UDAY: a comprehensive diabetes and hypertension prevention and management program in India

Mohan, Sailesh, Jarhyan, Prashant, Ghosh, Shreeparna, Srinivasapura Venkateshmurthy, Nikhil, Gupta, Ruby, Rana, Ritu, Malhotra, Cheena, Rao, M Bhaskara, Kalra, Sanjay, Tandon, Nikhil, Srinath Reddy, K and Prabhakaran, Dorairaj 2018, UDAY: a comprehensive diabetes and hypertension prevention and management program in India, BMJ open, vol. 8, no. 6, pp. 1-15, doi: 10.1136/bmjopen-2017-015919.

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Title UDAY: a comprehensive diabetes and hypertension prevention and management program in India
Author(s) Mohan, Sailesh
Jarhyan, Prashant
Ghosh, Shreeparna
Srinivasapura Venkateshmurthy, Nikhil
Gupta, Ruby
Rana, Ritu
Malhotra, Cheena
Rao, M Bhaskara
Kalra, Sanjay
Tandon, Nikhil
Srinath Reddy, K
Prabhakaran, Dorairaj
Journal name BMJ open
Volume number 8
Issue number 6
Article ID e015919
Start page 1
End page 15
Total pages 15
Publisher BMJ Publishing
Place of publication London, Eng.
Publication date 2018-07-10
ISSN 2044-6055
Keyword(s) epidemiology
general diabetes
Science & Technology
Life Sciences & Biomedicine
Medicine, General & Internal
General & Internal Medicine
Summary INTRODUCTION: Diabetes and hypertension are two leading non-communicable conditions, which are suboptimally managed in India. Thus, innovative comprehensive approaches that can concomitantly improve their detection, prevention and control are warranted. METHODS AND ANALYSIS: UDAY, a 5-year initiative, aims to reduce the risk of diabetes and hypertension and improve management by implementing a comprehensive intervention programme in the two selected study sites, Sonipat and Visakhapatnam (Vizag). It has a pre-post evaluation design with representative cross-sectional surveys before and after intervention. Within these two sites, urban and rural subsites each with a total population of approximately 100 000 people each were selected and a baseline and postintervention assessment was conducted deploying five surveys [among general population (including body measurements or biosamples), patients, healthcare providers including physicians and pharmacists, health facilities], which will determine the knowledge levels about diabetes and hypertension, the proportion treated and controlled; the patient knowledge and self-management skills; healthcare providers' management practices; the level of access and barriers to obtaining care.The interventions will include: tailored health promotion for improving public knowledge; screening of adults aged ≥ 30 years for identifying those at high risk of diabetes and/or hypertension for linkage to the healthcare system; patient education using technology enabled community health workers, geographic information system (GIS) based mapping of the communities, healthcare provider training on management guidelines, community based diabetes registry and; advocacy to improve access to healthcare. The baseline surveys have been completed, the study areas mapped using GIS and the interventions are being implemented. UDAY is expected to increase over baseline the levels of: public knowledge about diabetes and hypertension; those treated and controlled; patient self-management skills; the use of guideline based management by providers and; access to healthcare, leading to improved health outcomes and inform development of a India relevant chronic care model. ETHICS AND DISSEMINATION: Ethical clearance for conduct of the study was obtained from the Institutional Ethics Committee (IEC) of the Public Health Foundation of India. The findings will be targeted primarily at public health policymakers and advocates, but will be disseminated widely through other mechanisms including conference presentations and peer-reviewed publications, as well as to the participating communities.
Language eng
DOI 10.1136/bmjopen-2017-015919
Field of Research 110306 Endocrinology
HERDC Research category C1 Refereed article in a scholarly journal
ERA Research output type C Journal article
Copyright notice ©2018, Article author(s)
Persistent URL http://hdl.handle.net/10536/DRO/DU:30121503

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