Health Condition 1: I639- Cerebral infarction, unspecified Health Condition 2: I10- Essential (primary) hypertension Health Condition 3: I619- Nontraumatic intracerebral hemorrhage, unspecified Health Condition 4: E11- Type 2 diabetes mellitus
Conditions
Interventions
Intervention1: Community-based programme for cardiovascular risk factor control: The intervention will include- i) increasing awareness about stroke and its risk factors through yearly community-based
Sponsors
Society for Education Action and Research in Community Health SEARCH
Eligibility
Inclusion criteria
Inclusion criteria: Cluster level: Inclusion criteria: The village 1.should belong to the field practice area of SEARCH in Gadchiroli district 2.should have population >400 Individual level: The individual should - 1.be a resident of the village 2.be 50 years of age or older 3.provide written, informed consent to receive the intervention and with ANY of the conditions listed below to receive treatment and follow up under the intervention 4.with a mean systolic blood pressure of 140 mm Hg or above and mean diastolic blood pressure of 90 mm Hg or above (based on 2 separate readings taken 5 minutes apart) or with a diagnosis of hypertension and on antihypertensive medications, 5.with glycosuria detected using urine dipsticks during screening and random capillary blood glucose of 200 mg/dl or above; or those with outside records showing fasting plasma glucose 126 mg/dL or above or single random plasma blood glucose value of 200 mg/dL or above ; or previous diagnosis of diabetes and taking treatment for diabetes 6.with diagnosis of stroke defined using the World Health Organizationâ??s definition as a focal (or at times global) neurological impairment of sudden onset, and lasting > 24 hours (or leading to death), and of presumed vascular origin.
Exclusion criteria
Exclusion criteria: Cluster level: 1.villages within 5 km distance from Gadchiroli town (district place) Individual level: 1.terminally ill patients 2.patients with cardiovascular or kidney disease that can not be managed in primary care setting
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Reduction in stroke mortalityTimepoint: last 2.5 years of the intervention | — |
Secondary
| Measure | Time frame |
|---|---|
| Awareness about stroke and its risk factors (Which body organ is affected in stroke? Which diseases or factors increase the risk of stroke?)Timepoint: at baseline and at the end of 3.5 years of the intervention;Blood pressure reduction in the intervention armTimepoint: at baseline and at the end of 3.5 years of the intervention;Number of diabetic patients who have random capillary blood glucose of 200mg/dl or less in the intervention armTimepoint: at baseline and at the end of 3.5 years of the intervention;Number of individuals with hypertension taking antihypertensive medicationsTimepoint: at baseline and at the end of 3.5 years of the intervention;Reduction in all-cause mortalityTimepoint: last 2.5 years of the intervention;Reduction in cardiovascular mortalityTimepoint: last 2.5 years of the intervention | — |
Countries
India
Contacts
Public ContactDr Abhay T Bang MD MPH
Society for Education, Action and Research in Community Health
Outcome results
None listed