objective is to prepare a workforce that can train educated lay people in looking after bedridden patients with chronic disease who need daily routine care. Duties would include helping patients maintain personal hygiene, assistance with taking drugs, nutritional support, bowel and bladder care, prevention and care of bed sores, assisting in ambulation, and first aid care. The programme lasts for six months, with one month hands on practical training in a hospital with a minimum of 20 beds. Such a programme intends to meet the requirements of patient care in the home setting, where there is a shortage of doctors, nurses, and paramedical health staff.


Cite this as: BMJ 2014;348:g4106


  • Competing interests: RD is coordinating the certificate in home based healthcare programme in Indira Gandhi National Open University, New Delhi. BK is a previous coordinator of the programme in IGNOU, New Delhi.


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