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India
Report
Summary
And NCD Testing is Remarkably Insufficient
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Non-communicable diseases (NCDs) represent the
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world’s leading cause of death and collectively kill 18
million women each year. As part of the “Insights from
10,000 Women on the Impact of NCDs” survey
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conducted by Arogya World, 1,000 women in India were
surveyed on mobile phones from March 5-30, 2014.
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NCDs Burden Majority of Households
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NCDs Affect Everyday Lives
Of the women surveyed in India, 86% say someone
in their household suffers from an NCD – heart
disease, diabetes, cancer, or chronic lung disease.
This is notably higher than the global norm of 62%.1
Over 3 in 5 women have had to provide care for a
household member suffering from NCDs.
Even though a quarter of Indian women do not work
for pay, 37% of the women surveyed had to quit
their jobs in order to care for a household member
suffering from NCDs.
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Have you ever had any of the following medical tests? 63 70% 60% 36 40% 29 30% 20% 50 44 50% 16 27 20 17 13 10% 0% Have you ever had to quit your job to care for someone in your household with NCDs? A fifth of all Indian women surveyed have never
received any basic NCD testing, including Cervical
Cancer screening tests, breast exams, blood pressure
tests, or blood sugar tests.
The percentage of Indian women who have received
an NCD test ranges from 10-19% lower than the
global average in our survey.
Only 16% of women report having received a
Cervical Cancer screening test.
Just 17% of women have received a breast exam by
a medical professional.
The highest reported NCD test by Indian women
was a blood pressure test, yet not even half of
women surveyed have ever received that test.
Cervical Cancer Breast exam Blood pressure Blood sugar Screening Test test test None of the above 80% India 61 60% Waiting Times and Cost are the Biggest
Limiting Factors to Healthcare Access
38 37 40% 25 21 18 •
20% 0% Yes No India •
I do not work for pay Global NCD Testing is Severely Lacking
Women Do Not Receive Regular Health Exams
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Only 41% of Indian women have been examined by
a medical professional in the past year. This
percentage lags behind the global norm (62%).
Almost a third of Indian women have not seen a
doctor in over 2 years.
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62 60% 50% 40% 30% •
41 29 19 20% •
16 8 10% 7 4 4 4 4 4 0% Less than 1 1-­‐2 years year ago ago 2-­‐5 years 5+ years ago ago Never I do not know India Global 1
The global norm is representative of the 10-country aggregate from Arogya’s
“Insights from 10,000 Women on the Impact of NCDs” survey.
Long waiting time is the biggest deterrent to women
(29%) visiting a medical professional in India.
The health facilities being too far away (26%), not
having enough money (24%), and not having
transportation (20%) were other major factors
preventing healthcare access.
Financial Burden High Because Women Pay for
Healthcare Out of Pocket
When were you last examined by a medical professional? 70% Global 3 in 5 Indian women report that treating NCDs has
resulted in a financial burden for the household,
with 19% mentioning it creates a major financial
burden.
3 in 10 women spend more than a quarter of the
household income on NCD treatment.
Only 20% of women are able to cover healthcare
payment via government healthcare or free clinics.
Almost half of Indian women surveyed pay the
doctor out of pocket and 14% must borrow money
from friends or family to cover healthcare expenses.
1 in 4 women stated that not having enough money
was the biggest obstacle to receiving medical
treatment.
How do you pay for your healthcare most of the time? 50% 45% 40% 35% 30% 25% 20% 15% 10% 5% 0% 45 Time and Lack of Motivation Are the Biggest
Barriers to Regular Exercise
1 in 5 Indian women report not getting enough
exercise is the healthcare issue they are most
concerned about. And, only a quarter of Indian
women report exercising regularly.
More Indian women ride bicycles for 10 minutes 2
days a week (27%) than the global norm (15%).
However, rates of exercising and playing sports
(32%), walking (52%), and conducting strenuous
household chores (25%) are lower than average.
Not having sufficient time for exercise (28%) is by
far the biggest obstacle Indian women encounter.
Other significant deterring factors include a lack of
motivation (13%), no place to exercise (13%), and
physical difficulties (11%).
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39 31 20 19 21 •
14 7 2 1 Government Private or Pay doctor healthcare or free employer health directly (out of clinics insurance pocket) India Borrow money from friends or family •
Other •
Global What percentage of your household income is spent treating NCDs? 50% In a typical week, do you engage in the following activities at least 2 days a week for at least 10 minutes each day? 44 36 40% 66 70% 31 30% 23 21 20% 59 60% 50% 15 6 10% 52 7 7 40% 10 32 36 27 30% 0% 0% 1 to 25% 5 10% 26 to 50% More than 50% I do not know India Global Exercise or play sports Walk •
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Only half of Indian women report eating healthy
foods, compared to the global average of 72%.
Having an unhealthy diet (21%) and being
overweight (21%) are the household healthcare
issues Indian women are most concerned about.
More Indian women report eating from restaurants,
street food, or take out food (77%) than the global
norm (70%). Almost 1 in 5 women eat out at least
three times per week.
Cost was the biggest barrier to healthy eating (24%).
Thinking about healthy foods, which do you agree with? 72 80% Smoking Levels Are Higher than Average
Almost 4 in 10 Indian women (37%) surveyed
report smoking tobacco products such as cigarettes,
cigars, pipes, bidis, or hookah at least occasionally.
Globally, the average is 26%.
1 in 10 women ranked smoking as their biggest
household concern and 80% demonstrated concern
about children seeing smoking advertisements.
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Do you smoke any tobacco products such as cigarettes, cigars, pipes, bidis, or hookah daily or even occasionally? 100% 54 60% 60% 50% 39 40% 20% Global 80% 70% 30% Ride a bicycle Do strenuous None of the household above chores India Women Are Not Eating Healthy Food
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5 0% Health Concerns of Indian Women
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25 15 20% 18 16 74 40% 30 24 63 14 20% 37 26 0% 10% India 0% Healthy foods are Healthy foods spoil Healthy foods are I eat healthy foods too expensive quickly too hard to prepare/cook India Global Global Yes No For additional information about the “Insights from 10,000
Women on the Impact of NCDs” survey, go to
http://arogyaworld.org/programs/capturing-the-voices-of-10000women/report/.