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Roadmap to Achieve 25% Hypertension Control in Africa by 2025

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Title: Roadmap to Achieve 25% Hypertension Control in Africa by 2025
Authors: Dzudie, A
Rayner, B
Ojji, D
Schutte, AE
Twagirumukiza, M
Damasceno, A
Ba, SA
Kane, A
Kramoh, E
Anzouan Kacou, JB
Onwubere, B
Cornick, R
Sliwa, K
Anisiuba, B
Mocumbi, AO
Ogola, E
Awad, M
Nel, G
Otieno, H
Toure, AI
Kingue, S
Kengne, AP
Perel, P
Adler, A
Poulter, N
Mayosi, B
PASCAR Task Force on Hypertension
Item Type: Journal Article
Abstract: BACKGROUND: The Pan-African Society of Cardiology (PASCAR) has identified hypertension as the highest area of priority action to reduce heart disease and stroke on the continent. OBJECTIVES: The aim of this PASCAR roadmap on hypertension was to develop practical guidance on how to implement strategies that translate existing knowledge into effective action and improve detection, treatment and control of hypertension and cardiovascular health in sub-Saharan Africa (SSA) by the year 2025. METHODS: Development of this roadmap started with the creation of a consortium of experts with leadership skills in hypertension. In 2014, experts in different fields, including physicians and nonphysicians, were invited to join. Via face-to-face meetings and teleconferences, the consortium made a situation analysis, set a goal, identified roadblocks and solutions to the management of hypertension and customized the World Heart Federation roadmap to Africa. RESULTS: Hypertension is a major crisis on the continent but very few randomized controlled trials have been conducted on its management. Also, only 25.8% of the countries have developed or adopted guidelines for management of hypertension. Other major roadblocks are either government and health-system related or health care professional or patient related. The PASCAR hypertension task force identified a 10-point action plan to be implemented by African ministries of health to achieve 25% control of hypertension in Africa by 2025. CONCLUSIONS: Hypertension affects millions of people in SSA and if left untreated, is a major cause of heart disease and stroke. Very few SSA countries have a clear hypertension policy. This PASCAR roadmap identifies practical and effective solutions that would improve detection, treatment and control of hypertension on the continent and could be implemented as is or adapted to specific national settings.
Issue Date: 1-Mar-2018
Date of Acceptance: 1-Oct-2017
URI: http://hdl.handle.net/10044/1/90480
DOI: 10.1016/j.gheart.2017.06.001
ISSN: 2211-8179
Publisher: Ubiquity Press
Start Page: 45
End Page: 59
Journal / Book Title: Global Heart
Volume: 13
Issue: 1
Copyright Statement: © 2017 Published byElsevier Ltd. on behalf ofWorld Heart Federation(Geneva). This is an open access article distributed under the terms of the Creative Commons Attribution Licence 4.0 (unless stated otherwise) which permits unrestricted use, distribution, and reproduction in any medium, providing original work is properly cited. The copyright is retained by the author(s).
Keywords: Africa
action
blood pressure
control
hypertension
prevalence
roadmap
Africa South of the Sahara
Cardiology
Humans
Hypertension
Prevalence
Societies, Medical
PASCAR Task Force on Hypertension
Humans
Hypertension
Prevalence
Cardiology
Societies, Medical
Africa South of the Sahara
Africa
action
blood pressure
control
hypertension
prevalence
roadmap
Africa South of the Sahara
Cardiology
Humans
Hypertension
Prevalence
Societies, Medical
Publication Status: Published
Conference Place: England
Online Publication Date: 2017-10-16
Appears in Collections:School of Public Health



This item is licensed under a Creative Commons License Creative Commons