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Practice Guideline
. 2018 Mar;13(1):45-59.
doi: 10.1016/j.gheart.2017.06.001. Epub 2017 Oct 16.

Roadmap to Achieve 25% Hypertension Control in Africa by 2025

Anastase Dzudie  1 , Brian Rayner  2 , Dike Ojji  3 , Aletta E Schutte  4 , Marc Twagirumukiza  5 , Albertino Damasceno  6 , Seringe Abdou Ba  7 , Abdoul Kane  8 , Euloge Kramoh  9 , Jean Baptiste Anzouan Kacou  9 , Basden Onwubere  10 , Ruth Cornick  11 , Karen Sliwa  12 , Benedict Anisiuba  10 , Ana Olga Mocumbi  13 , Elijah Ogola  14 , Mohamed Awad  15 , George Nel  16 , Harun Otieno  17 , Ali Ibrahim Toure  15 , Samuel Kingue  18 , Andre Pascal Kengne  19 , Pablo Perel  20 , Alma Adler  20 , Neil Poulter  21 , Bongani Mayosi  22 ; PASCAR Task Force on Hypertension
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Free article
Practice Guideline

Roadmap to Achieve 25% Hypertension Control in Africa by 2025

Anastase Dzudie et al. Glob Heart. 2018 Mar.
Free 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.

Keywords: Africa; action; blood pressure; control; hypertension; prevalence; roadmap.

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