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RTSL: India
Resolve to Save Lives’ New Delhi office opened its doors in 2024 to serve our longstanding partnerships for cardiovascular health in India.
Resolve to Save Lives is committed to supporting the Government of India in achieving United Nations Sustainable Development Goal 3.4. To strengthen hypertension treatment and control under the National Program for Prevention & Control of NCDs (NP-NCD), RTSL launched the award-winning India Hypertension Control Initiative (IHCI) in 2017 in collaboration with the Ministry of Health and Family Welfare, state governments, the Indian Council of Medical Research, and the World Health Organization (WHO). In just a few short years, IHCI grew to provide quality care to millions of patients with hypertension and diabetes. With IHCI strategies now successfully integrated into the National Program, we continue to work with the Government and partners to strengthen primary health care for hypertension and diabetes control.
We also focus on promoting healthier diets to improve heart health in India, with an emphasis on sodium reduction to support the Government of India’s goal of a 30% reduction in salt intake at the population level. Our key areas of work include supporting interventions like replacing edible salt with low-sodium substitutes in households, implementing healthy food procurement policies in schools and other public settings, and supporting the government in reducing the consumption of processed and packaged foods through interventions like front-of-pack labelling, fiscal measures, and marketing restrictions on unhealthy foods, all aimed at fostering a healthier food environment.
Our Programs
In 2021, India became the first low- to middle-income country to join our global movement to eliminate trans fat from the food supply by adopting WHO’s REPLACE action package, developed and implemented with RTSL’s technical expertise. Our support for trans fat elimination in India continues through efforts to strengthen laboratories for effective monitoring and enforcement, as well as by advancing research on healthier replacement options.
Our Partners in India
- Ministry of Health and Family Welfare (MoHFW)
- Indian Council of Medical Research (ICMR)
- National Health Systems Resource Centre (NHSRC)
- Food Safety and Standards Authority of India (FSSAI)
- National Institute of Nutrition (NIN)
- World Health Organization (WHO)
- Global Health Advocacy Incubator
- WISH Foundation
- IPE Global
News from India
Resources
A recent analysis authored by RTSL and our partners in India shows a lack of awareness among private sector providers in India that high blood pressure is a critical health threat. Providing prescriptions to patients is the first step in increasing medication availability and affordability. To encourage evidence-based hypertension care, the government and NGOs could implement strategies such as tailored incentives, financial rewards, tax benefits, accreditation, and recognition for private healthcare providers who prioritize controlling high blood pressure. Professional bodies in the private sector should establish programs emphasizing quality assurance and certifications in this area. Future research should focus on designing and testing new models for private sector hypertension service delivery.
By bringing care delivery closer to communities, we can provide more people with access to quality care, improve hypertension control and save more lives. Our experts in India documented the decentralization process and its impact on patient outcomes in nine districts from 2018–2022.
Improving hypertension control requires patient retention to hypertension treatment, which requires ready access to care. This study highlights the need for improved primary care services and patient-centered services, including extended clinic hours and diagnostic facilities.
Experts from Resolve to Save Lives India analyzed patient retention rates in hypertension treatment using a mixed-method concurrent design in a North Indian district, considering socio-demographic characteristics and patient follow-up rates along with focus group discussions and in-depth interviews with health care providers and patients. Patient retention and blood pressure control were better at Health and Wellness Centers (HWCs) levels; barriers such as medication side effects, pill burden, and limited health care access hindered patient retention and medication adherence, compromising hypertension control at higher-level facilities, notably among females.
“The decentralization process involved training, treatment protocol provision, supervision, and monitoring. Among 394,038 individuals registered with hypertension from 2018–2021, 69% were under care in 2022. Nearly half of those under care (129,720/273,355) received treatment from HWCs in 2022. Care of hypertensive individuals from district hospitals (14%), community health centres (20%), and primary health centres (24%) were decentralized to HWCs. Overall BP control rose from 20% (4,004/20,347) in 2019 to 58% (157,595/273,355) in 2022, while missed visits decreased from 61% (12,394/20,347) in 2019 to 26% (70,894/273,355) in 2022. This trend was consistent in both states. HWCs exhibited the highest BP control and the lowest missed visits throughout the study period compared to other facility types.”
Read the full study here.
Authors: Nidhi Jaswal PhD, Sonu Goel PhD, Kritika Upadhyay MPH, Anupam Khungar Pathni MBBS, Om Prakash Bera MPH, MBA, Vandana Shah LLM
Contact us
Resolve To Save Lives Services
Private Limited Regus,
4th Floor, Rectangle No 1,
Commercial Complex D4, Saket,
New Delhi-110017, India
Phone | 01166544051 |
CIN | U82990DL2023FTC422985 |
[email protected] |