Workforce health  /  High blood pressure
Cardiovascular risk

A third of your workforce has it. Most of them do not know.

Hypertension is the clearest case in Indian workforce health of a problem that is expensive to ignore and inexpensive to find. It produces no symptoms, so it is never self-reported — and it is the single largest contributor to cardiac events in working-age adults.

Illustration representing High blood pressure
35.5%
of Indian adults have hypertension — an estimated 315 million
27.9%
of those affected are even aware of it
12.6%
have it actually controlled

The gap is awareness, not treatment

Analysis of NFHS-5 data found that among adults of reproductive age with hypertension, 27.9% were aware, 14.5% were on treatment and 12.6% had it controlled. The steepest drop in that cascade is the first one.

Translated to an employer: of the roughly 355 people in a 1,000-person workforce who would meet the criteria, some 250 would not know. They are not refusing treatment. They have never been told.

Why the annual health check-up is not solving this

Most corporate health check-ups do measure blood pressure. Three things then go wrong. A single reading taken in a queue, without five minutes of rest, is a poor measurement and frequently reads high or low. The result goes into a PDF the employee never opens. And nobody owns the follow-up, so a borderline reading produces no action.

The measurement is not the intervention. Somebody noticing the measurement, and telling the person what to do about it, is the intervention.

What this justifies commercially

Cardiac events in working-age employees are catastrophically expensive — through claims, through the sudden loss of experienced people, and through the effect on everyone who worked with them. Hypertension is the largest modifiable contributor, and identifying it costs the price of a cuff and someone to follow up.

This is the cheapest high-value screen in workforce health. It is worth doing even if you do nothing else.

Sources

Every figure on this page comes from one of the following, checked against the published source before use.

  1. Metabolic non-communicable disease health report of India: the ICMR-INDIAB national cross-sectional study (ICMR-INDIAB-17). The Lancet Diabetes & Endocrinology, 2023. Diabetes 11.4%, prediabetes 15.3%, hypertension 35.5%, generalised obesity 28.6%, abdominal obesity 39.5%, dyslipidaemia 81.2%.
  2. Hypertension treatment cascade among men and women of reproductive age group in India: analysis of National Family Health Survey-5 (2019–2021). The Lancet Regional Health – Southeast Asia. Of those with hypertension in this age group, 27.9% were aware, 14.5% on treatment, 12.6% controlled.
  3. Chronic diseases and productivity loss among middle-aged and elderly in India. BMC Public Health, 2022. Nationally representative analysis of 72,250 respondents from the Longitudinal Ageing Study in India (LASI, 2017–18), covering absenteeism, presenteeism, job interruption and early workforce withdrawal. Population aged 45 and over.

Also worth costing

Metabolic risk
Diabetes and prediabetes
Screening quality
Obesity and metabolic risk

Estimates are a starting point. Yours will differ.

The ROI calculator models this against your own headcount, age profile and premium. A Health Risk Assessment replaces the modelling with what is actually present in your workforce.

See the ROI research

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