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 : Read the attached story


  • The India Hypertension Control Initiative (IHCI) launched in four districts of the State has been able to control hypertension in about 35% of the people covered under the initiative.

What is Hypertension?

  • Hypertension (HTN or HT), also known as high blood pressure (HBP), is a long-term medical condition in which the blood pressure in the arteries is persistently elevated.
  • Usually hypertension is defined as blood pressure above 140/90, and is considered severe if the pressure is above 180/120.
  • High BP often has no symptoms. Over time, if untreated, it can cause health conditions, such as heart disease and stroke.
  • Eating a healthier diet with less salt, exercising regularly and taking medication can help lower blood pressure.

About IHCI

  • The 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 IHCI was also launched in Madhya Pradesh, Telangana, Maharashtra, and Punjab.
  • The results from Kerala had been the most impressive so far 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.
  • With the success of the initiative, the government is considering replicating it in other districts too.

Success of the move

  • A total of 2.23 lakh people — 72,460 in Thiruvananthapuram, 74,909 in Thrissur, 58,818 in Kannur, and 19,009 in Wayanad — were registered for the IHCI.
  • Of 4,530 patients among them, 40% in Thiruvananthapuram, 32% in Thrissur, 37% in Kannur and 24% in Wayanad could better control their health parameters.
  • This study group’s parameters for blood pressure (BP) control were followed up from July to September 2019.

Marked change

  • This is a marked change from the average of 13% of people having control of hypertensive parameters recorded in non-communicable disease (NCD) clinics in the State (data inferred from NCD clinics).
  • In the IHCI study group, those with uncontrolled blood pressure in these districts were put at 43%, 37%, 38% and 27%.
  • In the group, 15%, 31%, 25%, and 49% had also defaulted because of various reasons – change of address, change in treatment system or others.
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