Key result
Opportunistic diabetes screening achieves 35% outpatient coverage, identifying new diagnoses in 12% of patients.
Cross-Sectional (n=4,323)
Yes
Opportunistic diabetes screening coverage in primary care in West Sikkim is low (35%), highlighting the need for quality improvement strategies addressing staff and supply shortages.
Summary Opportunistic screening for diabetes mellitus (DM) is a key component of India’s noncommunicable disease programme, yet its coverage remains poorly assessed. We conducted a cross-sectional study in ten primary healthcare facilities in West Sikkim over 7 weeks using register reviews and staff interviews. Among 4323 outpatient department attendees aged ≥30 years, 1515 (35%) were screened and 175 (12%) were newly diagnosed. Screening coverage ranged from 9% to 100% and yield from 0% to 36%. Fishbone analysis identified staff shortages, inadequate supplies, and low provider motivation. Targeted quality improvement strategies are recommended to improve screening and DM management.
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Bhutia et al. (2026) conducted a cross-sectional in Diabetes mellitus (n=4,323). Opportunistic screening for diabetes mellitus was evaluated on Screening coverage. Opportunistic screening for diabetes mellitus among outpatients aged ≥30 years achieved 35% coverage, yielding new diagnoses in 12% of those screened.
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