Dept. of Health Research Govt. of India
World Health Organization
Name of the Project Evaluation of Opportunistic screening for hypertension in Tamil Nadu-Tamil Nadu Health systems Project, 2009
Principal Investigator Dr Prabhdeep Kaur
Co-Principal Investigator(s) -
Other Investigator(s) -
Collaboration / Participating Centers Govt. of Tamil Nadu
All public sector health facilities in 2 districts 
Funding Agency / Sponsor Govt. of Tamil Nadu-World bank
Budget 5 lakhs
Study Period 2008-10
Objectives Evaluate the effectiveness of hypertension and screening, treatment and counseling to improve the blood pressure control
Description The Tamil Nadu Health Systems Project (TNHSP), an initiative of Government of Tamil Nadu funded by World Bank conducted a pilot project on cardiovascular disease control. This pilot project consisted of health promotion activities and a clinic based hypertension screening, treatment and control program. The clinic based hypertension project was launched in 80 PHC and 18 GH in Virudhunagar and Sivagangai districts in October, 2007. Program was fully operational by May 2008. 
Quarterly Reports (5-10 lines) We identified monitoring and evaluation indicators. An interim evaluation was done in October 2008 to identify gaps and strengthen the program. Doctor, staff nurses and counselors screened patients for hypertension,   counseled the patients for behavioral risk factors and treated the patients with drugs based on standard treatment protocols, developed by an expert committee. Median proportion of patients with hypertension among screened ranged from 7-12%.  Average monthly follow up ranged from 250-1448 in GH and 54-499 in PHC in two districts.  Among 359 patients surveyed in an exit survey, 331 (92%) had taken drugs for hypertension in the previous one month. Blood pressure control (<=140/90 mmHg) for 55-56% of the patients in the PHCs and 73-89% in GH.
Significant achievements Success of pilot as documented in evaluation led to the scale up of the program in all districts in Tamil Nadu
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