Registrations till Apr 2021: 25,481

The upward trend seen in new Registration which started with 139 in Nov and Dec 2020 has improved to 248 in Feb 2021, till 445 in Mar 2021.

However, the second wave of COVID-19 that began in late Mar 2021 has cut away 150 new registrations, so that in April 20 21 only 300 new hypertensives were registered.

Furthermore, if resurgence and its attendant lockdown continues delivery of drugs to the houses of the patients would resume, and these will not be documented.

To view data table, full screen, download pdf, svg, excel formats, or print this graph, and for other options, click the hamburger menu on the right top corner of this graph.


Registrations across Facility Type: Types = SDH, CHC & PHC

The reason for lesser registrations at the SDH and CHC is that these were converted into COVID-19 First Line Treatment Centers or full-fledged COVID-19 designated centers, and so no NCD clinics were held in these facilities.

However, strikes by doctors and Health staff has brought documentation to a halt across most facilities. Also, resurgnece of COVID-19, is cutting down the little improvements in new registration.

Herein the personal intervention of the DMO, and DNO, on a one-to-one basis with the Medical Officers of the non-documenting facilities, has helped to record an upward trend in registration.

PS: Mouse over the column-graph to see data for each facility type or month.



Treatment Analysis: Avg. cards seen =400


The Missed visits had gone down from around 95% in Nov 20 to 79% in Feb 21 and to 45% in Apr 21. Similar small improvement was also seen in the control rates gradually moving up from less than 5% in Nov 20 to 30% in Mar 21. Remains to be seen if the COVID-19 resurgence will reduce this gain. Further, all the visits and BP readings of the hypertensive patients must be recorded.

PS: Mouse over each bar in the Stacked 100% bar graph to see the data for that month.


Supportive Supervision: n=19 Facilities

Details No. %
Validated Digital BP Monitor 12 63%
Oppurtunistic screening 1 5%
Phone calls done by Staff Nurse 1 5%
Overdue list shared to ASHA 1 5%
ASHA incentive disbursed 10 53%
Protocol drugs> 30 days 19 100%
Ready-reckoner used by Pharmacist 6 32%

Accordingly, the areas of immediate improvement are Opportunisitic Screening, Phone Calls made by Staff Nurse to those who missed their visits, The missed visits or overdue list shared to the ASHA, and Ready-reckoner used by Pharmacists. Ideally, this must be in the 80% range.


Anti-hypertension Drug Status: n=37 Facilities


Click on the triangle on left to see 'What is Stock in Patient Days?'

The Stock in Patient Days or Stock in Days(SID) is the number of days that the present stock of the protocol drug would last for the number of patients registered in the program.


IHCI Drugs Stock Summary in Apr-21:

Available stock on the last day of Apr 2021 versus requirement for next three months is shown in the following table, both in actual stock as well as in Patient Days:

Apr-21 SummaryAmlodipineARBDiuretics
Available stock
Stock in Patient Days
Three months requirement

IHCI Drugs in Patient Days from Aug 2020 till Apr-21:

Available stock in Patient days is shown in the following line graph, since Aug 2020, till the last day of Apr 2021:

PS: Mouse over each point vertically above a particular month on the curved line graph to see the data for that month.


Details of Drugs Stock out in Facilities in Apr-21:

The following data table and column graph details the stock out and near stock out positions in the 37 facilities in Wayanad in Apr 2021:

Drugs Total No. Facilities Nil Stock High-risk
<30 days		 Medium-risk
<60 days		 Low-risk
<90 days
Amlodipine 3 0 0 2 1
Telmisartan+Losartan 3 0 0 3 0
HCTZ+Clorthalidone 6 1 1 2 2


Do note that there are no column graphs for the drugs without stock-outs. Thus, we would have no graph above if Wayanad has stock of all IHCI drugs for more than ninety days in all 37 facilities!

Accordingly, drug stock is best in Amlo and Telmi with no facilities having nil stock.

The lone facility having stock out for Chlorthalidone does not have patients who require Chlorthalidone or diuretics.

Also, borrowing between facilities within the district has helped to tide over all deficits so far.

Credit for monitoring this IHCI protocol drug distribution system without stock outs goes to the Pharmacists motivated by the Warehouse Manager.


PS: Mouse over each column in the graph to see the number of facilites without stock for that particular drug.
To view data table, full screen, download pdf, svg, excel formats, or print this graph, and for other options, click the hamburger menu on the right top corner of this graph.




Low Perofrmers:

  1. Panamaram, Porunnannore, Periya, Pulpally, Thariode, Poothady, Meenangady, Cheeral, are the facilities that did not register any new case


High Performers:

  • 1) Ambalavayal - 49 Registrations
  • 2) Edavaka - 30 Registrations
  • 3) Noolpuzha & Vazhavatta with 20 Registrations each



Registrations Vs Estimated Hypertensives: till Apr 2021

The Estimated Hypertensives for each block is calculated based on its Population above the age group of thirty, using statistics from the DLHS.

Column graph represents the hypertensive patients registered in each block, while the line graph represents the percentage of the estimated hypertensives that has been registered till Apr-21.

To view data table, full screen, download pdf, svg, excel formats, or print this graph, and for other options, click the hamburger menu on the right top corner of this graph.


Stock of Drugs and BP Control at Facilities   n=37 Facilities

No.TypeFacilityBlockTotal RegdPatients in CareRegd this monthCoverage %% BP ControlCCBARBDiuretic
1PHCAppaparaPorunnanore643642128 15170243
2PHCMunderiMeppady498398717 5483149
3PHCVazhikatty (Kalpetta)Meppady12171160524562306031333
4CHCPanamaramPorunnanore10581054020 3626670
5CHCPorunnannorePorunnanore472472011 318347911
6CHCMeppadyMeppady15731573324012911738
7PHCVengapallyThariode461455132440222173174
8CHCPeriyaPorunnanore7647640230159100327
9CHCPulpallyPulpally417415015 3433741640
10PHCNoolpuzhaPulpally13811381203052170104122
11CHCAmbalavayalMeenangady109910954918402533136
12CHCThariodeThariode505497026 34823099
13PHCPoothadyPulpally6736730100336270208
14CHCMeenangadyMeenangady13591359025 191169412
15PHCVellamundaPorunnanore1002100217190184221403
16PHCVaradoorMeenangady493479610 289860
17PHCPozhuthanaThariode68568552312180114131
18PHCThondernadPorunnanore68268114174415192475
19PHCCheeralMeenangady11241124038 205741062
20PHCPakkomPulpally204204117 4752221578
21PHCKappukunnuThariode218218912 90269183
22PHCPadinjaratharaThariode422422917 352223422
23PHCValadPorunnanore5775771018 121205277
24PHCVazhavattaMeenangady1040104020194017974298
25PHCChulliyodeMeenangady740740718602437981
26PHCSughandhagiriMeppady108108745283157333
27PHCChethalayamPulpally2822812556317355603
28PHCMullankollyPulpally18417814 1068435717
29PHCKottatharaThariode256252393642984586
30PHCKurukanmoolaPorunnanore24724744 477283526
31PHCEdavakaPorunnanore9019013025 12159433
32SDHNallurnadPorunnanore14014022116510579929
33PHCBegurPorunnanore7507501131 55775
34PHCMoopainadMeppady5085042123234158362
35SDHBatheryMeppady1136113614206 259178229
36SDHMananthavadyPorunnanore11961196118720257211142
37SDHVythiriMeppady46646677228403104150
No.TypeFacilityBlockTotal RegdPatients in CareRegd this monthCoverage %% BP ControlCCBARBDiuretic
The brown color used for background in cells of this table indicate that the particular stock of the drug was less than the required Stock in patient days (SID) for that facility.


PS: To inform suggestions, or corrections to this report by mail Click Here  or to call the Wayanad CVHO Click Here



IHCI
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