Click the Text button, in case you want to browse through the explanations for all the answers
in this quiz. To contact the Wayanad
CVHO by mail Click Here or to call Click Here who will tell you
more.
The Explanations are:
Q 1. Blood Pressure under control is:
Answer is:
Systolic BP <140 mm Hg & diastolic <90 mm Hg
In orther words Systolic BP = 140 mm Hg & diastolic = 90 mm Hg is BP not under control. Similarly
any Systolic BP > 139 mm Hg & diastolic > 89 mm Hg is also BP not under control
Q 2. NCD stands for:
Answer is :
Non Communicable Diseases
Importance of NCD is its proportion to all other diseases. Thus, India has seen an increase in the
contribution of NCD from 30% of the total disease burden- ‘disability-adjusted life years’ (DALYs)
in 1990 to 55% in 2016 and also an increase in proportion of deaths due to NCDs, among all deaths,
from 37% in 1990 to 61% in 2016.
Q 3. In Wayanad District, one in _________ adults have hypertension.
Answer is :
Three
In orther words, if there are three adults in a group, one of them is most likely to have
hypertension! This is more or less the same for other districts in Kerala. However, in India as a
whole, one in four adults have hypertension. So, the percentage or prevalence of hypertension among
adults in Kerala is higher than the rest of India.
Q 4. Of the people with BP in India, only _______% have it under control.:
Answer is:
Only 10% of the people with BP in India have it under control.
Thus, the need for IHCI is to find out as much as possible of the remaining 90% of the people whose
BP are not under control, and try as best to treat their Blood pressure. For, Hypertension is
controllable in most cases. In other words, Hypertension is a preventable, and treatable cause of
death.
Q 5. Systolic BP equal to or more than 140 mm Hg and Diastolic BP equal to or more than
90 mm Hg is:
Answer is :
BP not under control
In orther words Systolic BP = 140 mm Hg & diastolic = 90 mm Hg is BP not under control. Similarly
any Systolic BP > 139 mm Hg & diastolic > 89 mm Hg is also BP not under control
Q 6. Registered patients with hypertension who did not have a single follow-up visit
over a 12-month period, before the reporting date is:
Answer is:
Lost to Follow Up or LTFU.
It is important that we in the Health Care Team especially post-COVID-19, trace these patients, so
that they will be able to continue their treatment once again.
Q 7. In the acronym NPCDCS, the last two letters,'CS' stands for:
Answer is:
Cardiovascular Diseases & Stroke.
The importance of Cardiovascular Diseases & Stroke lies in the fact that these two diseases together
account for about 75% of the total NCDs.
Q 8. Standard Protocols, Team work & Care, Medication Supply, Patient Centered Care, and
Information Systems are:
Answer is:
Key Intervention Strategies.
- Standard Protocols, means the use of state-specific simple, standard drug-and dose-specific
algorithms for hypertension management.
- Team work & Team Care, stands for Team-based Care for Hypertension Management by strategic
distribution of tasks among various health care workers within the public health clinics to
enhance patient care efficiencies.
- Medication Supply, is the uninterrrupted supply and availability of drugs as per protocol in
all health facilities.
- Patient Centered Care, refers to the provision of high-quality services using
patient-centric approaches sucha as blood pressure monitoring using validated digital BP
monitors, minimum 30-day drug prescription, patient awareness, access to free drugs, and
documentation of visits in either Simple App and IHCI Treatment Card.
- Information Systems, are the monitoring systems, namely the digital Simple App and
paper-based IHCI Treatment Card, which are reviewed regularly with standard indicators and
documentation mechanisms that ensure collection of data for the vital monitoring of BP
control rates on a quarterly, and annual basis.
Q 9. Additional Strategies include:
Answer is:
All of the above.
These are: Training & High Quality Services, Opportunistic Screening, Decentralization & a Dedicated
Workforce.
- Training, which involves training of all staff levels for the management of hypertension as
appropriate to enhance the health system's capacity.
- High Quality Services, is using patient-centric approaches sucha as blood pressure
monitoring using validated digital BP monitors, minimum 30-day drug prescription, patient
awareness, access to free drugs, and documentation of visits in either Simple App and IHCI
Treatment Card.
- Opportunistic Screening, is by setting up NCD corners at health facilities to promote
opportunisitic screening and streamline patient flow.
- Decentralization of patient care, is by involving Sub Centers for follow-up visits, patient
education, and providing drug refills.
- Dedicated Workforce, refers to the CVHOs and STSs for supportive supervision and monitoring
to accelerate the implementation, strenghten program quality, and enable rapid feedback to
the stakeholders.
Q 10. Lack of dedicated Staff Nurse leads to:
Answer is:
All of the above.
These are: No or Low Opportunistic Screening, Poor documentation, Lower quality service delivery,
- No or Low Opportunistic Screening, almost nil screening for hypertension is done for all
adults who visit the health facility.
- Poor documentation, could be that blood pressure is documented in the OP chits, OP
registers, and NCD Pass book, which cannot be retrieved for the quarterly or annual review.
Hence if blood pressure is not documented in the IHCI Treatment card in the absence of
e-health or Simple App, then it is akin to zero documentation.
- Lower quality service delivery, as NCD patients are seen with all other patients including
emergencies, quality in service delivery is almost always compromised.
Q 11. IHCI registered patients who had no recorded visit in one reporting quarter is
known as:
Answer is:
Missed Visit
Patients who have not visited their health facility in the last reporting quarter are those who have
missed their visit for that quarter.
Q 12. Patients with BP who had at least one visit to a health care facility, over a
12-month period before the reporting date are called:
Answer is :
Patients under care
It is from this group of patients under care that the percentage of control, uncontrolled, and other
monitoring indicators are calculated. Deducting the number of deaths from the total registrations in
a time period will help us to derive the number of patients under care.
Q 13. Proportion of patients registered for hypertensive treatment whose BP is
controlled 3 to 6 months after registration measured quarterly is:
Answer is :
Quarterly BP Control
Likewise, the proportion of patients registered for hypertensive treatment whose BP is not
controlled 3 to 6 months after registration measured quarterly would be the Quarterly BP not
controlled rate.
Q 14. CCB stands for:
Answer is:
Calcium Channel Blocker.
CCBs are the first step of treatment in standardized protocols for hypertension treatment. The most
common CCB used in protocols worldwide is Amlodipine.
Q 15. Number of days the drug would last, considering the total IHCI registrations is:
Answer is :
Stock in Patient Days
In orther words if there is patient days of a particular drug available in a facility, it means for
the current number of registered patients, the particular drug would last for ninety days.
Q 16. Inequitable distribution of drugs from the district or state warehouse:
Answer is:
Causes drug shortages in the facilities
So, the crucial role of the Warehouse Managers cannot be emphasized more. Accordingly, it is
important that state and district warehouse Managers forecast, plan, indent, and manage the supply
chain effectively as possible.
Q 17. A situation in which there are no drugs of a particular kind or type available for
the patient is known as:
Answer is:
Stock Out
To avoid stock outs the Medical Officers and Warehouse Managers must monitor the drug stock
periodically, and take timely corrective measures to ensure adequate stocks of protocol drugs at all
times.
Q 18 : In order to forecast and indent drugs in IHCI we follow:
Answer is:
Morbidity Pattern Forecasting
In orther words for a given number of IHCI Registrations, if we refer the IHCI ready reckoner, we
can find out the amount of drug required to last three months. If our stock of that drug is below
ninety days, then we must alert and initiate fresh indents and supplies.
Q 19 : Program components that require immediate strengthening are:
Answer is:
All of the above.
These are: Staffing & Purchase of BP apparatus and drugs, Screening of every adult entering a
facility, Treatment as per protocol in Govt & Pvt sectors,
- Staffing: The importance of a dedicated staff nurse for NCD will increase the number of
registrations and coverage, as well as improve the quality of documentation.
- Purchase of BP apparatus and drugs, will increase the number and improve the measurement of
the blood pressure, and eventually lead to better control of blood pressure as well as its
monitoring.
- Screening of every adult entering a facility, will increase the registrations and coverage
- Treatment as per protocol in Govt & Pvt sectors, will reduce the number of drugs being used
to treat hypertension, and standardize tretment, as well as help control drug inventory
effectively
Q 20 : When was IHCI launched in Kerala?
Answer is :
2018
In Kerala, IHCI was unched at the State Capital, Trivandrum in 2018. We may recall that IHCI was
launched in India, in 2017.
