Related Topic in KAS Prelims Syllabus:
Science and Technology [Paper-II]: Public Health, Health Care
The India Hypertension Control Initiative (IHCI), launched in four districts of Kerala, has been able to control hypertension in about 35% of the people covered under the initiative.
- It is a collaborative project of Indian Council of Medical Research (ICMR), Ministry of Health and Family Welfare (MoHFW), State Governments, World Health Organization (WHO), and Resolve to Save Lives initiative of Vital Strategies.
- Launched in November, 2017, the initiative has enrolled more than three lakh patients with high blood pressure in government health facilities in 25 selected districts in Punjab, Madhya Pradesh, Kerala, Telangana, and Maharashtra.
- It was recently expanded to cover 100 districts across all states.
- It aims to reduce disability and death related to cardiovascular disease (CVD) by improving the control of high blood pressure (hypertension), reducing salt consumption and eliminating artificial trans-fats, the leading risk factors for CVD.
- This initiative aims to strengthen the cardiovascular disease component of the Health Ministry’s National Program for Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS).
- It will focus on strengthening hypertension management and monitoring at the primary health care level, within the existing healthcare system.
- It is aligned with WHO’s Global HEARTS Initiative and National Guidelines.
- Treatment protocols that simplify quality patient care in primary care facilities
- Provision of adequate supply of quality medicines and blood pressure monitors
- Comprehensive training for healthcare workers at all levels on latest practices in hypertension treatment
- Team-based care for counseling and follow up of the patients
Need for the Initiative
- Around 200 million adults in India have high blood pressure, yet control rates for the condition remain low.
- Studies suggest that in rural areas in India, only one quarter of people with hypertension are aware of their condition, and only around 10 percent have their blood pressure controlled.
- In urban areas, around 40 percent of people with hypertension are aware of their condition, and only around 20 percent have their blood pressure controlled.
IHCI in Kerala
- IHCI was launched in Kerala in April 2018 as a multi-partner five-year initiative with the Union Ministry of Health and Family Welfare, Indian Council of Medical Research, State government, and WHO India.
- The results from Kerala had been the most impressive so far than other states because of the infrastructure strength of non-communicable disease clinics across the State
- Each patient was given a treatment book and the health card was kept at the hospital.
- Every month there was a follow-up on the patient by the hospital over the phone or by visit of an Accredited Social Work Activist.