Implementing Workplace NCD Screening as a Health Systems Initiative: Participation, Satisfaction and Early Health Risk Signals in Tamil Nadu

Background Non-communicable diseases account for 74% of annual deaths worldwide. Early detection of these conditions is necessary for timely intervention, and prevention. The workplace serves as a suitable environment for screening by reaching large groups of population under risk. However, the effectiveness of its use for the implementation of screening programs depends on employee participant, satisfaction, and health outcomes. Therefore, this study aims to assess the employee satisfaction, participation rates, and factors influencing participation in workplace NCD screening programs along with the short-term outcomes, such as early detection rates. Methods A descriptive cross-sectional study was conducted across 29 industries from April 2024 to March 2025 in which the workplace NCD screening programs were implemented by the government health department. Information on participants' demographic profile, Morbidity status, overall perception of the screening program, and its impact was collected among its employees. Ethics approval was obtained from SRM IEC. Results A total of 296 employees participated in the study. 92.2% of the respondents had participated in a hypertension or diabetic screening program in the current workplace. Notably 43.8% of those with diabetes and 45.5% with hypertension were initially identified through workplace screening program, and 22.7% of them reported that they have made some lifestyle changes after NCD screening. Overall, two-third of the participants were satisfied with the screening programs. Years of experience and organisations support were the influencing factors for workplace screening programs. Conclusion High participation rate, substantial initial case detection and strong employee satisfaction demonstrates that work place NCD screening program in Tamil Nadu’s organised sector are both feasible and effective even for a Long run.