Objective      To investigate the needs for management of non-communicable chronic diseases (NCDs) (including current statuses

management for related lifestyle factors and existing problems) in basic public health services by primary medical institutions and provide evidences for the intervention strategies to chronic disease management. Methods     Stratified random sampling was applied to select 4 communities and 4 townships from Honghuagang District

Zunyi City

Guizhou Province. Questionnaire and in-depth interview were used to collect data. Results     Totally 316 residents were included in this study. There were 10 different NCDs in the subjects

and 57.6% of them suffered from 2 or more chronic diseases. The top 5 NCDs with comparatively higher incidences were hypertension (54.6%)

diabetes (20.1%)

dyslipidemia (13.4%)

coronary heart disease (11.7%)

and chronic bronchitis (8.4%). Among the participants

36.1% were lack of physical activities

and 16.1%

7.9% and 18.1% had the habits of smoking

alcohol drinking

and sleep of less than 5 h

respectively. Some of them (40.5%) took vegetables less than 300 grams

12% often ate sweet food and 16.1% ate too much salt. The results of in-depth interview by 8 NCDs medical staffs from 8 communities indicated that besides hypertension and diabetes

coronary heart disease

cerebral infarction

myocardial infarction and hyperlipidemia were also common in their communities. And the intervention effect on the bad lifestyles and dietary habits were not satisfying in the management of NCDs patients. Conclusion     The burden of NCDs was quite heavy in the residents of the surveyed regions. With the development of social economy

the care items included in the NCDs management in primary public health services should be gradually expanded from diabetes and hypertension to dyslipidemia

coronary heart disease and other common NCDs. Intervention and guidance on exercise

sleeping

smoking

drinking

and dietary habits (intakes of vegetable

salt and sugar) should be strengthened at the same time.