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 are held in these facilities.

However, new registrations in PHCs have picked up only marginally in July 21 after the resurgence of COVID-19 had stopped registration since Mar 21.

PS: Mouse over the column-graph to see data for each facility type or month. Also, to view data table, full screen, download pdf, svg, excel formats, or print this graph, and for other options like zoom in, zoom out, selection zoom, panning, click the hamburger menu on the right top corner of this graph.

For just over two months both FHC Noolpuzha, and PHC Varadoor have begun giving their IHCI registered patients, whose BP are controlled drugs for two months. This is a change from the standard paractice of giving patients drugs for one month. The advantages of this scheme are:

Benefits Reported:

1. Both facilities reported that the number of patients visiting the hospital reduced considerably once drugs were given for two months since the beginning of June 2021.
2. In addition, the pharmacists of both facilities state that this reduction will be maintained if there is no lockdown or confinement. For, during lockdown, both these facilities dispensed NCD drugs to those temporary residents who are unexpectedly detained in the hinterland of their facilities.
3. As both the facilities felt that this change was an improvement and must be continued, the practice would be documented and shared across the entire district, so that other facilities could follow.

Note of caution:

• Moreover, both facilities reported shortages and nil stock of Glimepiride tablet which was immediately replenished by KMSCL, as well as by the Family Welfare Program, which also supplies NCD Drugs. Also, FHC Noolpuzha, could make Local purchase of Glimepiride tablet as it serves mostly the Tribal population, for which it is well supported by its Panchayat.
• Stock of Tablet Pioglitazone dipped to nil stock in Varadoor alone for a few days, before it was replenished by KMSCL.

PS: To inform similar innovations by mail Click Here  or to call the Wayanad CVHO Click Here

PS: Mouse over each point vertically above a particular month on the line graph to see the stock in patient days for that month.

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

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

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 the IHCI drugs for more than ninety days in all the 37 facilities!

Accordingly, there is no stock out or blue column for any protocol drug in Jul-21, in any facility in Wayanad.

The facilities having stock out for Chlorthalidone do 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.

18.2% of the total estimated 76,229 Diabetics registered.

The Diabetic Registrations are at par with the Hypertension ones, as the registrations in Hypertension is only one percentile higher in the proportion of registered versus estimated hypertensive patients.

The key point is:

1. The percentage of diabetics in the adult population in Wayanad is 20%, which is lower than elsewhere in Kerala, as per the latest DLHS.

PS: Mouse over the column-graph to see data for the Diabetic Registrations in the respective months.