Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International

Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix.

doi:10.1016/j.jacc.2023.08.043

Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International

Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix.

Research output: Contribution to journal › Review article › peer-review

Abstract

In 2017, the World Health Organization (WHO) and Resolve to Save Lives partnered with country governments and other stakeholders to design, test, and scale up the WHO HEARTS hypertension services package in 32 low- and middle-income countries. Facility-based HEARTS performance indicators included number of patients enrolled, number treated and with blood pressure controlled, number who missed a scheduled follow-up visit, and number lost to follow-up. By 2022, HEARTS hypertension control programs treated 12.2 million patients in 165,000 primary care facilities. Hypertension control was 38% (median 48%; range 5%-86%). In 4 HEARTS countries using the same digital health information system, facility-based control improved from 18% at baseline to 46% in 48 months. At the population level, median estimated population-based hypertension control was 11.0% of all hypertension patients (range 2.0%-34.7%). The Global Hearts experience of implementing WHO HEARTS demonstrates the feasibility of controlling hypertension in low- and middle-income country primary care settings.

Original language	English (US)
Pages (from-to)	1868-1884
Number of pages	17
Journal	Journal of the American College of Cardiology
Volume	82
Issue number	19
DOIs	https://doi.org/10.1016/j.jacc.2023.08.043
State	Published - Nov 7 2023

Keywords

hypertension
implementation
low- and middle-income countries
public health

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jacc.2023.08.043

Cite this

Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix. (2023). Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International. Journal of the American College of Cardiology, 82(19), 1868-1884. https://doi.org/10.1016/j.jacc.2023.08.043

Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International. / Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix.
In: Journal of the American College of Cardiology, Vol. 82, No. 19, 07.11.2023, p. 1868-1884.

Research output: Contribution to journal › Review article › peer-review

Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix. 2023, 'Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International', Journal of the American College of Cardiology, vol. 82, no. 19, pp. 1868-1884. https://doi.org/10.1016/j.jacc.2023.08.043

Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix. Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International. Journal of the American College of Cardiology. 2023 Nov 7;82(19):1868-1884. doi: 10.1016/j.jacc.2023.08.043

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title = "Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International",

abstract = "In 2017, the World Health Organization (WHO) and Resolve to Save Lives partnered with country governments and other stakeholders to design, test, and scale up the WHO HEARTS hypertension services package in 32 low- and middle-income countries. Facility-based HEARTS performance indicators included number of patients enrolled, number treated and with blood pressure controlled, number who missed a scheduled follow-up visit, and number lost to follow-up. By 2022, HEARTS hypertension control programs treated 12.2 million patients in 165,000 primary care facilities. Hypertension control was 38% (median 48%; range 5%-86%). In 4 HEARTS countries using the same digital health information system, facility-based control improved from 18% at baseline to 46% in 48 months. At the population level, median estimated population-based hypertension control was 11.0% of all hypertension patients (range 2.0%-34.7%). The Global Hearts experience of implementing WHO HEARTS demonstrates the feasibility of controlling hypertension in low- and middle-income country primary care settings.",

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Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International

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Keywords

ASJC Scopus subject areas

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