Figure 6. Vitória da Conquista cascade of care
More males than females were “Newly screened,” “Newly screened positive,” and “Newly diagnosed” for hypertension; however, females considerably outnumbered males in the “Enrolled,” “Biomarker,” and “Controlled” categories for hypertension. For diabetes, females outnumber males in all categories from “Screened” to “Controlled.” Tables containing disaggregated counts by sex, category, and disease can be found in Appendix D. India
Patient empowerment and community engagement were prominent intervention approaches by both grantees in India. Along with support groups for patients and their families in or close to their communities, grantees partnered with Constellation to introduce an appreciative listening technique – SALT – which was implemented in 14 villages in the Shimla intervention area and four villages in the Udaipur intervention area. The grantees were also keen on screening and finding new individuals at risk of having hypertension, diabetes, or both. A total of 48,612 individuals were screened, and individuals suspected of having either condition were referred to a health facility for confirmatory diagnosis. Udaipur
In an attempt to identify individuals at risk, CHAI organized 128 screening events which were open to both those aware and not aware of their condition. CHAI also conducted household screening events to meet screening targets. A total of 26,559 individuals were screened for hypertension, and 18,166 individuals were screened for diabetes; Of those individuals, 26,144 individuals who were screened for elevated blood pressure reported no previous diagnosis of hypertension, and 17,994 individuals who were screened for elevated blood sugar reported no previous diagnosis of diabetes. The cascade of care below describes the number of individuals at various stages of identification and treatment for hypertension and diabetes. Categories containing the label “Newly” exclude individuals with pre-existing diagnoses for a given condition (Figure 7).
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