Scaling India Hypertension Control Initiative strategies to 15 states—treatment outcomes and risk factors for uncontrolled blood pressure, India: a cohort study, 2018–2021
| Title: | Scaling India Hypertension Control Initiative strategies to 15 states—treatment outcomes and risk factors for uncontrolled blood pressure, India: a cohort study, 2018–2021 |
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| Authors: | Balram Bhargava; Roopa Shivashankar; Prabhdeep Kaur; Navneet Kumar; Meenakshi Sharma; Alka Sharma; Parasuraman Ganeshkumar; Vettrichelvan Venkatasamy; Nitesh Shah; Pragati Pragya; Mosoniro Kriina; Abhishek Kunwar; Abhinav Kadia; Akshita Devanga; Amol Wankhede; Anupam K Pathni; Aonungdok Tushi Ao; Arun Vashishtha; Ashu Gupta; M J Azarudeen; Bidisha Das; Chakshu Joshi; Geetha Prasadini; Gopinath T Sambandam; M Jagadeesan; Javed Hayat; Khedar N Raikar; Lalit Sarode; Lalit R Pathak; Lalita Sisodia; Madhur Raimule; Padmaja Jogewar; Piyush Kumar Gupta; Raghavendra Patel Chittimella; H V Rangaswamy; Rinzing Lhamu; Sailaja Bitragunta; Saket Parashar; Sampada D Bangar; Sandeep S Gill; Sangeetha Pradhan; Sarita Hazare; Shubhabrata Das; Subashish Bandari; Subhranshu Dutta; Suhas N Khedkar; Swagata Sahoo; Tejpalsinh Chavan; Vishwajit Bharadwaj; Yuga Bhatkar |
| Source: | BMJ Open, Vol 15, Iss 11 (2025) |
| Publisher Information: | BMJ Publishing Group |
| Publication Year: | 2025 |
| Collection: | Directory of Open Access Journals: DOAJ Articles |
| Subject Terms: | Medicine |
| Description: | Objectives To estimate the treatment outcomes among individuals treated for hypertension in the public sector in 89 districts across 15 states in India and to identify the risk factors for uncontrolled blood pressure (BP).Design An analysis of a cohort of people with hypertension from 2018 to 2022 from public sector health facilities.Setting All India Hypertension Control Initiative (IHCI) implementing districts using digital information systems across 15 states of India, namely Andhra Pradesh, Bihar, Goa, Gujarat, Jharkhand, Karnataka, Maharashtra, Nagaland, Puducherry, Punjab, Rajasthan, Sikkim, Tamil Nadu, Uttar Pradesh and West Bengal.Participants Individuals aged 30 years or older, who were diagnosed with hypertension or on medication at the time of registration between 1 January 2018 and 31 December 2021 were included in the study.Outcome measures Treatment outcomes were controlled BP, uncontrolled BP and missed visits in the reporting quarter (1 January 2022–31 March 2022). We analysed the risk factors for uncontrolled BP.Results Out of 1, 235, 453 hypertensive individuals enrolled in the IHCI project across 15 states, 1, 046, 512 remained under care, with 44% BP control. The control varied from 26% to 57% in various types of facilities. The states of Maharashtra, Punjab and Rajasthan had above 50% control, while Nagaland, Jharkhand and Bihar had below 25%. BP control declined from 68% when defined using a single recent reading to 52% when defined using the two-visit readings. Younger individuals ( |
| Document Type: | article in journal/newspaper |
| Language: | English |
| Relation: | https://bmjopen.bmj.com/content/15/11/e106372.full; https://doaj.org/toc/2044-6055; https://doaj.org/article/a4b2a7c3a550463c8caf5e9352f719ce |
| DOI: | 10.1136/bmjopen-2025-106372 |
| Availability: | https://doi.org/10.1136/bmjopen-2025-106372; https://doaj.org/article/a4b2a7c3a550463c8caf5e9352f719ce |
| Accession Number: | edsbas.57EBEEB3 |
| Database: | BASE |