Exploring Hidden Epidemic of Hypertension and Diabetes in Catchment Areas of Rural Health Training Center (RHTC) and Urban Health Training Center (UHTC)of GMERS Medical College, Sola, Ahmadabad through Camp approach
Journal Title: Healthline - Year 2015, Vol 6, Issue 2
Abstract
[b]Introduction :[/b] Non communicable diseases are no more confined to big cities or upper social class but are also affecting those living in rural areas and slums. Many a times these diseases are asymptomatic hence their detection and linkages with treatment facilities pose a challenge. [b]Objectives:[/b] Primary objective of this study was to document the camp approach in detecting the hidden cases and linking them with health care system for further management. Additional objective was to assess the utility of camp approach in terms of case yield. [b]Method : [/b]Total 7 community based (5 rural & 2 urban) screening camps were conducted by Community Medicine Department of GMERS Medical, Sola, Ahmedabad in its rural (Rancharda and urban (Ognaz) field practice areas in Sep 2013. Study tool: A predesigned proforma was used to record epidemiological and clinical details of camp attendee (age, sex, address, height, blood pressure & random blood sugar). A referral sheet was prepared for the referral of the suspected diabetes/hypertension patients to the Medicine Department of our hospitals. Data was entered in MS excel analysed. [b]Results : [/b]643 adults (> 20 years)were screened that included 505 (78.5%) rural and 138 (21.5%) urban areas. Females (377) outnumbered males (266).Prevalence of overweight/ obesity was high in urban (38.4%) than in rural (29.1%) areas. Prevalence of hypertension (JNC-7) was 39.2% in rural and 34.1% in urban areas; prevalence of diabetes (RBS >140 mg %) was 25.3% in rural and 24.6% in urban areas. Camps could detect additional 21.6% and 16.3% attendee as suspected of suffering from hypertension and diabetes respectively. Total 48.6% of attendee were suffering from hypertension or diabetes or both (14.8%). Self-care and treatment compliance was poor among known cases – among diabetics, 42 out of 57 (73.7% and among hypertensive, 58 out of 106 (54.7%) had uncontrolled disease status.[b] Conclusions:[/b] Hypertension and diabetes both being asymptotic, make their detection difficult. Community camps detect this hidden load and facilitate linkage with health system. Early diagnosis/ treatment coupled with non-pharmacological management can prevent the complications. Organizing such camps along with local health staff, with pre camp mobilization and effective linkages with treatment facilities not only detects hidden cases or creates awareness amongst camp attendee and those who accompany them but also reinforce the understanding of known cases and improve their compliance.
Authors and Affiliations
Rashmi Sharma, Gneyaa Bhatt, Vaishali Mehariya, Manish Rana, Pradeep Kumar
Keywords
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- EP ID EP106683
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