African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa

Mayowa Owolabi^{1

2

3

4}, Paul Olowoyo^{5

6}, Ana Mocumbi⁷, Okechukwu S Ogah⁸, Augustine Odili⁹, Kolawole Wahab¹⁰, Dike Ojji^{11

12}, Abiodun M Adeoye¹³, Rufus Akinyemi¹⁴, Albert Akpalu¹⁵, Reginald Obiako¹⁶, Fred S Sarfo¹⁷, Charlotte Bavuma¹⁸, Hind Mamoun Beheiry¹⁹, Moshen Ibrahim²⁰, Wafaa El Aroussy²⁰, Gianfranco Parati^{21

22}, Anastase Dzudie²³, Sandhya Singh²⁴, Onoja Akpa²⁵, Andre Pascal Kengne²⁶, Akinkunmi Paul Okekunle^{27

28}, Ama de Graft Aikins²⁹, Charles Agyemang³⁰, Gbenga Ogedegbe³¹, Bruce Ovbiagele³², Renu Garg³³, Norman R C Campbell³⁴, Daniel T Lackland³⁵, Prebo Barango³⁶, Slim Slama³⁷, Cherian V Varghese³⁷, Paul K Whelton³⁸, Xin-Hua Zhang³⁹

Affiliations

¹ Center for Genomic and Precision Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria. mayowaowolabi@yahoo.com.
² Department of Medicine, University College Hospital, Ibadan, Nigeria. mayowaowolabi@yahoo.com.
³ Blossom Specialist Medical Center, Ibadan, Nigeria. mayowaowolabi@yahoo.com.
⁴ Lebanese American University of Beirut, Beirut, Lebanon. mayowaowolabi@yahoo.com.
⁵ Department of Medicine, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.
⁶ Federal Teaching Hospital, Ido-Ekiti, Nigeria.
⁷ Departamento de Medicina, Universidade, Eduardo Mondlane, Maputo, Mozambique.
⁸ Cardiology Unit, Department of Medicine, University of Ibadan/ University College Hospital, Ibadan, Nigeria.
⁹ Department of Medicine, University of Abuja, FCT, Abuja, Nigeria.
¹⁰ Department of Medicine, University of Ilorin, Ilorin, Nigeria.
¹¹ Department of Medicine, University of Abuja, Abuja, Nigeria.
¹² Department of Medicine, University of Abuja Teaching Hospital, Abuja, Nigeria.
¹³ Cardiovascular Genetics and Genomic Research Unit, Institute of Cardiovascular Diseases, College of Medicine, University of Ibadan, Ibadan, Nigeria.
¹⁴ Center for Genomic and Precision Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Ibadan, Nigeria.
¹⁵ Department of Medicine, University of Ghana Medical School, Accra, Ghana.
¹⁶ Department of Medicine, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria.
¹⁷ Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
¹⁸ Kigali University Teaching Hospital, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
¹⁹ Physiology Department, Faculty of Medicine, International University of Africa (IUA), Khartoum, Sudan.
²⁰ Department of Cardiology, Cairo University, Giza, Egypt.
²¹ Department of Cardiovascular Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, Milan, Italy.
²² Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
²³ Department of Internal Medicine and Physiology, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.
²⁴ Non-Communicable Diseases, National Department of Health, Pretoria, South Africa.
²⁵ Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
²⁶ South African Medical Research Council, Francie Van Zijl Dr, Parow Valley, Cape Town, 7501, South Africa.
²⁷ College of Medicine University of Ibadan, 200284, Ibadan, Nigeria.
²⁸ Seoul National University, 08826, Seoul, Republic of Korea.
²⁹ Regional Institute for Population Studies, University of Ghana, Legon, Ghana.
³⁰ Department of Public & Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
³¹ New York University, New York, NY, USA.
³² Weill Institute for Neurosciences, School of Medicine, University of California San-Francisco, San Francisco, CA, USA.
³³ Resolve To Save Lives, New York, NY, USA.
³⁴ Department of Medicine, Physiology, and Pharmacology and Community Health Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.
³⁵ Division of Translational Neurosciences and Population Studies, Department of Neurology, Medical University of South Carolina, Charleston, SC, USA.
³⁶ World Health Organization, Inter-Country Support Team, Eastern and Southern Africa, Harare, Zimbabwe.
³⁷ Department of Healthier Populations and Non-Communicable Disease, World Health Organization, South East Asia Regional Office, New Delhi, India.
³⁸ Tulane University School of Public Health and Tropical Medicine, New Orleans, LO, USA.
³⁹ Beijing Hypertension League Institute, Beijing, China.

PMID: 37076570
DOI: 10.1038/s41371-023-00828-8

Review

African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa

Mayowa Owolabi et al. J Hum Hypertens. 2025 Feb.

. 2025 Feb;39(2):86-94.

doi: 10.1038/s41371-023-00828-8. Epub 2023 Apr 19.

Authors

Affiliations

¹ Center for Genomic and Precision Medicine, College of Medicine, University of Ibadan, Ibadan, Nigeria. mayowaowolabi@yahoo.com.
² Department of Medicine, University College Hospital, Ibadan, Nigeria. mayowaowolabi@yahoo.com.
³ Blossom Specialist Medical Center, Ibadan, Nigeria. mayowaowolabi@yahoo.com.
⁴ Lebanese American University of Beirut, Beirut, Lebanon. mayowaowolabi@yahoo.com.
⁵ Department of Medicine, College of Medicine and Health Sciences, Afe Babalola University, Ado-Ekiti, Nigeria.
⁶ Federal Teaching Hospital, Ido-Ekiti, Nigeria.
⁷ Departamento de Medicina, Universidade, Eduardo Mondlane, Maputo, Mozambique.
⁸ Cardiology Unit, Department of Medicine, University of Ibadan/ University College Hospital, Ibadan, Nigeria.
⁹ Department of Medicine, University of Abuja, FCT, Abuja, Nigeria.
¹⁰ Department of Medicine, University of Ilorin, Ilorin, Nigeria.
¹¹ Department of Medicine, University of Abuja, Abuja, Nigeria.
¹² Department of Medicine, University of Abuja Teaching Hospital, Abuja, Nigeria.
¹³ Cardiovascular Genetics and Genomic Research Unit, Institute of Cardiovascular Diseases, College of Medicine, University of Ibadan, Ibadan, Nigeria.
¹⁴ Center for Genomic and Precision Medicine, College of Medicine, University of Ibadan, University College Hospital Ibadan, Ibadan, Nigeria.
¹⁵ Department of Medicine, University of Ghana Medical School, Accra, Ghana.
¹⁶ Department of Medicine, Ahmadu Bello University Teaching Hospital Zaria, Zaria, Nigeria.
¹⁷ Kwame Nkrumah University of Science and Technology, Kumasi, Ghana.
¹⁸ Kigali University Teaching Hospital, School of Medicine and Pharmacy, College of Medicine and Health Sciences, University of Rwanda, Kigali, Rwanda.
¹⁹ Physiology Department, Faculty of Medicine, International University of Africa (IUA), Khartoum, Sudan.
²⁰ Department of Cardiology, Cairo University, Giza, Egypt.
²¹ Department of Cardiovascular Neural and Metabolic Sciences, Istituto Auxologico Italiano, IRCCS, Milan, Italy.
²² Department of Medicine and Surgery, University of Milano-Bicocca, Milan, Italy.
²³ Department of Internal Medicine and Physiology, Faculty of Medicine and Biomedical Sciences, University of Yaounde 1, Yaoundé, Cameroon.
²⁴ Non-Communicable Diseases, National Department of Health, Pretoria, South Africa.
²⁵ Department of Epidemiology and Medical Statistics, College of Medicine, University of Ibadan, Ibadan, Nigeria.
²⁶ South African Medical Research Council, Francie Van Zijl Dr, Parow Valley, Cape Town, 7501, South Africa.
²⁷ College of Medicine University of Ibadan, 200284, Ibadan, Nigeria.
²⁸ Seoul National University, 08826, Seoul, Republic of Korea.
²⁹ Regional Institute for Population Studies, University of Ghana, Legon, Ghana.
³⁰ Department of Public & Occupational Health, Amsterdam Public Health Research Institute, Amsterdam UMC, University of Amsterdam, Amsterdam, the Netherlands.
³¹ New York University, New York, NY, USA.
³² Weill Institute for Neurosciences, School of Medicine, University of California San-Francisco, San Francisco, CA, USA.
³³ Resolve To Save Lives, New York, NY, USA.
³⁴ Department of Medicine, Physiology, and Pharmacology and Community Health Sciences, Libin Cardiovascular Institute of Alberta, University of Calgary, Calgary, AB, Canada.
³⁵ Division of Translational Neurosciences and Population Studies, Department of Neurology, Medical University of South Carolina, Charleston, SC, USA.
³⁶ World Health Organization, Inter-Country Support Team, Eastern and Southern Africa, Harare, Zimbabwe.
³⁷ Department of Healthier Populations and Non-Communicable Disease, World Health Organization, South East Asia Regional Office, New Delhi, India.
³⁸ Tulane University School of Public Health and Tropical Medicine, New Orleans, LO, USA.
³⁹ Beijing Hypertension League Institute, Beijing, China.

PMID: 37076570
DOI: 10.1038/s41371-023-00828-8

Erratum in

Correction to: African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa.
Owolabi M, Olowoyo P, Mocumbi A, Ogah OS, Odili A, Wahab K, Ojji D, Adeoye AM, Akinyemi R, Akpalu A, Obiako R, Sarfo FS, Bavuma C, Beheiry HM, Ibrahim M, El Aroussy W, Parati G, Dzudie A, Singh S, Akpa O, Kengne AP, Okekunle AP, de Graft Aikins A, Agyemang C, Ogedegbe G, Ovbiagele B, Garg R, Campbell NRC, Lackland DT, Barango P, Slama S, Varghese CV, Whelton PK, Zhang XH. Owolabi M, et al. J Hum Hypertens. 2025 Feb;39(2):188. doi: 10.1038/s41371-023-00836-8. J Hum Hypertens. 2025. PMID: 37117875 No abstract available.

Abstract

Hypertension is a leading preventable and controllable risk factor for cardiovascular and cerebrovascular diseases and the leading preventable risk for death globally. With a prevalence of nearly 50% and 93% of cases uncontrolled, very little progress has been made in detecting, treating, and controlling hypertension in Africa over the past thirty years. We propose the African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE) to implement the HEARTS package for improved surveillance, prevention, treatment/acute care of hypertension, and rehabilitation of those with hypertension complications across the life course. The ecosystem will apply the principles of an iterative implementation cycle by developing and deploying pragmatic solutions through the contextualization of interventions tailored to navigate barriers and enhance facilitators to deliver maximum impact through effective communication and active participation of all stakeholders in the implementation environment. Ten key strategic actions are proposed for implementation to reduce the burden of hypertension in Africa.

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Conflict of interest statement

Competing interests: NRCC is a paid consultant for Switch Health. The other authors declare no competing interests.

Comment in

Priorities to reduce the burden of hypertension in Africa through ACHIEVE.
Olowoyo P, Barango P, Moran A, Williams B, Whelton PK, Owolabi M; ACHIEVE. Olowoyo P, et al. Lancet Glob Health. 2024 Feb;12(2):e192-e193. doi: 10.1016/S2214-109X(23)00540-5. Lancet Glob Health. 2024. PMID: 38245107 Free PMC article. No abstract available.

References

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1. Worl Health Organization. Global status report on noncommunicable diseases 2014: World Health Organization; 2014.

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African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa

Affiliations

African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa

Authors

Affiliations

Erratum in

Abstract

Conflict of interest statement

Comment in

References

Publication types

MeSH terms

Grants and funding

LinkOut - more resources

Full Text Sources

Medical

Miscellaneous