Health Sector – UHC, National Health Policy, Family Planning, Health Insurance, etc.

India Hypertension Control Initiative (IHCI)

Note4Students

From UPSC perspective, the following things are important :

Prelims level : India Hypertension Control Initiative (IHCI)

Mains level : Non-communicable diseases burden on India

A project called the India Hypertension Control Initiative (IHCI) finds that nearly 23% out of 2.1 million Indians have uncontrolled blood pressure.

What is the IHCI?

  • Recognizing that hypertension is a serious, and growing, health issue in India, the Health Ministry, the ICMR, State Governments, and WHO-India began a five-year initiative to monitor and treat hypertension.
  • The programme was launched in November 2017.
  • In the first year, IHCI covered 26 districts across five States — Punjab, Kerala, Madhya Pradesh, Telangana, and Maharashtra.
  • By December 2020, IHCI was expanded to 52 districts across ten States — Andhra Pradesh (1), Chhattisgarh (2), Karnataka (2), Kerala (4), Madhya Pradesh (6), Maharashtra (13), Punjab (5), Tamil Nadu (1), Telangana (13) and West Bengal (5).

What is Hypertension?

  • Hypertension is defined as having systolic blood pressure level greater than or equal to 140 mmHg or diastolic blood pressure level greater than or equal to 90 mmHg.
  • The definition also assumes taking anti-hypertensive medication to lower his/her blood pressure.

Why need IHCI?

  • India has committed to a “25 by 25” goal, which aims to reduce premature mortality due to non-communicable diseases (NCDs) by 25% by 2025.
  • To achieve India’s target of a 25%, approximately 4.5 crore additional people with hypertension need to get their BP under control by 2025.

What has the IHCI found so far?

  • Its most important discovery so far is that nearly one-fourth of (23%) patients under the programme had uncontrolled blood pressure, and 27% did not return for a follow-up in the first quarter of 2021.
  • There were an estimated 20 crore adults with hypertension in the country.
  • There weren’t enough validated high-quality digital blood pressure monitors in several health facilities, which affected accuracy of hypertension diagnosis.

How prevalent is the problem of hypertension?

  • About one-fourth of women and men aged 40 to 49 years have hypertension.
  • Southern States have a higher prevalence of hypertension than the national average, according to the latest edition of the National Family Health Survey.
  • While 21.3% of women and 24% of men aged above 15 have hypertension in the country, the prevalence is the highest in Kerala where 32.8% men and 30.9% women have been diagnosed with hypertension.
  • Kerala is followed by Telangana where the prevalence is 31.4% in men and 26.1% in women.

 

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