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Review
. 2021 Sep 2;16(1):59.
doi: 10.5334/gh.978. eCollection 2021.

Patient-Centered, Sustainable Hypertension Care: The Case for Adopting a Differentiated Service Delivery Model for Hypertension Services in Low- and Middle-Income Countries

Rebecca L Tisdale  1   2 , Danielle Cazabon  3 , Andrew E Moran  3   4 , Miriam Rabkin  4   5   6 , Helen Bygrave  7 , Jennifer Cohn  3   8
Affiliations
Review

Patient-Centered, Sustainable Hypertension Care: The Case for Adopting a Differentiated Service Delivery Model for Hypertension Services in Low- and Middle-Income Countries

Rebecca L Tisdale et al. Glob Heart. .

Abstract

Expanding hypertension services in low- and middle-income countries requires efficient and effective service delivery approaches that meet the needs and expectations of people living with hypertension within the resource constraints of existing national health systems. Ideally, a hypertension program will extend treatment coverage while maintaining service quality, maximizing efficient resource utilization and improving clinical outcomes. In this article, we discuss lessons learned from HIV differentiated service delivery initiatives, and make the case that the same approach should be adopted for hypertension programs.

Keywords: HIV/AIDS; Hypertension; chronic disease; health policy; health systems.

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Conflict of interest statement

Dr. Tisdale has no competing interests to disclose. Ms. Cazabon has no competing interests to disclose. Dr. Moran reports personal fees from Resolve to Save Lives, an initiative of Vital Strategies, during the conduct of the study. Dr. Rabkin has no competing interests to disclose. Dr. Bygrave has no competing interests to disclose. Dr. Cohn has no competing interests to disclose.

Figures

Figure 1
Figure 1
Illustrative DSD models for people doing well on treatment.
Figure 2
Figure 2
Key Steps Necessary for DSD in Hypertension. * Organized into WHO health systems building blocks [35].
See this image and copyright information in PMC

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