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Addressing Failures in Achieving Hypertension Control in Low- and Middle-Income Settings through Simplified Treatment

Jennifer Cohn1, Helen Bygrave2,3, Teri Roberts2

  • 1Resolve to Save Lives, New York, US.

Global Heart
|May 19, 2022
PubMed

Insights

Simple, accessible, and effective hypertension treatment algorithms can improve cardiovascular disease care in low-resource settings. These SAANE algorithms reduce complexity, pill burden, and costs for patients and health systems.

Area of Science:

  • Cardiology
  • Public Health
  • Health Systems Strengthening

Background:

  • Hypertension is a primary risk factor for cardiovascular diseases (CVDs), the leading global cause of mortality.
  • Hypertension diagnosis and treatment remain suboptimal in low- and middle-income countries (LMICs).
  • Current hypertension management guidelines are often complex, hindering effective implementation and increasing patient pill burden.

Purpose of the Study:

  • To evaluate the evidence supporting Simple, Algorithmic, Accessible, Non-toxic, and Effective (SAANE) algorithms for hypertension management.
  • To present SAANE algorithms as a feasible strategy for improving hypertension care access and quality.
  • To highlight the potential benefits of SAANE algorithms in resource-limited settings.

Main Methods:

  • A review of evidence supporting the implementation of SAANE algorithms for hypertension treatment.
  • Analysis of the potential impact of SAANE algorithms on healthcare delivery and patient outcomes.
  • Examination of factors including task shifting, fixed-dose combinations, market consolidation, and cost reduction.

Main Results:

  • SAANE algorithms offer a simplified approach to hypertension management.
  • Implementation facilitates task shifting to community health workers and lay cadres.
  • These algorithms support fixed-dose combinations, market consolidation, and reduced laboratory needs.

Conclusions:

  • SAANE algorithms provide a feasible pathway to improve quality hypertension care in LMICs.
  • They reduce complexity for healthcare workers and pill burden for patients.
  • Adoption of SAANE algorithms can lower healthcare system costs and out-of-pocket expenses for individuals.

Keywords:
health policyhypertensiontreatment

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