Socio-demographic and Health-System Profile of CKD and Hypertension Patients Attending a Tertiary Care Hospital in the Sub-Himalayan Area: A Cross-sectional Study under the NPCDCS Framework
DOI:
https://doi.org/10.56450/JEFI.2026.v4i01.006Keywords:
Chronic Renal Failure Protein, Human, Hypertension, Insurance, Health, Noncommunicable Diseases, Health Programme, National, Renal Dialysis, Himachal Pradesh, IndiaAbstract
Background: Chronic kidney disease (CKD) and hypertension (HTN) represent interconnected spectrums of non-communicable diseases (NCDs) contributing significantly to India’s morbidity and health expenditure. Objectives: To describe the socio-demographic and behavioural profiles of hypertensive and CKD patients on dialysis attending a tertiary care centre in the sub-Himalayan region. Methodology: A hospital-based cross-sectional study was conducted among adult patients attending medicine and dialysis units of a tertiary centre. Socio-demographic, clinical, and behavioural data were collected using a structured questionnaire and analysed using descriptive and comparative statistics. Findings were interpreted in the context of the National Programme for Prevention and Control of Non Communicable Diseases (NP NCD) and the Pradhan Mantri National Dialysis Programme (PMNDP). Results: CKD patients were predominantly from lower-income, rural backgrounds with higher unemployment and undernutrition compared to hypertensives. Health-insurance coverage was 76.7%, though nearly one-third of CKD patients remained uninsured. Most insured patients were covered under state schemes such as HIMCARE, with limited uptake of PM-JAY. Conclusion: CKD and hypertension reflect dual ends of India’s NCD continuum, differing in socioeconomic vulnerability and health-system access. Strengthened integration of NP NCD screening with PMNDP services and unified insurance coverage is essential for equitable chronic disease care in difficult terrains.
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