Skip to main page content
Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
, 71 (5), 375-380

Standardizing Hypertension Management in a Primary Care Setting in India Through a Protocol Based Model


Standardizing Hypertension Management in a Primary Care Setting in India Through a Protocol Based Model

Priyanka Satish et al. Indian Heart J.


Hypertension is a leading cause of death in India. Control rates of hypertension are abysmal, even for people on treatment. There are a number of barriers to adequate control of hypertension in India, including therapeutic inertia and the lack of a systematic, simplified approach. Standardizing hypertension management through an evidence based model that sets thresholds for diagnosis, treatment goals, follow up intervals and choice of drugs can lead to improved management of hypertension in an individual hospital or health system. In this paper, we summarize the evidence for such a model, and adapt it to the Indian context, focusing on maximizing effectiveness, safety and ease of use by a non-expert. This model can be utilized by individual practitioners, hospitals, primary health centers (PHCs) and the Health and Wellness Centers (HWCs) under the Ayushman Bharat initiative.

Keywords: Hypertension; Protocol; Quality improvement.

Conflict of interest statement

Declaration of competing interest All authors have no conflict of interest to declare.

Similar articles

See all similar articles


    1. Lim S.S., Vos T., Flaxman A.D. A comparative risk assessment of burden of disease and injury attributable to 67 risk factors and risk factor clusters in 21 regions, 1990–2010: a systematic analysis for the Global Burden of Disease Study 2010. The Lancet. 2012;380(9859):2224–2260. - PMC - PubMed
    1. Pfeffer M.A., McMurray J.J. Lessons in uncertainty and humility—clinical trials involving hypertension. N Engl J Med. 2016;375(18):1756–1766. - PubMed
    1. Anchala R., Kannuri N.K., Pant H. Hypertension in India: a systematic review and meta-analysis of prevalence, awareness, and control of hypertension. J Hypertens. 2014 Jun;32(6):1170–1177. - PMC - PubMed
    1. Yoon S.S., Fryar C.D., Carroll M.D. US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics; 2015. Hypertension Prevalence and Control Among Adults: United States, 2011-2014.
    1. Control C for D, Prevention (CDC Vital signs: awareness and treatment of uncontrolled hypertension among adults–United States, 2003-2010. MMWR Morb Mortal Wkly Rep. 2012;61:703. - PubMed

LinkOut - more resources