Hypertension

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

J Am Coll CardiolPublished Implementation programme evaluation

Authors' conclusion

The Global Hearts experience of implementing WHO HEARTS demonstrates the feasibility of controlling hypertension in low- and middle-income country primary care settings.

Study context

Population
Hypertension patients treated in primary care facilities of World Health Organization (WHO) HEARTS programmes in 32 low- and middle-income countries165,000 primary care facilities
Participants
12.2 million patients
Outcome
Hypertension control
Follow-up
By 2022
Methodological details32 low- and middle-income countries, facility-based performance indicators
  • 32 low- and middle-income countries
  • Facility-based performance indicators

Main finding

As reported in the abstract

Hypertension control

38%

Hypertension control, median (range 5%-86%)

48%

Further findings

Facility-based hypertension control, 4 HEARTS countries with the same digital health information system · 48 months

Baseline
18%
At 48 months
46%

Estimated population-based hypertension control (of all hypertension patients)

Median (range 2.0%-34.7%)
11.0%

Original publication

Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries: JACC International. J Am Coll Cardiol. Published 19 September 2023. doi:10.1016/j.jacc.2023.08.043

Summarised from the published abstract; every number is checked against it

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