Registrations till Sep 2021: 27,555

The low registrations due to lockdowns namely that of 139 in Nov and Dec 2020, had improved to 248 in Feb 2021, till 445 in Mar 2021, and has now stepped up to 518 in Sep 2021, despite the persistence of COVID-19 in Wayanad.

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.


Regn by Facility: n (Types) = 3

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 in Jun 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.



Quarterly Review: Q1 and Q2 2021

Quarterly blood pressure control is the proportion of patients whose blood pressure is controlled in that quarter among the patients registered in the previous quarter.

Quarterly Review finds the proportion of patients whose BP is controlled after three to six months.
Quarterly Review: Finds the proportion of patients whose BP is controlled after three to six months.

Effect of COVID-19:

  1. Due to the pandemic, health workers delivered the medications at home, or patients arranged other people to collect their medicines from the facilities, by proxy. Thus, in both situations BP could not, and was not documented.
  2. Consequently, a drop in control percentages from the Pre-COVID-19 times is expected and accepted.
  3. Furthermore, as in 2020 due to COVID-19, Q1 enrolled patients in 2021 also are assessed in Q3 for outcomes.

 

Definitions for Q1 2021:

  1. Quarter: The quarter mentioned is a three-month period in which the patients are registered, and in this example the patients registered in Q1 2021.
  2. R or Registered patients: Number of hypertensive patients registered, namely both H & HD in Q1 2021.
  3. Y or Controlled patients: Out of R, number of patients whose BP was documented to be less than 140/90 in Q2 2021, namely April to June 2021.
  4. N or Uncontrolled patients: Out of R, number of patients on treatment whose BP was documented to be more than or equal to 140/90 in Q2 2021, namely April to June 2021.
  5. MV or Missed Visit patients: Out of R, number of patients number of patients who missed their visits* in Q2 2021, namely April to June 2021.
    *Patients who did not visit the health facility even once in the quarter Q2 2021, namely April to June 2021.

To Download the 2021 Q1 & Q2 Review Facility Reporting Forms, click on the Download button below:

PS: To clarify or ask any doubt on Quarterly Review by mail Click Here  or to call the Wayanad CVHO Click Here



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 Sep-21:

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

Sep-21 Summary Amlodipine ARB Diuretics
Available stock
Stock in Patient Days
Three months requirement

IHCI Drugs in Patient Days from Nov 2020 till Sep-21:

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

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


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

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

Drugs Nil Stock High-risk
<30 days		 Medium-risk
<60 days		 Low-risk
<90 days
Amlodipine 0 2 3 1
Telmisartan+Losartan 0 0 3 7
HCTZ+Clorthalidone 4 1 0 1


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!

Thus, there is no stock out or nil stock of IHCI drugs shown by the absence of blue color columns, in any facility in Wayanad.

Accordingly, drug stock is best in Telmi with no facilities having less than thirty days stock in Telmi, as seen by the absence of black color columns in the Telmi section.

The highest number of six facilities with less than ninety days stock, as shown in orange color columns, occurs in Chlorthalidone, but these facilities 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.




Control by Facility: n = 37

Ratio of Total Regn/Monthly OPD against %BP Control

This scatter plot is based on Data from analysis of Annual review 2020.

This Scatter plot graph presents the relationship between Registration ratio to OPD load as one varaiable while the other is Control percentage.

Furthermore the markers for the facilities are colored in three groups depending on the control%. Accordingly, those with control less than 15% are blue, while the 15% to 30% are coloured orange, and above 30% Control are coloured light green.

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.



Low Perofrmers:

  • Panamaram,
  • Periya, and
  • Nallurnad, did not register any new case.


High Performers:

  1. Cheeral - 65 Registrations
  2. Thondernad - 38 Registrations
  3. Moopainad - 37 Registrations



Registrations Vs Estimated Hypertensives: till Sep 2021

The Estimated Hypertensives for each block is calculated based on its Population above the age group of thirty, using data 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 Sep-21.

PS: Mouse over the graph to view data. In order 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.


Diabetic Registrations: n = 15,006


19.69% of the total estimated 76,229 Diabetics registered.

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

The key point is:

  1. The percentage of diabetics in the adult population in Wayanad is around 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.



Diabetic Report: Co-morbidity Analysis


15,006 DM or 19.69% of the total estimated 76,229 Diabetics are registered in IHCI

The Diabetes Co-morbidity Chart shows three different series types combined in a single chart. The chart is using a set of column series for the monthly registrations of hypertension with diabetes (HD) in light blue, and diabetes (D) in black, above which is a green line that shows the total of HD and D for the respective months. Finally, there is a pie series that gives the break-up of the total H, and HD registered so far since the start of IHCI. Thus, the green line is illustrating the monthly column totals, while the pie is showing the cummulative total of all the months.

The key points are:

  1. The percentage of Diabetic patients having hypertension is 68%
  2. Remaining 32% of diabetics do not yet have hypertension.

PS: Mouse over the column-graph to see data for the Co-morbidity analysis.



Ranks Vs Registrations at Facilities   n=37 Facilities

Facility Ranking is based on the Registrations in the month under consideration, namely for Sep 2021. BP Control percentage is actually the ideal for ranking. However, three facilities recorded zero registrations, and so ranking of facilities for Sep 2021 is as per the number of new registrations.
Rank Facility Pts in Care Regd in Sep Coverage %
1 Cheeral 1300 65 38
2 Thondernad 771 38 19
3 Moopainad 597 37 12
4 Thariode 613 35 27
5 Poothady 779 30 10
6 Varadoor 528 27 10
7 Vellamunda 1054 24 20
8 Porunnannore 529 23 11
9 Valad 607 20 19
10 Noolpuzha 1422 19 30
11 Edavaka 956 19 25
12 Pulpally 432 14 15
13 Ambalavayal 1192 13 20
14 Begur 783 13 31
15 Pozhuthana 704 12 24
16 Vazhavatta 1077 12 19
17 Kappukunnu 260 11 13
18 Padinjarathara 442 10 17
19 Chulliyode 772 10 18
20 Bathery 1158 10 100
21 Vythiri 503 10 75
22 Pakkom 225 9 8
23 Chethalayam 298 8 5
24 Mananthavady 1232 8 87
25 Munderi 426 7 17
26 Kottathara 259 7 9
27 Mullankolly 189 6 4
28 Kurukanmoola 264 6 4
29 Meppady 1085 4 24
30 Vengapally 472 4 25
31 Vazhikatty 1173 3 24
32 Sughandhagiri 118 2 4
33 Appapara 648 1 28
34 Meenangady 1166 1 25
35 Panamaram 1055 0 20
36 Periya 764 0 23
37 Nallurnad 140 0 21
Rank Facility Pts in Care Regd in Sep Coverage %


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



IHCI
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