TY - JOUR
T1 - A global perspective on using implementation research to address hypertension-associated target organ damage
AU - Peprah, Emmanuel
AU - Lopez-Class, Maria
AU - Shero, Susan
AU - John-Sowah, Joylene
AU - Engelgau, Michael
PY - 2016/6/1
Y1 - 2016/6/1
N2 - Hypertension, a major risk factor for cardiovascular disease, imposes a significant public health burden and challenge to address it worldwide. Scaling up delivery of proven, effective interventions for hypertension could significantly advance the goal of reducing the global burden. Although significant progress has been made in many countries, some lament that large-scale initiatives focused on reducing blood pressure in global populations have not effectively addressed this challenge. Late-stage implementation research plays a critical role in determining effective and sustainable scale-up of these initiatives. In this article, we briefly discuss some of the global initiatives that have been funded by the National Heart, Lung, and Blood Institute of the US National Institutes of Health. Intervention delivery strategies in low resource settings must have demonstrated effectiveness and consideration for the social, cultural and physical context (eg, access, affordability, and availability of medications) in which a program is being delivered in order to be sustainable nationally and globally. Hence, the use of implementation research is central to determining sustainable delivery of evidence-based and tailored interventions focused on hypertension control. The sustained control of hypertension in global populations holds tremendous potential for reducing morbidity, premature mortality, and the adverse economic impact of cardiovascular disease in all regions.
AB - Hypertension, a major risk factor for cardiovascular disease, imposes a significant public health burden and challenge to address it worldwide. Scaling up delivery of proven, effective interventions for hypertension could significantly advance the goal of reducing the global burden. Although significant progress has been made in many countries, some lament that large-scale initiatives focused on reducing blood pressure in global populations have not effectively addressed this challenge. Late-stage implementation research plays a critical role in determining effective and sustainable scale-up of these initiatives. In this article, we briefly discuss some of the global initiatives that have been funded by the National Heart, Lung, and Blood Institute of the US National Institutes of Health. Intervention delivery strategies in low resource settings must have demonstrated effectiveness and consideration for the social, cultural and physical context (eg, access, affordability, and availability of medications) in which a program is being delivered in order to be sustainable nationally and globally. Hence, the use of implementation research is central to determining sustainable delivery of evidence-based and tailored interventions focused on hypertension control. The sustained control of hypertension in global populations holds tremendous potential for reducing morbidity, premature mortality, and the adverse economic impact of cardiovascular disease in all regions.
KW - Global Health
KW - Hypertension
KW - Implementation Research
KW - Target Organ Damage
UR - http://www.scopus.com/inward/record.url?scp=84979670112&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=84979670112&partnerID=8YFLogxK
U2 - 10.18865/ed.26.3.395
DO - 10.18865/ed.26.3.395
M3 - Review article
C2 - 27440980
AN - SCOPUS:84979670112
SN - 1049-510X
VL - 26
SP - 395
EP - 398
JO - Ethnicity and Disease
JF - Ethnicity and Disease
IS - 3
ER -