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.; Andrew E. Moran; Reena Gupta; Anupam Pathni; Kufor Osi; Girma Dessie; Xiulei Zhang; Danielle Cazabon; Bolanle Banigbe; Margaret Farrell; Okeoma Erojikwe; Swagata Swahoo; Ashish Krishna; Abdikaid Ahmed Yusuf; Henok Gebreyohannes Kebede; Molla Gedefaw Berhanu; Tilahun Bezabih; Teshome Ayalew Tegegn; Workneh Demissie; Daniel Burka; Misu Tasmin; Bolatito Ogbeide; Timothy Cheadle; Joseph Odu; Meron Hailu Beyene; Cecile Borkhataria; Kate Elliott; Marc Jaffe; Renu Garg; Thomas R. Frieden; Taskeen Khan; Slim Slama; Bente Mikkelson; Truong Duc Lai; Rauell John Santos; Tyrone Aquino; Dofel Joseph Calla; Abhishek Kunwar; Kiran Durgad; Sushera Bunluesin; Mary Dewan; C. E. Obagha; Kelias Msyamboza; Bidisha Das; Navneet Kishore; Yannick Poulose Puthussery; Gopinath Thirugnana Sambandam; A. Branch Immanuel; Chakshu Chandrakant Joshi; Rupali Bhardawaj; Amol Wankhede; Suhas Namdevrao Khedkar; Vishwajit Washudeorao Bhardawaj; Thokala Sravan Kumar Reddy; Tejpalsinh Anandrao Chavan; Raghavendra Patel Chittimella; Subhasis Bhandari; Urvin Kumar Shah; Deenadayalan Chandram; Mohammed Abdul Wassey; Abhinav Kadia; Lalit Dinkar Sarode; Lalita Chauhan; Satyendra Nath Ponna; Suresh Babu; Piyush Gupta; Thej Kiran Reddy; Hanspreet Sekhon; Asif Jeelani; Gunjan Nath; Virendra Wankhede; Niniya Jayaprasad; Trishna Mohanty; Praveen Kumar; Abhishek Khanna; Shweta Singh; Ashish Bhat; Jatin Thakkar; Aiswarya Lakshmi Anitha Sreekumar; Ravivarman Lakshmanasamy; Mohamed Essa Rafique; Sunil Kumar Dar; Sreedhar Chintala; Bharath Jagadeesh; Manoj Patruni; Madhur Raimule; Shahanara S. Prabhu Valawalkar; Pedro Ordunez; Gloria Giraldo; Ramon Martinez; Andres Rosende; Yenny Rodriguez; Cintia Lombardi; Angelo Gamarra; Libardo Rodriguez; Natalia Parra; Gonzalo Rodriguez; Noelia Villalta; Maria C. Escobar; Nilda Villacres; Carlos Sorto; Edith Baca; Vhania Batista; Vivian Perez; Jorge Victoria; Zohra Abaakouk; Taraleen Malcolm; Deliana Kostova; Patricia Richter; Paul K. Whelton; Daniel Lackland; Michael Weber; Daniel Pineiro; David Wood; Fausto Pinto; Jeremiah Mwangi; Pablo Perel; Elisa Codato; Jean Luc Eiselé; Prabhdeep Kaur; Ganeshkumar Parashuraman; Meenakshi Sharma; Roopa Shivashankar; Sampada Dipak Bangar; Tapas Chakma; Pragati Pragya; Abdul Malik; Khondker Abdul Awal; Fazilatunnesa Malik; Sohel Reza Choudhury; Mahfuzur Rahman Bhuiyan; Shamim Jubayer; Mohammad Abdullah Al Mamun; Mir Ishraquzzaman; Ahmed Khairul Abrar; Jubaida Akhter; Sarmin Sultana; Aslam Parvej; Noor Nabi Sayem Khandoker Ehsanul Amin; Md Shahinul Islam; Deb Dulal Dey Parag; Ruhul Amin; Mahfuja Luna; Md Abbas Ibn Karim; Progga Mahajabin; Iqbal Ahmed Khan; Sazzad Hossain; Riasat Razi Ullah; Muhtamim Fuwad Nahid; Xinhua Zhang; Hongxia Huang; Hao Wang; Tingrui Guan; Haiying Zhao; Dike Ojji; Gabriel Lamkur Shedul; Grace Shedul; Anthony Orji; Regina Asuku; Confidence Alo-Joseph; Charity Akor; Nonye Egenti; Ada Nwankwo; Kasarachi Omitiran; Rosemary Okoli; Nanna Ripiye; Blessing Akor; Jun Cai; Lu Wang; Wenjie Wang; Luyun Fan; Jianrong (Jenny) Xu; Shanshan Tang; Guoli Wu; Barbara Smith; Thomas Kenyon; Sudarsan Mandal; Sunny Swarnakar; S. C. Wickramasinghe; Amila Bandarra Herath; I. U. Ratnayake; Kosala Samarasinghe; K. H.N. Kumarasiri; Natalia Vensentini; Daniel Palacios Mendieta; Marcela Rivera; Yamile Valdez Gonzalez; Lucia Cevallos; Matías Humberto Villatoro; Laura Elena Gloria Hernandez; Elsa Arenas; Daniel Fernández; Daniel Mola De Oleo; Shana Cyr; Roxanne Mitchell; AHM Enayet Hossain; Mohammad Robed Amin; Abdul Alim; Sarowar Uddin Milon; M. O. Alex-Okoh; Mark Huffman

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., Andrew E. Moran, Reena Gupta, Anupam Pathni, Kufor Osi, Girma Dessie, Xiulei Zhang, Danielle Cazabon, Bolanle Banigbe, Margaret Farrell, Okeoma Erojikwe, Swagata Swahoo, Ashish Krishna, Abdikaid Ahmed Yusuf, Henok Gebreyohannes Kebede, Molla Gedefaw Berhanu, Tilahun Bezabih, Teshome Ayalew Tegegn, Workneh Demissie, Daniel BurkaMisu Tasmin, Bolatito Ogbeide, Timothy Cheadle, Joseph Odu, Meron Hailu Beyene, Cecile Borkhataria, Kate Elliott, Marc Jaffe, Renu Garg, Thomas R. Frieden, Taskeen Khan, Slim Slama, Bente Mikkelson, Truong Duc Lai, Rauell John Santos, Tyrone Aquino, Dofel Joseph Calla, Abhishek Kunwar, Kiran Durgad, Sushera Bunluesin, Mary Dewan, C. E. Obagha, Kelias Msyamboza, Bidisha Das, Navneet Kishore, Yannick Poulose Puthussery, Gopinath Thirugnana Sambandam, A. Branch Immanuel, Chakshu Chandrakant Joshi, Rupali Bhardawaj, Amol Wankhede, Suhas Namdevrao Khedkar, Vishwajit Washudeorao Bhardawaj, Thokala Sravan Kumar Reddy, Tejpalsinh Anandrao Chavan, Raghavendra Patel Chittimella, Subhasis Bhandari, Urvin Kumar Shah, Deenadayalan Chandram, Mohammed Abdul Wassey, Abhinav Kadia, Lalit Dinkar Sarode, Lalita Chauhan, Satyendra Nath Ponna, Suresh Babu, Piyush Gupta, Thej Kiran Reddy, Hanspreet Sekhon, Asif Jeelani, Gunjan Nath, Virendra Wankhede, Niniya Jayaprasad, Trishna Mohanty, Praveen Kumar, Abhishek Khanna, Shweta Singh, Ashish Bhat, Jatin Thakkar, Aiswarya Lakshmi Anitha Sreekumar, Ravivarman Lakshmanasamy, Mohamed Essa Rafique, Sunil Kumar Dar, Sreedhar Chintala, Bharath Jagadeesh, Manoj Patruni, Madhur Raimule, Shahanara S. Prabhu Valawalkar, Pedro Ordunez, Gloria Giraldo, Ramon Martinez, Andres Rosende, Yenny Rodriguez, Cintia Lombardi, Angelo Gamarra, Libardo Rodriguez, Natalia Parra, Gonzalo Rodriguez, Noelia Villalta, Maria C. Escobar, Nilda Villacres, Carlos Sorto, Edith Baca, Vhania Batista, Vivian Perez, Jorge Victoria, Zohra Abaakouk, Taraleen Malcolm, Deliana Kostova, Patricia Richter, Paul K. Whelton, Daniel Lackland, Michael Weber, Daniel Pineiro, David Wood, Fausto Pinto, Jeremiah Mwangi, Pablo Perel, Elisa Codato, Jean Luc Eiselé, Prabhdeep Kaur, Ganeshkumar Parashuraman, Meenakshi Sharma, Roopa Shivashankar, Sampada Dipak Bangar, Tapas Chakma, Pragati Pragya, Abdul Malik, Khondker Abdul Awal, Fazilatunnesa Malik, Sohel Reza Choudhury, Mahfuzur Rahman Bhuiyan, Shamim Jubayer, Mohammad Abdullah Al Mamun, Mir Ishraquzzaman, Ahmed Khairul Abrar, Jubaida Akhter, Sarmin Sultana, Aslam Parvej, Noor Nabi Sayem Khandoker Ehsanul Amin, Md Shahinul Islam, Deb Dulal Dey Parag, Ruhul Amin, Mahfuja Luna, Md Abbas Ibn Karim, Progga Mahajabin, Iqbal Ahmed Khan, Sazzad Hossain, Riasat Razi Ullah, Muhtamim Fuwad Nahid, Xinhua Zhang, Hongxia Huang, Hao Wang, Tingrui Guan, Haiying Zhao, Dike Ojji, Gabriel Lamkur Shedul, Grace Shedul, Anthony Orji, Regina Asuku, Confidence Alo-Joseph, Charity Akor, Nonye Egenti, Ada Nwankwo, Kasarachi Omitiran, Rosemary Okoli, Nanna Ripiye, Blessing Akor, Jun Cai, Lu Wang, Wenjie Wang, Luyun Fan, Jianrong (Jenny) Xu, Shanshan Tang, Guoli Wu, Barbara Smith, Thomas Kenyon, Sudarsan Mandal, Sunny Swarnakar, S. C. Wickramasinghe, Amila Bandarra Herath, I. U. Ratnayake, Kosala Samarasinghe, K. H.N. Kumarasiri, Natalia Vensentini, Daniel Palacios Mendieta, Marcela Rivera, Yamile Valdez Gonzalez, Lucia Cevallos, Matías Humberto Villatoro, Laura Elena Gloria Hernandez, Elsa Arenas, Daniel Fernández, Daniel Mola De Oleo, Shana Cyr, Roxanne Mitchell, AHM Enayet Hossain, Mohammad Robed Amin, Abdul Alim, Sarowar Uddin Milon, M. O. Alex-Okoh, Mark Huffman

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

19 Scopus citations

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
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

Access to Document

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., Moran, A. E., Gupta, R., Pathni, A., Osi, K., Dessie, G., Zhang, X., Cazabon, D., Banigbe, B., Farrell, M., Erojikwe, O., Swahoo, S., Krishna, A., Yusuf, A. A., Kebede, H. G., Berhanu, M. G., Bezabih, T., Tegegn, T. A., Demissie, W., ... Huffman, M. (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

Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix. ; Moran, Andrew E. ; Gupta, Reena et al. / Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries : JACC International. In: Journal of the American College of Cardiology. 2023 ; Vol. 82, No. 19. pp. 1868-1884.

@article{c66556c6ffcb47898ff0debbd76a2aa1,

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.",

keywords = "hypertension, implementation, low- and middle-income countries, public health",

author = "{Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix.} and Moran, {Andrew E.} and Reena Gupta and Anupam Pathni and Kufor Osi and Girma Dessie and Xiulei Zhang and Danielle Cazabon and Bolanle Banigbe and Margaret Farrell and Okeoma Erojikwe and Swagata Swahoo and Ashish Krishna and Yusuf, {Abdikaid Ahmed} and Kebede, {Henok Gebreyohannes} and Berhanu, {Molla Gedefaw} and Tilahun Bezabih and Tegegn, {Teshome Ayalew} and Workneh Demissie and Daniel Burka and Misu Tasmin and Bolatito Ogbeide and Timothy Cheadle and Joseph Odu and Beyene, {Meron Hailu} and Cecile Borkhataria and Kate Elliott and Marc Jaffe and Renu Garg and Frieden, {Thomas R.} and Taskeen Khan and Slim Slama and Bente Mikkelson and Lai, {Truong Duc} and Santos, {Rauell John} and Tyrone Aquino and Calla, {Dofel Joseph} and Abhishek Kunwar and Kiran Durgad and Sushera Bunluesin and Mary Dewan and Obagha, {C. E.} and Kelias Msyamboza and Bidisha Das and Navneet Kishore and Puthussery, {Yannick Poulose} and Sambandam, {Gopinath Thirugnana} and Immanuel, {A. Branch} and {Chandrakant Joshi}, Chakshu and Rupali Bhardawaj and Amol Wankhede and Khedkar, {Suhas Namdevrao} and Bhardawaj, {Vishwajit Washudeorao} and {Kumar Reddy}, {Thokala Sravan} and Chavan, {Tejpalsinh Anandrao} and Chittimella, {Raghavendra Patel} and Subhasis Bhandari and Shah, {Urvin Kumar} and Deenadayalan Chandram and Wassey, {Mohammed Abdul} and Abhinav Kadia and Sarode, {Lalit Dinkar} and Lalita Chauhan and Ponna, {Satyendra Nath} and Suresh Babu and Piyush Gupta and Reddy, {Thej Kiran} and Hanspreet Sekhon and Asif Jeelani and Gunjan Nath and Virendra Wankhede and Niniya Jayaprasad and Trishna Mohanty and Praveen Kumar and Abhishek Khanna and Shweta Singh and Ashish Bhat and Jatin Thakkar and {Anitha Sreekumar}, {Aiswarya Lakshmi} and Ravivarman Lakshmanasamy and Rafique, {Mohamed Essa} and Dar, {Sunil Kumar} and Sreedhar Chintala and Bharath Jagadeesh and Manoj Patruni and Madhur Raimule and {Prabhu Valawalkar}, {Shahanara S.} and Pedro Ordunez and Gloria Giraldo and Ramon Martinez and Andres Rosende and Yenny Rodriguez and Cintia Lombardi and Angelo Gamarra and Libardo Rodriguez and Natalia Parra and Gonzalo Rodriguez and Noelia Villalta and Escobar, {Maria C.} and Nilda Villacres and Carlos Sorto and Edith Baca and Vhania Batista and Vivian Perez and Jorge Victoria and Zohra Abaakouk and Taraleen Malcolm and Deliana Kostova and Patricia Richter and Whelton, {Paul K.} and Daniel Lackland and Michael Weber and Daniel Pineiro and David Wood and Fausto Pinto and Jeremiah Mwangi and Pablo Perel and Elisa Codato and Eisel{\'e}, {Jean Luc} and Prabhdeep Kaur and Ganeshkumar Parashuraman and Meenakshi Sharma and Roopa Shivashankar and Bangar, {Sampada Dipak} and Tapas Chakma and Pragati Pragya and Abdul Malik and Awal, {Khondker Abdul} and Fazilatunnesa Malik and Choudhury, {Sohel Reza} and Bhuiyan, {Mahfuzur Rahman} and Shamim Jubayer and {Al Mamun}, {Mohammad Abdullah} and Mir Ishraquzzaman and Abrar, {Ahmed Khairul} and Jubaida Akhter and Sarmin Sultana and Aslam Parvej and {Sayem Khandoker Ehsanul Amin}, {Noor Nabi} and Islam, {Md Shahinul} and {Dey Parag}, {Deb Dulal} and Ruhul Amin and Mahfuja Luna and {Ibn Karim}, {Md Abbas} and Progga Mahajabin and Khan, {Iqbal Ahmed} and Sazzad Hossain and Ullah, {Riasat Razi} and Nahid, {Muhtamim Fuwad} and Xinhua Zhang and Hongxia Huang and Hao Wang and Tingrui Guan and Haiying Zhao and Dike Ojji and Shedul, {Gabriel Lamkur} and Grace Shedul and Anthony Orji and Regina Asuku and Confidence Alo-Joseph and Charity Akor and Nonye Egenti and Ada Nwankwo and Kasarachi Omitiran and Rosemary Okoli and Nanna Ripiye and Blessing Akor and Jun Cai and Lu Wang and Wenjie Wang and Luyun Fan and Xu, {Jianrong (Jenny)} and Shanshan Tang and Guoli Wu and Barbara Smith and Thomas Kenyon and Sudarsan Mandal and Sunny Swarnakar and Wickramasinghe, {S. C.} and Herath, {Amila Bandarra} and Ratnayake, {I. U.} and Kosala Samarasinghe and Kumarasiri, {K. H.N.} and Natalia Vensentini and Mendieta, {Daniel Palacios} and Marcela Rivera and Gonzalez, {Yamile Valdez} and Lucia Cevallos and Villatoro, {Mat{\'i}as Humberto} and {Gloria Hernandez}, {Laura Elena} and Elsa Arenas and Daniel Fern{\'a}ndez and {De Oleo}, {Daniel Mola} and Shana Cyr and Roxanne Mitchell and Hossain, {AHM Enayet} and Amin, {Mohammad Robed} and Abdul Alim and Milon, {Sarowar Uddin} and Alex-Okoh, {M. O.} and Mark Huffman",

note = "Publisher Copyright: {\textcopyright} 2023",

year = "2023",

month = nov,

day = "7",

doi = "10.1016/j.jacc.2023.08.043",

language = "English",

volume = "82",

pages = "1868--1884",

journal = "Journal of the American College of Cardiology",

issn = "0735-1097",

number = "19",

}

Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix., Moran, AE, Gupta, R, Pathni, A, Osi, K, Dessie, G, Zhang, X, Cazabon, D, Banigbe, B, Farrell, M, Erojikwe, O, Swahoo, S, Krishna, A, Yusuf, AA, Kebede, HG, Berhanu, MG, Bezabih, T, Tegegn, TA, Demissie, W, Burka, D, Tasmin, M, Ogbeide, B, Cheadle, T, Odu, J, Beyene, MH, Borkhataria, C, Elliott, K, Jaffe, M, Garg, R, Frieden, TR, Khan, T, Slama, S, Mikkelson, B, Lai, TD, Santos, RJ, Aquino, T, Calla, DJ, Kunwar, A, Durgad, K, Bunluesin, S, Dewan, M, Obagha, CE, Msyamboza, K, Das, B, Kishore, N, Puthussery, YP, Sambandam, GT, Immanuel, AB, Chandrakant Joshi, C, Bhardawaj, R, Wankhede, A, Khedkar, SN, Bhardawaj, VW, Kumar Reddy, TS, Chavan, TA, Chittimella, RP, Bhandari, S, Shah, UK, Chandram, D, Wassey, MA, Kadia, A, Sarode, LD, Chauhan, L, Ponna, SN, Babu, S, Gupta, P, Reddy, TK, Sekhon, H, Jeelani, A, Nath, G, Wankhede, V, Jayaprasad, N, Mohanty, T, Kumar, P, Khanna, A, Singh, S, Bhat, A, Thakkar, J, Anitha Sreekumar, AL, Lakshmanasamy, R, Rafique, ME, Dar, SK, Chintala, S, Jagadeesh, B, Patruni, M, Raimule, M, Prabhu Valawalkar, SS, Ordunez, P, Giraldo, G, Martinez, R, Rosende, A, Rodriguez, Y, Lombardi, C, Gamarra, A, Rodriguez, L, Parra, N, Rodriguez, G, Villalta, N, Escobar, MC, Villacres, N, Sorto, C, Baca, E, Batista, V, Perez, V, Victoria, J, Abaakouk, Z, Malcolm, T, Kostova, D, Richter, P, Whelton, PK, Lackland, D, Weber, M, Pineiro, D, Wood, D, Pinto, F, Mwangi, J, Perel, P, Codato, E, Eiselé, JL, Kaur, P, Parashuraman, G, Sharma, M, Shivashankar, R, Bangar, SD, Chakma, T, Pragya, P, Malik, A, Awal, KA, Malik, F, Choudhury, SR, Bhuiyan, MR, Jubayer, S, Al Mamun, MA, Ishraquzzaman, M, Abrar, AK, Akhter, J, Sultana, S, Parvej, A, Sayem Khandoker Ehsanul Amin, NN, Islam, MS, Dey Parag, DD, Amin, R, Luna, M, Ibn Karim, MA, Mahajabin, P, Khan, IA, Hossain, S, Ullah, RR, Nahid, MF, Zhang, X, Huang, H, Wang, H, Guan, T, Zhao, H, Ojji, D, Shedul, GL, Shedul, G, Orji, A, Asuku, R, Alo-Joseph, C, Akor, C, Egenti, N, Nwankwo, A, Omitiran, K, Okoli, R, Ripiye, N, Akor, B, Cai, J, Wang, L, Wang, W, Fan, L, Xu, J, Tang, S, Wu, G, Smith, B, Kenyon, T, Mandal, S, Swarnakar, S, Wickramasinghe, SC, Herath, AB, Ratnayake, IU, Samarasinghe, K, Kumarasiri, KHN, Vensentini, N, Mendieta, DP, Rivera, M, Gonzalez, YV, Cevallos, L, Villatoro, MH, Gloria Hernandez, LE, Arenas, E, Fernández, D, De Oleo, DM, Cyr, S, Mitchell, R, Hossain, AHME, Amin, MR, Alim, A, Milon, SU, Alex-Okoh, MO & Huffman, M 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

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.; Moran, Andrew E.; Gupta, Reena et al.
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

TY - JOUR

T1 - Implementation of Global Hearts Hypertension Control Programs in 32 Low- and Middle-Income Countries

T2 - JACC International

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

AU - Moran, Andrew E.

AU - Gupta, Reena

AU - Pathni, Anupam

AU - Osi, Kufor

AU - Dessie, Girma

AU - Zhang, Xiulei

AU - Cazabon, Danielle

AU - Banigbe, Bolanle

AU - Farrell, Margaret

AU - Erojikwe, Okeoma

AU - Swahoo, Swagata

AU - Krishna, Ashish

AU - Yusuf, Abdikaid Ahmed

AU - Kebede, Henok Gebreyohannes

AU - Berhanu, Molla Gedefaw

AU - Bezabih, Tilahun

AU - Tegegn, Teshome Ayalew

AU - Demissie, Workneh

AU - Burka, Daniel

AU - Tasmin, Misu

AU - Ogbeide, Bolatito

AU - Cheadle, Timothy

AU - Odu, Joseph

AU - Beyene, Meron Hailu

AU - Borkhataria, Cecile

AU - Elliott, Kate

AU - Jaffe, Marc

AU - Garg, Renu

AU - Frieden, Thomas R.

AU - Khan, Taskeen

AU - Slama, Slim

AU - Mikkelson, Bente

AU - Lai, Truong Duc

AU - Santos, Rauell John

AU - Aquino, Tyrone

AU - Calla, Dofel Joseph

AU - Kunwar, Abhishek

AU - Durgad, Kiran

AU - Bunluesin, Sushera

AU - Dewan, Mary

AU - Obagha, C. E.

AU - Msyamboza, Kelias

AU - Das, Bidisha

AU - Kishore, Navneet

AU - Puthussery, Yannick Poulose

AU - Sambandam, Gopinath Thirugnana

AU - Immanuel, A. Branch

AU - Chandrakant Joshi, Chakshu

AU - Bhardawaj, Rupali

AU - Wankhede, Amol

AU - Khedkar, Suhas Namdevrao

AU - Bhardawaj, Vishwajit Washudeorao

AU - Kumar Reddy, Thokala Sravan

AU - Chavan, Tejpalsinh Anandrao

AU - Chittimella, Raghavendra Patel

AU - Bhandari, Subhasis

AU - Shah, Urvin Kumar

AU - Chandram, Deenadayalan

AU - Wassey, Mohammed Abdul

AU - Kadia, Abhinav

AU - Sarode, Lalit Dinkar

AU - Chauhan, Lalita

AU - Ponna, Satyendra Nath

AU - Babu, Suresh

AU - Gupta, Piyush

AU - Reddy, Thej Kiran

AU - Sekhon, Hanspreet

AU - Jeelani, Asif

AU - Nath, Gunjan

AU - Wankhede, Virendra

AU - Jayaprasad, Niniya

AU - Mohanty, Trishna

AU - Kumar, Praveen

AU - Khanna, Abhishek

AU - Singh, Shweta

AU - Bhat, Ashish

AU - Thakkar, Jatin

AU - Anitha Sreekumar, Aiswarya Lakshmi

AU - Lakshmanasamy, Ravivarman

AU - Rafique, Mohamed Essa

AU - Dar, Sunil Kumar

AU - Chintala, Sreedhar

AU - Jagadeesh, Bharath

AU - Patruni, Manoj

AU - Raimule, Madhur

AU - Prabhu Valawalkar, Shahanara S.

AU - Ordunez, Pedro

AU - Giraldo, Gloria

AU - Martinez, Ramon

AU - Rosende, Andres

AU - Rodriguez, Yenny

AU - Lombardi, Cintia

AU - Gamarra, Angelo

AU - Rodriguez, Libardo

AU - Parra, Natalia

AU - Rodriguez, Gonzalo

AU - Villalta, Noelia

AU - Escobar, Maria C.

AU - Villacres, Nilda

AU - Sorto, Carlos

AU - Baca, Edith

AU - Batista, Vhania

AU - Perez, Vivian

AU - Victoria, Jorge

AU - Abaakouk, Zohra

AU - Malcolm, Taraleen

AU - Kostova, Deliana

AU - Richter, Patricia

AU - Whelton, Paul K.

AU - Lackland, Daniel

AU - Weber, Michael

AU - Pineiro, Daniel

AU - Wood, David

AU - Pinto, Fausto

AU - Mwangi, Jeremiah

AU - Perel, Pablo

AU - Codato, Elisa

AU - Eiselé, Jean Luc

AU - Kaur, Prabhdeep

AU - Parashuraman, Ganeshkumar

AU - Sharma, Meenakshi

AU - Shivashankar, Roopa

AU - Bangar, Sampada Dipak

AU - Chakma, Tapas

AU - Pragya, Pragati

AU - Malik, Abdul

AU - Awal, Khondker Abdul

AU - Malik, Fazilatunnesa

AU - Choudhury, Sohel Reza

AU - Bhuiyan, Mahfuzur Rahman

AU - Jubayer, Shamim

AU - Al Mamun, Mohammad Abdullah

AU - Ishraquzzaman, Mir

AU - Abrar, Ahmed Khairul

AU - Akhter, Jubaida

AU - Sultana, Sarmin

AU - Parvej, Aslam

AU - Sayem Khandoker Ehsanul Amin, Noor Nabi

AU - Islam, Md Shahinul

AU - Dey Parag, Deb Dulal

AU - Amin, Ruhul

AU - Luna, Mahfuja

AU - Ibn Karim, Md Abbas

AU - Mahajabin, Progga

AU - Khan, Iqbal Ahmed

AU - Hossain, Sazzad

AU - Ullah, Riasat Razi

AU - Nahid, Muhtamim Fuwad

AU - Zhang, Xinhua

AU - Huang, Hongxia

AU - Wang, Hao

AU - Guan, Tingrui

AU - Zhao, Haiying

AU - Ojji, Dike

AU - Shedul, Gabriel Lamkur

AU - Shedul, Grace

AU - Orji, Anthony

AU - Asuku, Regina

AU - Alo-Joseph, Confidence

AU - Akor, Charity

AU - Egenti, Nonye

AU - Nwankwo, Ada

AU - Omitiran, Kasarachi

AU - Okoli, Rosemary

AU - Ripiye, Nanna

AU - Akor, Blessing

AU - Cai, Jun

AU - Wang, Lu

AU - Wang, Wenjie

AU - Fan, Luyun

AU - Xu, Jianrong (Jenny)

AU - Tang, Shanshan

AU - Wu, Guoli

AU - Smith, Barbara

AU - Kenyon, Thomas

AU - Mandal, Sudarsan

AU - Swarnakar, Sunny

AU - Wickramasinghe, S. C.

AU - Herath, Amila Bandarra

AU - Ratnayake, I. U.

AU - Samarasinghe, Kosala

AU - Kumarasiri, K. H.N.

AU - Vensentini, Natalia

AU - Mendieta, Daniel Palacios

AU - Rivera, Marcela

AU - Gonzalez, Yamile Valdez

AU - Cevallos, Lucia

AU - Villatoro, Matías Humberto

AU - Gloria Hernandez, Laura Elena

AU - Arenas, Elsa

AU - Fernández, Daniel

AU - De Oleo, Daniel Mola

AU - Cyr, Shana

AU - Mitchell, Roxanne

AU - Hossain, AHM Enayet

AU - Amin, Mohammad Robed

AU - Alim, Abdul

AU - Milon, Sarowar Uddin

AU - Alex-Okoh, M. O.

AU - Huffman, Mark

PY - 2023/11/7

Y1 - 2023/11/7

N2 - 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.

AB - 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.

KW - hypertension

KW - implementation

KW - low- and middle-income countries

KW - public health

UR - http://www.scopus.com/inward/record.url?scp=85171975890&partnerID=8YFLogxK

U2 - 10.1016/j.jacc.2023.08.043

DO - 10.1016/j.jacc.2023.08.043

M3 - Review article

C2 - 37734459

AN - SCOPUS:85171975890

SN - 0735-1097

VL - 82

SP - 1868

EP - 1884

JO - Journal of the American College of Cardiology

JF - Journal of the American College of Cardiology

IS - 19

ER -

Global Hearts Initiative Collaborators The Global Hearts Initiative Collaborators list, by organization, can be found in the Supplemental Appendix., Moran AE, Gupta R, Pathni A, Osi K, Dessie G et al. 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

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

Abstract

Keywords

Access to Document

Other files and links

Fingerprint

Cite this