Final presentation - CVD Team on July 21, 2011 on the Concluding Day of the Trans Disciplinary Problem Solving Course: co-taught by Washington University in St. Louis and ICTPH.
4. Shift in the burden of disease
80% of global CVD deaths occur in low and
middle income countries1
By 2025, 1.56 billion people worldwide will be
living with hypertension2
Estimated 20% hypertension prevalence rate
in Tamil Nadu3
8. • Awareness and resource
Population Level
dissemination
• Flipbook education,
Personal/Familial
maintenance efforts, and
Level
technology based activities
• Technology services and
Health Systems
educational workshops at
Level
RMHC
11. Population Level Strategies
SHG
Education
• Flipbook use • 2 group leads • Disseminate
• Salt reduction materials among
• Provided group members
• Resources educational
materials
CHW *SHG
Training dissemination
12. Population Level Strategies
SHG
Education
• Flipbook use • 2 group leads • Disseminate
• Salt reduction • Provided
materials among
• Resources group members
educational
materials
CHW *SHG
Training dissemination
13. Population Level Strategies
SHG
Education
• Flipbook use • 2 group leads • Disseminate
• Salt reduction • Provided
materials among
• Resources group members
educational
materials
CHW *SHG
Training dissemination
14. Household Level Strategies
Flipbook
education
High blood
pressure reading Invitation to
workshop
≥140/90
Home-based
Referred to
hypertension
RMHC
screening by SVG
Normal blood Follow up
pressure reading annually
15. Health Systems Level Strategies
• HMIS flagging
Increased follow up
• SVG home visit/call
• SVG and RMHC based
Education workshops
• Salt reduction
• SVG-household or RMHC level
Overnight urine test
• Baseline, mid-line, end line
• HMIS IPD module
Care continuum loop
• Care center partnerships, PISP questions
19. Process Objectives
Training the community health workers
Ensure fidelity of program delivery
Determining public penetration rate
20. Process Evaluation
Qualitative methods
KAP survey (training)
ICTPH model of practical exams
Focus groups
CHW observations (delivery)
Group lead observations
Informal interview or survey (received)
21. Quantitative methods
Educational session audit (delivery)
Attendee assessment
Follow up system audit (delivery/received)
26. Contact Information
Nancy Mueller
BA, MPH candidate
E: nancymueller@go.wustl.edu
Leslie Duling
BA, MPH/MSW candidate
E: leslie.duling@go.wustl.edu
Joshua Yudkin,
BA/MPH candidate
E: jsyudkin@wustl.edu
Washington University in St. Louis
28. References
1World Health Organization (2005). National Cardiovascular Disease Database. Retrieved from
http://www.whoindia.org/LinkFiles/NMH_Resources_National_CVD_database-
Final_Report.pdf
2Kearney, P.M., Whelton, M., Reynolds, K., Muntner, P., Whelton, P.K., He, J. (2005). Global
Burden of Hypertension: Analysis of Worldwide Data. Lancet: 365, 217-223. Retrieved from
http://www.sld.cu/galerias/pdf/servicios/hta/global_burden_of_hypertension.pdf
3Mohan, V., Deepa, M., Farooq, S., Datta, M. and Deepa, R. (2007). Prevalence, Awareness, and
Control of Hypertension in Chennai – The Chennai Urban Rural Epidemiology Study (CURES
– 52). Journal of the Association of Physicians of India, 55(May).