NARI: Multisectoral Nutrition intervention for Anemia Reduction Initiative in Tripura
BackgroundAnemia is a serious public health issue in India with one of the highest prevalence among women of reproductive age (18-49 years) globally. Despite the targeted and concerted efforts, anemia has shown an increasing trend over the past decade. Tripura, one among the Northeastern states of India, has the highest prevalence of WRA in the region at 67.2%. To address this crisis, our research aims to identify the contextual factors affecting anemia in different population groups in Tripura and implement multi-sectoral intervention to address anemia in women of reproductive age group.AimAssess the contextual factors affecting anemia in women of reproductive age (18-49 years) of different population groups (tribal/non-tribal) in Tripura.Co-develop and implement a multisectoral intervention to reduce anemia among women of reproductive age.Research MethodologyA quasi-experimental study design with a mixed method approach is employed. The study will be conducted in four phases -- Formative; Intervention desig
Impact story – Sravanthi’s journey to a healthy pregnancy after losing a baby to preeclampsia
Sravanthi's story
Sravanthi lost her first baby in the eight month of pregnancy due to pre-eclampsia. When she became pregnant again, she was enrolled in the SMARThealth Pregnancy program. This time, an ASHA worker diagnosed her high blood pressure and helped her manage her condition through to the birth of her baby boy.
“My health improved, my blood pressure stabilised, and I was able to carry the pregnancy to term. I feel much better now, both physically and mentally. I no longer live in fear.By: SravanthiSMARThealth user
Sravanthi's story
Struggling to make a living on low wages and handouts from family members, life got even harder for newly married Sravanthi when she became pregnant for the first time and had to give up her part time job processing tobacco leaves.
During the fifth month of her pregnancy, she started to experience some worrying signs that something was wrong – her legs, face, and whole body swelled up.
"At the hospi
Impact story – Mangala learns how to help others after losing her son to drowning
An empty lap
Mangala’s son would be on the cusp of adulthood had he not drowned seventeen years ago in a pond near the family home in a village in West Bengal.
She recalls how the day he died had started out like most others. Her husband, brother-in-law and father-in-law had left the house as the sun was rising, off to farm the land they rented nearby.
Her mother-in-law stayed at home to help care for Mangala’s two young sons while she started cooking for the family.
While Mangala was finishing the curry her mother-in-law headed outside to greet a passing salesman. Unbeknownst to her, her young grandson had followed her. When she stepped back indoors, alone, Mangala called for her son. When he did not respond, they started looking in earnest.
The search proved fruitless.
“I looked everywhere, in every corner of the house, but I didn’t find him. Then I shouted, asking neighbours where my child was. No one had seen him.By: MangalaMother who
Evidence library
Please find below a list of the key publications supporting the case for potassium-enriched salt. For a more comprehensive list, click here or to return to the main page click here.
Trials
Effect of Salt Substitution on Cardiovascular Events and Death.New England Journal of Medicine, 2021https://www.nejm.org/doi/full/10.1056/nejmoa2105675
Salt substitution and salt-supply restriction for lowering blood pressure in elderly care facilities: a cluster-randomized trial.Nature Medicine, 2023https://www.nature.com/articles/s41591-023-02286-8
Effects of salt substitutes on clinical outcomes: a systematic review and meta-analysis.Heart 2022https://heart.bmj.com/content/108/20/1608.long
Effects of a reduced-sodium added-potassium salt substitute on blood pressure in rural Indian hypertensive patients: a randomized, double-blind, controlled trialThe American Journal of Clinical Nutrition, 2021https://www.sciencedirect.com/science/article/pii/S0002916522003185
A guide to potassium-enriched salt
Please find below downloadable one-page guides for consumers and health professionals with key information on potassium-enriched salt.
For health professionalsA guide to potassium-enriched salt.Learn more
For consumersA guide to potassium-enriched salt.Learn more
WHO guidelineA summary for policy makersLearn more
FactsheetSwitching the world’s salt supply: Scaling up the use of potassium-enriched salt.Learn more
For meal producersLearn more
EvidenceUK evidence on using low-sodium salt substitutes.Learn more
Shop-to-Stop Hypertension: A public screening campaign to detect and manage raised blood pressure in Australian adults
Background
Worldwide the leading risk factor for death is raised blood pressure (BP), accounting for ~30,000 deaths daily.1 In Australia, high BP is responsible for 43% of coronary heart disease, 41% of stroke, 65% of the burden of hypertensive heart disease, 38% of chronic kidney disease, 32% of atrial fibrillation and flutter and 3.6% of dementia.2 Better BP control could save more lives than any other single treatment intervention.3 In Australia, BP control rates have stagnated since 2011 at ~32%,4, 5 leading to a 2022 call to action to improve uncontrolled BP in Australia.5
Hypertension (the condition you have from high BP) is called the "silent killer" because most people who have raised BP do not have any symptoms.6 In Australia, 34% of adults have hypertension,4 but millions remain unaware and undiagnosed.6, 7 Only one in two people detected to have high BP are aware of their condition.8 Innovative strategies to target wider and high-risk populations,
Triple therapy prevention of Recurrent Intracerebral Disease EveNts Trial (TRIDENT)
Current status– finished recruitment – in follow-up.TRIDENT is an international medical research study which aims to determine the effect of more intensive blood pressure control to prevent recurrent stroke in patients who have had an intracerebral haemorrhage (ICH) (a stroke caused by ruptured blood vessel in the brain). The aim of this project is to test the superiority of a fixed low-dose combination blood pressure-lowering pill (Triple Pill) strategy in recurrent stroke in patients with a history of ICH.Acute ICH accounts for at least 10% of the 20 million new strokes in the world each year. ICH survivors are at high risk of recurrent stroke and other serious cardiovascular events. Numerous studies have proven the benefit of stroke survivors reducing their risk of recurrent stroke through taking blood pressure-lowering medications. However, studies have shown that many ICH survivors are either not receiving any blood pressure-lowering medication or they are receiving inadequate control.The TRIDENT stu
How can we use the Global Burden of Disease study to achieve Sustainable Development Goal 3.2?
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