One out of every four people in India suffers from high blood pressure. Only about half of those with high blood pressure are diagnosed.
One out of every four people in India suffers from high blood pressure. Only about half of those with high blood pressure are diagnosed. Only one in 10 people have this problem under control. Cardiovascular Disease… Mainly ischemic ischemic heart disease and stroke, the leading cause of death worldwide, accounting for 17.7 million deaths annually. The WHO estimates that India is responsible for one-fifth of these deaths. Undiagnosed and untreated hypertension has been identified as the highest risk factor for heart disease and related deaths. In response to this public health crisis, the Government of India has launched the India Hypertension Control Initiative. It was jointly funded in 2017 by the Indian Council of Research (ICMR) and the World Health Organization (WHO). A comprehensive study based on patients visited 24 IHCI sites in 4 states and examined them for 6 months.
At the time of registration, 62% had previously been diagnosed with hypertension, although this varies by state. More than 90% of patients in Telangana and Maharashtra are already diagnosed with hypertension, indicating a strong screening mechanism, with only 30% in Punjab being diagnosed in the past. Between January 2018 and June 2019, a total of 21,895 people with hypertension were treated at 24 IHCI sites. Nearly half of those patients did not return for the next visit scheduled. Of those who returned for the next visit, the BP control rate was more than 60%. Follow-up rates are highest in Telangana and lowest in Punjab and Madhya Pradesh.
According to a study by Dr Prabhadeep Kaur, a scientist at the National Institute of Epidemiology (ICMR) and lead author of NCDH, the biggest challenge is to prevent and treat the blood pressure epidemic. “Most of the patients we tested are suffering from this disease. There is a delay in giving them proper treatment. We have a deep understanding of why patients do not come back for treatment for this disease, ”he said.
By improving BP control rates, thousands of lives are saved each year, Dr Kaur said. “Blood pressure medications are cheap and easily available. There are no cost constraints. Paying just Rs 200 per year can help blood pressure control their BP and stave off their heart disease. At IHCI we are exploring various innovative ways for people to stay away from their treatment modalities. Also medications are always available at primary health care centers. Precautions for hypertension need to be further increased. It is said that BP is properly supplied to the patients. BP control is better in primary care centers. The study found that BP screening and treatment can be very effective in primary health care settings. Due to the high burden of patients suffering from co-morbidity, especially in rural areas and block hospitals in the district, blood pressure is well maintained in the primary health care settings, which are close to the patients’ homes. Absolute improvement in BP control over secondary care facilities (22.9 per cent increase) is more than double that of primary care (48.1 per cent increase).
“Blood pressure is no longer a disease of the urban population. The study, conducted in 25 districts in 4 states, found that rural India is equally affected, ”said Dr Ambuj Roy, a professor of AIIMS cardiology in Delhi. “Strengthening blood pressure control through the government’s NPCDCS (National Program for the Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke) program, prioritizing treatment at local health centers and reducing the risk of accurate follow-up heart disease using mobile health technology to prevent drop-offs Give significant benefits, ”said Dr. Roy. Silent killer if blood pressure is not detected and not treated properly. .
Appreciating the government’s initiative to control blood pressure, Ashim Sanyal, COO, Consumer Voice, a Delhi-based NGO working in the field of blood pressure and trans fat elimination, said, We need to reduce blood pressure and heart disease in the country. ” A national program should be launched to include ways to control these. Phase 2 of the project was launched in July 2019. The project will cover 100 districts in all Indian states, including a population of about 200 million. He said he hoped the expansion would improve the treatment of hypertension in the population of India in the next four years.
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