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., Mark Huffman

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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 languageEnglish
Pages (from-to)1868-1884
Number of pages17
JournalJournal of the American College of Cardiology
Volume82
Issue number19
DOIs
StatePublished - Nov 7 2023

Keywords

  • hypertension
  • implementation
  • low- and middle-income countries
  • public health

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