Abstract
Background. Noncommunicable diseases (NCDs), including diabetes and hypertension, remain leading causes of morbidity and mortality globally, disproportionately affecting low- and middle-income countries. In India, limited resources, workforce shortages, and unequal access to care limit effective prevention and long-term disease management, highlighting the need for scalable, sustainable models. Aim: to identify the most effective strategies for chronic disease management in resource-limited settings, using India as a case example. Materials and methods. The methodological approach combined a systematic review of scientific literature from 2017 to 2025 with a pilot field analysis conducted in four primary health care facilities (urban and rural). Clinical indicators (HbA1c levels, blood pressure), patient adherence to therapy, and implementation barriers were assessed. Results. All intervention models demonstrated a significant reduction in glycemic levels and blood pressure, with telemedicine achieving the highest clinical effectiveness. Community health workers contributed substantially to improved treatment adherence, while mobile clinics enhanced the accessibility of healthcare services. Implementation barriers included workforce shortages, financial constraints, and infrastructural challenges, particularly in rural areas. Conclusion. These findings highlight the need for comprehensive, locally adapted strategies for effective chronic disease control in resource-limited environments and define priority directions for further research