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The HEARTS partner forum-supporting implementation of HEARTS to treat and control hypertension
Taskeen Khan1, Andrew E Moran2,3, Pablo Perel4,5
1Department of Non-communicable Diseases, World Health Organization, Geneva, Switzerland.
Insights
The Global HEARTS initiative, led by WHO and CDC, addresses cardiovascular diseases (CVD) and hypertension through primary healthcare. This public health approach has successfully treated over seven million people for hypertension, demonstrating its feasibility and role in universal health coverage.
Area of Science:
- Public Health
- Cardiovascular Medicine
- Global Health Initiatives
Background:
- Cardiovascular diseases (CVD), including ischemic heart disease (IHD) and stroke, are the leading global causes of death and disability.
- High blood pressure is the most significant preventable risk factor for CVD, contributing to millions of deaths annually.
- The Global HEARTS initiative was launched by WHO and CDC to support countries in preventing and controlling CVD.
Purpose of the Study:
- To outline the HEARTS technical package and its public health approach to managing hypertension and CVD risk factors at the primary healthcare level.
- To highlight the role of the HEARTS Partner Forum in coordinating 11 international organizations to support country-level CVD prevention efforts.
- To demonstrate the feasibility and acceptability of the HEARTS approach and its potential as a pathway to universal health coverage.
Main Methods:
- Implementing the HEARTS technical package, a core component of the Global HEARTS initiative, at the primary healthcare level.
- Utilizing a simple, algorithmic approach for hypertension treatment.
- Facilitating collaboration and support through the HEARTS Partner Forum, involving multiple international organizations.
Main Results:
- Over seven million individuals have been treated for hypertension using the HEARTS approach.
- The HEARTS initiative has demonstrated the feasibility and acceptability of a public health strategy for CVD risk factor management.
- Hypertension management through HEARTS shows potential as a key intervention for achieving universal health coverage.
Conclusions:
- The HEARTS Partner Forum is crucial for advancing CVD prevention and control globally.
- A more structured approach for the forum, including clear goals and reports, is needed to enhance collaboration and impact.
- The HEARTS initiative contributes to reducing CVD mortality and achieving Sustainable Development Goals (SDGs).
Abstract:
Cardiovascular diseases (CVD), principally ischemic heart disease (IHD) and stroke, are the leading causes of death (18. 6 million deaths annually) and disability (393 million disability-adjusted life-years lost annually), worldwide. High blood pressure is the most important preventable risk factor for CVD and deaths, worldwide (10.8 million deaths annually). In 2016, the World Health Organization (WHO) and the United States Centers for Disease Control (CDC) launched the Global Hearts initiative to support governments in their quest to prevent and control CVD. HEARTS is the core technical package of the initiative and takes a public health approach to treating hypertension and other CVD risk factors at the primary health care level. The HEARTS Partner Forum, led by WHO, brings together the following 11 partner organizations: American Heart Association (AHA), Center for Chronic Disease Control (CCDC), International Society of Hypertension (ISH), International Society of Nephrology (ISN), Pan American Health Organization (PAHO), Resolve to Save Lives (RTSL), US CDC, World Hypertension League (WHL), World Heart Federation (WHF) and World Stroke Organization (WSO). The partners support countries in their implementation of the HEARTS technical package in various ways, including providing technical expertise, catalytic funding, capacity building and evidence generation and dissemination. HEARTS has demonstrated the feasibility and acceptability of a public health approach, with more than seven million people already on treatment for hypertension using a simple, algorithmic HEARTS approach. Additionally, HEARTS has demonstrated the feasibility of using hypertension as a pathfinder to universal health coverage and should be a key intervention of all basic benefit packages. The partner forum continues to find ways to expand support and reinvigorate enthusiasm and attention on preventing CVD. Proposed future HEARTS Partner Forum activities are related to more concrete information sharing between partners and among countries, expanded areas of partner synergy, support for implementation, capacity building, and advocacy with country ministries of health, professional societies, academy and civil societies organizations. Advancing toward the shared goals of the HEARTS partners will require a more formal, structured approach to the forum and include goals, targets and published reports. In this way, the HEARTS Partner Forum will mirror successful global partnerships on communicable diseases and assist countries in reducing CVD mortality and achieving global sustainable development goals (SDGs).
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