Change in cascade of care among individuals with hypertension - India hypertension control initiative, 2018-2024.
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Ganeshkumar Parasuraman, Rajagopalan Maanasa, Kriina Mosoniro, Somasundaram Jayashree, Kalva Jayashree, Krishna Navaneeth S, Prajitha Kannamkottapilly Chandrasekharan, Sait Sonie, Venkatasamy Vettrichelvan, Venkatesan Santhiya, A Sugavathy, Bitragunta Sailaja, Sharma Meenakshi, Shivashankar Roopa, Pragya Pragati, Bangar Sampada D, Chakma Tapas, Kunwar Abhishek, Wankhede Amol, Bharadwaj Rupali, Bharadwaj Vishwajit, Reddy T Sravan Kumar, Kishore Navneet, Das Bidisha, Puthussery Yannick, Chandran Deenadayalan, A Branch Immanuel, Gill Sandeep S, Gupta Ashu, Gopal Bipin, Kodirekkala Ramakrishna, Reddy M Jagannath, Hazare Sarita, Neelkanth Namita, Grover Gagandeep Singh, Pathni Anupam Khungar, Kaur Prabhdeep
Аннотация
METHODS: We conducted a repeat cross-sectional survey in nine Phase-I IHCI districts across five states: Punjab, Madhya Pradesh, Maharashtra, Telangana, and Kerala. We included adults aged 18 to 69 years using a multi-stage cluster sampling approach, with a sample size of 624 per district. We estimated the proportions with 95% confidence intervals for hypertension awareness, treatment coverage, and control for each district. We analysed the change in the cascade of care for hypertension between the two surveys.
RESULTS: In 2023-24, 7324 individuals had hypertension; 58.5% were aware of their condition, 44.7% were under treatment, and 21.2% had it under control. Compared with 2018, there was an absolute improvement of 6.1%, 3.9%, and 6.7% in hypertension awareness, treatment, and control, respectively. Nearly 70% of individuals aware of their diagnosis were undergoing treatment. The elderly age group (over 60 years) showed greater improvement across all three hypertension cascade indicators than the younger age group.
CONCLUSION: Repeated community-based surveys documented the effect of IHCI interventions in improving control at the community level. These results support the idea that IHCI strategies can possibly improve BP control in India and similar settings in Low- and Middle-income countries.