Published: 2018-06-25

Importance of giving health education regarding lifestyle modification and perceived barriers: focus group discussion among community health workers of slum of Kolkata, India

Shobhit Garg, Sembagamuthu Sembiah, Swanyaprabha Maharana, Nazrul Mallick, Aritra Bhattacharya, Bijit Biswas


Background: Considering the poor health literacy and high prevalence of risk factors of NCDs in the slums, health education remains prime intervention. Indeed, successful intervention requires programmes tailored not only to local needs and available resources but also the way it is implemented in the community. The objective was to assess the knowledge of NCDs and NCD care, identify the barriers that impede community level workers from providing services pertained to achieve and maintain healthy living among the community.

Methods: It was a qualitative study (FGD) conducted on 30th November 2017 among community level workers of Urban Health Unit and Training Centre (UHU and TC), Chetla, Kolkata. A thematic qualitative analysis was conducted to identify significant themes in the data.

Results: It was found that everyone was aware of Non-communicable Diseases. In terms of physical activity, lack of time, whereas in tobacco, it had become a habit from the young age, poor knowledge about healthy diet were the main challenges in adopting the healthy lifestyle. Health education to create awareness is crucial in tackling NCDs.

Conclusions: The study revealed that the community workers were aware of the importance of health education and poor awareness regarding healthy lifestyle among people was the main challenge. By delivering holistic interventions that address multiple lifestyle risks and incorporate relapse prevention strategies, health trainers could potentially have a significant impact on control of NCDs.


Health education, Lifestyle modification, NCDs

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World Heart Federation. Factsheet: Cardiovascular diseases in India. 2016. Available at: Accessed on 13.09.2017

National Health Policy 2017. Ministry of Health and Family Welfare, Govt. Of India. Available at: Assessed on 13.09.2017

Global, regional, and national comparative risk assessment of 79 behavioural, environmental and occupational, and metabolic risks or clusters of risks, 1990–2015: a systematic analysis for the Global Burden of Disease Study 2015. Available at: Accessed on 13.09.17

Global Atlas on Cardiovascular Disease Prevention and Control. Mendis S, Puska P, Norrving B editors. World Health Organization, Geneva 2011. Available at: Accessed on 13.04.17

Del Gobbo LC, Kalantarian S, Imamura F, Lemaitre R, Siscovick DS, Psaty BM, et al. Contribution of Major Lifestyle Risk Factors for Incident Heart Failure in Older Adults: The Cardiovascular Health Study. JACC. Heart Failure. 2015;3(7):520-8.

Murray J, Fenton G, Honey S, Bara AC, Hill KM, House A. A qualitative synthesis of factors influencing maintenance of lifestyle behaviour change in individuals with high cardiovascular risk. BMC Cardiovasc Disord. 2013;13:48.

Murray J, Craigs CL, Hill KM, Honey S, House A. A systematic review of patient reported factors associated with uptake and completion of cardiovascular lifestyle behaviour change. BMC Cardiovasc Disord. 2012;12:120.

Jones EJ, Appel SJ, Eaves YD, Moneyham L, Oster RA, Ovalle F. Cardiometabolic risk, knowledge, risk perception, and self-efficacy among American Indian women with previous gestational diabetes. J Obstet Gynecol Neonatal Nurs JOGNN NAACOG. 2012 Mar;41(2):246-57.

Carvalho MS, Coeli CM, Chor D, Pinheiro RS, Fonseca M de JM da, Sa Carvalho LC de. The Challenge of Cardiovascular Diseases and Diabetes to Public Health: Study Based on Qualitative Systemic Approach. PloS One. 2015;10(7):e0132216.

Shakya-Vaidya S, Povlsen L, Shrestha B, Grjibovski AM, Krettek A. Understanding and living with glaucoma and non-communicable diseases like hypertension and diabetes in the Jhaukhel-Duwakot Health Demographic Surveillance Site: a qualitative study from Nepal. Glob Health Action. 2014;7:253-8.

Mukhopadhyay A, editor. The Independent Commission on Health. New Delhi: Voluntary Health Association of India; 1997:319-337.

Sinha DN, Dobe M. Effectiveness of tobacco cessation interventions programs. Indian J Public Health. 2004;48:138-43.

Mothiba T, Malema R, Lekhuleni M. The experiences of the newly diagnosed hypertensive patients admitted into tertiary hospital campus in Limpopo Province, South Africa. African J for Phy Heal Educat Recreat Dance (AJPHERD). 2013:213-20.