Implementation of a community-based hypertension control program in Matanzas, Cuba
| Autor: | José Manuel Morales Rigau, Alina Pérez Carrera, Yamilé Valdés González, Norm R.C. Campbell, Edelys Pons Barrera, Orlando Landrove Rodríguez, Donald J. DiPette, Pedro Ordunez, Gloria P Giraldo, Jose Alberto Afonso de León, Vivian Pérez Jimenez, Marcy Calderón Martínez |
|---|---|
| Rok vydání: | 2019 |
| Předmět: |
medicine.medical_specialty
Endocrinology Diabetes and Metabolism Population Psychological intervention Certification Disease 030204 cardiovascular system & hematology World Health Organization 03 medical and health sciences 0302 clinical medicine Internal Medicine medicine Humans 030212 general & internal medicine Risk factor education education.field_of_study business.industry Public health Cuba Blood Pressure Determination Population Studies Blood pressure Polyclinic Pan American Health Organization Family medicine Hypertension Cardiology and Cardiovascular Medicine business |
| Zdroj: | J Clin Hypertens (Greenwich) |
| ISSN: | 1751-7176 |
| Popis: | Increased blood pressure is a leading risk factor for death worldwide, and improving the control of hypertension is a major health goal to reduce non-communicable disease. Thus, in 2016, as part of a regional effort between the Pan American Health Organization and Cuban Ministry of Public Health to reduce cardiovascular risk and disease, a community demonstration project was implemented to enhance hypertension control. The intervention project was in a population of 25 868 people served by the Carlos Verdugo Martinez Polyclinic in Matanzas, Cuba. The project implemented interventions currently recommended in the World Health Organization HEARTS modules, including a standardized clinical training program with certification for blood pressure measurement, routine screening for hypertension in clinics and in the community, a simple directive pharmacologic treatment algorithm, and a registry with performance reporting and feedback. Qualitative and quantitative program monitoring and evaluation was established. In a 2010 national survey, the prevalence of hypertension and the rate of hypertension control were estimated to be 31% and 36%, respectively. Following less than one year of the full implementation of the program, the prevalence of hypertension, proportion of the hypertensive population registered as having hypertension, proportion of those drug-treated who were controlled, and estimated population rate of control were 30%, 90%, 68%, and 58%, respectively. Based on these positive results, the program has been expanded to include another demonstration program initiated in a second region. In addition, preliminary efforts to disseminate and scale-up aspects of the program to the full Cuban population have started. |
| Databáze: | OpenAIRE |
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