Epidemiology

Non Communication Diseases Survey (WHO STEP’s Approach)




The Program was initiated by carrying out a baseline house to house survey to define the health status, risk of acquiring diseases especially Non Communicable Diseases and the social and economic status of the communities. The NCD instrument of the survey is based on World Health Organization’s STEPs Approach. It classifies the individuals according to their ten year risk of acquiring non-communicable diseases (NCD), into three basic groups of low, moderate and high risk.

The survey has been completed in 195 villages/habitations covering 31257 people, of which 22881 people belong to the age group of 15+ years. Salient findings of the survey are:

Hypertension: Of the 22,881 people above 15 years of age, 5,164 (22.5%) were found to be hypertensive. However, only about 12.5% of them knew they were Hypertensive and most were on an un-monitored therapeutic schedule and the rest ie an additional 10.0% were unaware they were suffering from Hypertension. All are being put on a regulated regime through mobile/and satellite clinics


Diabetes: 5,258 people were found to be diabetics (around 22.9%). Only 16.7% of them knew they were diabetics. Of the known diabetics only 6.1% had good control. They have now been put on regulated treatment and monitoring.


Anaemia:5,879 (26.1%) people were found to be anaemic. Among women the incidence was 19.1 %; whereas in men it was 7.0%. Those detected with anaemia specially the pregnant and lactating women and the adolescent girls are being actively treated for their anaemia. This measure would ensure safe pregnancy & delivery and normal children thus reducing MMR and IMR.

Tobacco: 4,374(19.1%) of the population were found to be tobacco chewers (equally distributed among men and women), while smokers constituted about (6.5%), mostly men; and alcohol ingestion is7.2% among the males. An intensive Health Education drive has been launched to curtail the tobacco and alcohol consumption practices.