scholarly journals Regional Impact of Updated Guidelines on Prevalence and Distribution of Blood Pressure categories for Hypertension in India: Results from the National Family Health Survey 4

Author(s):  
Kartik Gupta ◽  
Vardhmaan Jain ◽  
Armaan Qamar ◽  
Aayush Singhal ◽  
Sivasubramanian Ramakrishnan ◽  
...  
Author(s):  
Samuel A Abariga ◽  
Hamed Khachan ◽  
Gulam Muhammed Al Kibria

Abstract Objective To estimate the prevalence and determinants of hypertension in India based on a new definition by the 2017 American College of Cardiology/American Heart Association (2017 ACC/AHA) Guideline for the Prevention, Detection, Evaluation and Management of High Blood Pressure in Adults, and compare prevalence estimates with those of the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure (JNC7). Methods We used the National Family Health Survey (NFHS-4) conducted in India (n= 212, 007). We accounted for the sampling strategy by applying survey weights. Results Prevalence of hypertension among Indians aged 15-49 years was 40.6% (95% confidence interval [CI]: 40.3-41.0) and 13.0% (95% CI: 12.8-13.2) based on 2017 ACC/AHA and JNC7 guidelines respectively. The overall absolute increase in prevalence was 27.6% (95% CI:27.3-27.9). The absolute changes in crude prevalence of hypertension between the JNC7 and 2017 ACC/AHA guidelines for men and women were 31.4% (95% CI: 30.9-31.9) and 23.7% (95% CI: 23.5-23.9), respectively. As per both guidelines, the overall prevalence was significantly higher among older people , age, male sex, overweight/obesity, higher wealth status, and urban residence. Conclusion Applying the 2017 ACC/AHA guideline to the Indian population led to a significant increase in the proportion of Indians with hypertension. There is also socioeconomic differences in the prevalence of hypertension as per both guidelines. Implementation and expansion of public health efforts for prevention and control strategies for hypertension is warranted.


2021 ◽  
Vol 6 (2) ◽  
pp. e003717
Author(s):  
Phuong Hong Nguyen ◽  
Rasmi Avula ◽  
Lan Mai Tran ◽  
Vani Sethi ◽  
Alok Kumar ◽  
...  

ObjectivesExisting health and community nutrition systems have the potential to deliver many nutrition interventions. However, the coverage of nutrition interventions across the delivery platforms of these systems has not been uniform. We (1) examined the opportunity gaps between delivery platforms and corresponding nutrition interventions through the continuum of care in India between 2006 and 2016 and and (2) assessed inequalities in these opportunity gaps.MethodsWe used two rounds of the National Family Health Survey data from 2005 to 2006 and 2015–2016 (n=36 850 and 190 898 mother–child dyads, respectively). We examine the opportunity gaps over time for seven nutrition interventions and their associated delivery platforms at national and state levels. We assessed equality and changes in equality between 2006 and 2016 for opportunity gaps by education, residence, socioeconomic status (SES), public and private platforms.ResultsCoverage of nutrition interventions was consistently lower than the reach of their associated delivery platforms; opportunity gaps ranging from 9 to 32 percentage points (pp) during the pregnancy, 17 pp during delivery and 9–26 pp during childhood in 2006. Between 2006 and 2016, coverage improved for most indicators, but coverage increases for nutrition interventions was lower than for associated delivery platforms. The opportunity gaps were larger among women with higher education (22–57 pp in 2016), higher SES status and living in urban areas (23–57 pp), despite higher coverage of most interventions and the delivery platforms among these groups. Opportunity gaps vary tremendously by state with the highest gaps observed in Tripura, Andaman and Nicobar islands, and Punjab for different indicators.ConclusionsIndia’s progress in coverage of health and nutrition interventions in the last decade is promising, but both opportunity and equality gaps remained. It is critical to close these gaps by addressing policy and programmatic delivery systems bottlenecks to achieve universal coverage for both health and nutrition within the delivery system.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Balhasan Ali ◽  
Shekhar Chauhan

An amendment to this paper has been published and can be accessed via the original article.


2019 ◽  
Vol 15 (4) ◽  
Author(s):  
Tarun Shankar Choudhary ◽  
Akanksha Srivastava ◽  
Ranadip Chowdhury ◽  
Sunita Taneja ◽  
Rajiv Bahl ◽  
...  

2021 ◽  
Vol 6 (4) ◽  
pp. 335-340
Author(s):  
Ekta Belwal ◽  
Shalini Pandey ◽  
Supta Sarkar

Anemia is the most prevalent deficiency disease and one among the major nutrition related goals globally. Children and women of reproductive age are the most vulnerable groups for anemia everywhere. While there are various nutritional and non-nutritional factors causing anemia, Iron deficiency is the most prominent of them. In India, more than half population of preschool age children and reproductive age women is suffering from anemia. Indian government had started anemia prophylaxis efforts a half century ago and still continuing to battle with this ever prevalent disease to bring down its occurrence. National Family Health Survey is the large-scale survey conducted in India to provide high-quality data on health and family welfare and related emerging issues. The data provided not only helps in formulation, revision and monitoring of the policies and programs but in situating the development of India globally. Studying the time trend for anemia prevalence and other related parameters reported in NFHS surveys helps how well India has performed until now and how far is from its goal to become Anemia free country. Keywords: Anemia, iron deficiency, health survey, child health, maternal health.


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