Is the Rule of Halves in Hypertension Valid Uniformly across India? A Cross-sectional Analysis of National Family Health Survey-4 Data

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dc.contributor.authorMaroof, Mohden_US
dc.contributor.authorFaizi, Nafisen_US
dc.contributor.authorThekkur, Pruthuen_US
dc.contributor.authorRaj, Sonikaen_US
dc.contributor.authorGoel, Sonuen_US
dc.date.accessioned2023-08-19T04:55:50Z
dc.date.available2023-08-19T04:55:50Z
dc.date.issued2022-09
dc.description.abstractBackground: Hypertension is widely prevalent across India. The rule of halves is commonly used to describe the attrition and gaps in the care cascade of hypertension management across detection, availing treatment, and having controlled blood pressure (BP) on treatment. Objectives: Using nationally representative data, we aimed to assess the rule of halves in hypertension management in different states of India and across sociodemographic, health system, and personal factors. Methods: A descriptive analysis of secondary data from the National Family Health Survey?4 was conducted. We included 770,662 individuals(112,122 men and 658,540 nonpregnant women) of 15–49 years of age. The proportion of individuals not aware of hypertension status among those with high BP, known hypertensives not availing of treatment, and uncontrolled BP among those on treatment were expressed as percentage with a 95% confidence interval (CI). Results: Of those with high BP, 48.5% (95% CI: 47.8%–49.3%) were not aware of their hypertensive status. Among known hypertensives, 72% (95% CI: 71.2%–72.8%) had not availed treatment for hypertension. Among those on treatment, 39.8% (95% CI: 38.7%–40.9%) had uncontrolled hypertension. Conclusion: The rule of halves of India shows that the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases, and Stroke has made relatively good progress with the detection of hypertension and achieving BP control among those on treatment. However, with three?fourth of known hypertensives not availing treatment, more dividends from the detection of hypertension efforts could be realized. The program needs to especially focus on ensuring the treatment for those detected with hypertension.en_US
dc.identifier.affiliationsAssistant Professor, Department of Community Medicine, Rani Durgavati Medical College, Banda, Uttar Pradesh, Indiaen_US
dc.identifier.affiliationsAssistant Professor, Department of Community Medicine, Jawaharlal Nehru Medical College, Aligarh Muslim University, Aligarh, Indiaen_US
dc.identifier.affiliationsSenior Operational Research Fellow, Centre for Operational Research, International Union Against Tuberculosis and Lung Disease (The Union), Paris, Franceen_US
dc.identifier.affiliationsPublic Health Masters Program, School of Medicine, University of Limerick, Limerick, Irelanden_US
dc.identifier.affiliationsProfessor, Department of Community Medicine and School of Public Health, Postgraduate Institute of Medical Education and Research, Chandigarh, Indiaen_US
dc.identifier.citationMaroof Mohd, Faizi Nafis, Thekkur Pruthu, Raj Sonika, Goel Sonu. Is the Rule of Halves in Hypertension Valid Uniformly across India? A Cross-sectional Analysis of National Family Health Survey-4 Data. Indian Journal of Public Health. 2022 Sept; 66(3): 269-275en_US
dc.identifier.issn0019-557X
dc.identifier.issn2229-7693
dc.identifier.placeIndiaen_US
dc.identifier.urihttps://imsear.searo.who.int/handle/123456789/223830
dc.languageenen_US
dc.publisherWolters Kluwer – Medknowen_US
dc.relation.issuenumber3en_US
dc.relation.volume66en_US
dc.source.urihttps://doi.org/10.4103/ijph.ijph_2143_21en_US
dc.subjectAwarenessen_US
dc.subjecthypertensionen_US
dc.subjectIndiaen_US
dc.subjectNational Family Health Survey?4en_US
dc.subjectnoncommunicable diseaseen_US
dc.subjectrule of halvesen_US
dc.titleIs the Rule of Halves in Hypertension Valid Uniformly across India? A Cross-sectional Analysis of National Family Health Survey-4 Dataen_US
dc.typeJournal Articleen_US
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