Project Swasthya Suraksha Chakra
(CSR project of Centuryply implemented by Vision Mission Foundation)

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The primary objective of the project is to screen for diabetes, hypertension and obesity in the population.

Specific objectives: Diabetes

  1. Identify undiagnosed cases of diabetes in the population
  2. Encourage persons with over diabetes to modify lifestyle and seek medical help
  3. To promote healthy lifestyle in those having borderline elevated blood glucose (prediabetes) to prevent progression to diabetes
  4. To assist in getting appropriate medical care for those who have high blood glucose levels (both previously and newly diagnosed persons). (This was offered though the medical facilities attached to our institute at a highly subsidized rate but was kept as an optional service)

Specific objectives: Hypertension

  1. Identify undiagnosed cases of hypertension in the population
  2. Encourage persons with hypertension to modify lifestyle and seek medical help
  3. To assist in getting appropriate medical care for those who have high blood pressure levels (both previously and newly diagnosed persons). (This was offered though the medical facilities attached to our institute at a highly subsidized rate but was kept as an optional service)
Specific objectives: Obesity
  1. Identify persons with obesity, overweight and normal weight in the population
  2. Encourage persons with obesity to modify lifestyle and seek medical help if required
  3. To promote healthy lifestyle in those who are overweight to prevent chronic diseases
  4. To assist in getting appropriate medical care for those with obesity. (This was offered though the medical facilities attached to our institute at a highly subsidized rate but was kept as an optional service)

Importance of Project Swasthya Suraksha Chakra

Diabetes, hypertension and obesity are the leading cause of cardiovascular disease and mortality. The economic and societal costs of these diseases are immense. These conditions have a long silent phase and detecting and treating them during this time can prevent complications and save lives.Even after diagnosis many people ignore these conditions as they often remain asymptomatic.Awareness about diabetes, hypertension and obesity is need of the hour to prevent the burgeoning burden of cardiovascular disease and is the first step to tackle these broadly prevalent conditions. This program provided free screening for diabetes, hypertension and obesity.It provided an opportunity to identify those with silent disease and guides them regarding appropriate medical action. It also helps to identify people who are at risk to develop diabetes and guides them about necessary lifestyle changes to prevent the onset of diabetes. Those with established diseases were informed about their current health status and whether there is need to modify their current therapeutic plan. Through the project, anyone requiring medical help was also offered at a subsidized cost through associate partners.

Key Findings

Demographics

Total of 5010 persons were screened in the camps as a part of the Project Swasthya Suraksha Chakra. The population screened in the camps represents factory workers, villagers and general population from low socioeconomic strata with majority (81.6%) having income less than Rs. 20000 per month and only 44.1% educated beyond Class 10.

  • Majority (90.2%) were not in the habit of exercising. This requires attention as exercise is known to prevent noncommunicable conditions such as diabetes, hypertension, and obesity and steps to increase awareness regarding benefits of exercise are necessary.

  • The percentage of current and past smokers are 26.9% and 1.5%. Close to one-third of the population screened are smokers and again requires urgent attention.

  • Only 5.1 % of the persons screened were aware that they have diabetes. This values are less than the standard prevalence of diabetes which was reported to be 11.4% in a recent study and more likely represents lack of screening and awareness.

  • Persons already diagnosed to have hypertension was even lower at 3.5% possibly due to similar reasons.Only a small minority (0.2%) were aware about presence of any other chronic disorders.

  • RBG was > 200 mg/dL in 6.5% (n = 317/4848) out of whom 173 persons were not even aware about presence of diabetes. All these persons require urgent medical attention and were offered counselling and medical help.

  • Majority (56.2%) of those with diabetes who were screened had RBG > 200 mg/dL. The findings indicate immediate need for optimization of glycemic management in persons with diabetes. All these persons were also offered counselling and medical help.
  • RBG was between 140-199 mg/dL in 11.6% (n= 565/4848) of the population screened. Only 61 of these were already diagnosed with diabetes. The rest 10.4% (504/4848) could be having intermediate levels of blood glucose elevation categorized as prediabetes. This large group would also benefit from lifestyle intervention and requires screening and follow-up to assess for progression to diabetes.

  • Thus screening for RBG could benefitted all persons with diabetes (n=256) by helping to assess their glycemic status and also all those who had blood glucose > 140 mg/dL (504 + 143). These persons would require further follow-up. This accounted for 18% of the population screened.

  • Although only 180 persons were already diagnosed with hypertension, the screening identified 1522 (30.3%) persons whose BP > 140/90 mm Hg. This large group requires further confirmation of their hypertension status and were offered counselling and medical help.

  • During screening only 33.5% had BMI in the normal range. 11.2% belonged to underweight category and 15.7% and 39.4% were in overweight and obese category. All persons outside normal category of BMI were counselled and offered necessary medical help.

Conclusion: We screened more than 5000 people majority of whom were factory workers and villagersfrom low socioeconomic strata having income less than Rs. 20000 per month. Only 5% ofthe attendees in the camp knew they had diabetes. This is far less than the national standardand can be attributed to unawareness and lack of screening facilities. More than 18% of thepopulation screened had a blood glucose > 140 mg/dl and could potentially benefit fromfurther testing. Besides, although 3.5% were about being hypertensive, almost third of thepopulation had high blood pressure. More than half the population was overweight. Thus,these simple screening steps exposed a huge burden of hidden disease.

This population segment also comprises of a major portion of the workforce of our nation.

Poor health leads to reduced productivity, absenteeism and increased healthcare costs for both the employer and employee. In India, nearly 3 out of 10 adults have diabetes or pre-diabetes. If undetected or uncontrolled, the disease can be life-threatening. Another silent killer is Hypertension. Nearly 4 out of 10 adults in India have this condition, whichunfortunately goes undetected in many cases. Therefore, this population segment is highly vulnerable and requires greater attention from the government and civil society.

The Project has achieved its goals of screening and counselling the population in order to prevent or manage these burdensome diseases. However, given that vast population additional such sincere and rigorous efforts need to be made regularly. Vision Mission Foundation sincerely thanks Century Plywood for the support in this noble initiative.

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Willing to contribute OR donate to a noble cause?

There is an urgent need to prevent the emerging twin global epidemics of diabetes and obesity known as ‘DIABESITY’. Requests your partnership / sponsorship. All donations are exempted under section 80G (5)(vi) of the Income tax act.

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