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ORIGINAL ARTICLE
Year : 2022  |  Volume : 66  |  Issue : 4  |  Page : 466-472

Effect of COVID-19 lockdown on lifestyle habits and self-care practices of diabetic and hypertensive patients in rural Shimla and Udaipur – Findings from the HealthRise India program


1 Manager – Data and Analytics, Ramaiah International Centre for Public Health Innovations, Bangalore, Karnataka, India
2 Assistant Professor, Ramaiah International Centre for Public Health Innovations, Bangalore, Karnataka, India
3 Principal and Dean; Professor, Department of Community Medicine Ramaiah Medical College and Technical Advisor, Ramaiah International Centre for Public Health Innovations, Bangalore, Karnataka, India
4 Director, Ramaiah International Centre for Public Health Innovations, Bangalore, Karnataka, India

Correspondence Address:
Santhosh Kumar Kaza
Manager – Data and Analytics, Ramaiah International Centre for Public Health Innovations, Bangalore, Karnataka
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/ijph.ijph_1908_21

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Background: COVID-19 pandemic has increased the risk of mortality among patients with noncommunicable diseases. Maintaining a good metabolic control, lifestyle modification along with improved self-care practices are not only associated with less severe COVID-19 infections but also with a high recovery rate. Objectives: This research article explores the changes in lifestyle habits, self-care practices, and metabolic control among patients enrolled in the HealthRise program. The study compares behavioral changes, before COVID-19 pandemic and during COVID-19 pandemic, between intervention and control arms in Shimla and Udaipur. Methods: A quasi-experimental study design was employed for program implementation in select villages of Shimla district, and Udaipur district. A total of 459 patients from Shimla and 309 patients from Udaipur with diabetes mellitus or hypertension or with both were enrolled and followed for 1 year. Results: Metabolic control in Shimla intervention arm was 2.6 times higher than in control arm (P = 0.001) before COVID-19 pandemic. During COVID-19 pandemic, Odds of metabolic control in Shimla intervention was 1.5 times higher when compared with control arm (P = 0.03). In Udaipur, metabolic control before COVID-19 pandemic was comparable between control and intervention arms. During the pandemic, metabolic control in intervention arm of Udaipur was 5 times higher when compared to the control arm ((P = 0.001). Conclusion: Participants exposed to support, appreciate, learn, and transfer-community life competence process (SALT-CLCP) intervention maintained metabolic control during the COVID-19 pandemic with improved behavioral and self-care practices. Community-based interventions such as SALT-CLCP method bring ownership and empower community in achieving the better health outcomes.


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