Hypertension is a major health risk in India, leading to high mortality and disability. With over 70% of outpatient care handled by the private sector, our study examined private health providers’ practices in managing hypertension in rural and peri-urban areas. Conducted in Telangana from April 2020 to February 2021, the study involved 46 participants, including healthcare professionals and patients. Findings showed limited awareness of hypertension's severity among private providers, leading to inconsistent screening and diagnostic practices. Both formal and informal providers lacked standardized protocols and follow-up mechanisms, with limited technical knowledge about hypertension observed, especially among rural practitioners who were often the first point of contact. Prescribing practices were influenced by drug efficacy and incentives from pharmaceutical representatives, with diagnostic labs offering referral incentives. To enhance care, targeted incentives, accreditation, and support from professional bodies are essential, alongside research into new service delivery models.
Co-author(s): Samriddhi S Gupte, Aman Kabra, Bhanu Pratap Singh, Ashish Krishna, Anupam Khungar Pathni, Bhawna Sharma, Andrew Moran, Amarendar Reddy Mamindla, Nanda Kishore Kannuri and Sarang Deo
Journal: BMC Health Services Research
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