5 Components
There are 5 crucial components of effective hypertension care that are part of the IHCI programme.
The Government of India initiated a population-based screening programme for hypertension, diabetes and cancers of the breast, cervix and oral cavity. IHCI complements this screening programme and will accelerate progress towards Government of India targets by ensuring a continuum of care.
The project activities focus on:
Adoption of standardized treatment protocol for hypertension management, agreed upon by State-level stakeholders and consistent with national and global policies
Availability of recommended protocol drugs in all public health facilities
Task-sharing and team based care involving Auxiliary Nurse Midwife (ANMs) for BP monitoring and drug refills to patients initiated on treatment
Measurement of BP and other health system indicators using monitoring systems
Support for implementation science to promote continuous quality improvement
IHCI activities are supported by a cadre of Cardiovascular Health Officers (CVHOs) and Senior Treatment Supervisors (STSs). CVHOs are public health professionals recruited under the project at the State and district level who work closely with the Government in the operationalisation of the project. They provide supportive supervision, monitoring and evaluation and advocacy at the State and district level and are recognised to be of great value in supporting the rollout of the Initiative. Senior Treatment Supervisors (STSs), are non-medical graduates deployed under the project at sub-district level to support CVHOs in supervision and monitoring.
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