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Hypertension diagnosis and management in Bamako, Mali

Issiaka Camara1, Mohamed Traore2, Mamoudou Maiga2

  • 1School of Medicine and Dentistry, University of Sciences Technics and Technology of Bamako, Bamako, 10000, Mali.

Bulletin of the World Health Organization
|April 10, 2025
PubMed

Insights

Mali

Area of Science:

  • Cardiovascular disease research
  • Public health policy
  • Health systems strengthening

Background:

  • Hypertension management services in Mali lacked documented capacity and readiness.
  • Effective implementation of the World Health Organization (WHO) HEARTS technical package was hindered.
  • Mali faces high hypertension prevalence (35%) with limited national treatment guidelines.

Purpose of the Study:

  • To assess the capacity and site readiness for hypertension management services in Malian hospitals.
  • To evaluate the feasibility of implementing the WHO HEARTS technical package in Mali.
  • To identify barriers and facilitators for improving hypertension care in a low-income country.

Main Methods:

  • One tertiary and two secondary hospitals were assessed between December 2021 and January 2022.
  • Data on capacity and readiness were collected using an adapted WHO Service Availability and Readiness Assessment questionnaire.
  • Study team verified data through site inspections and administrative document review.

Main Results:

  • The tertiary hospital had a larger workforce and treated more hypertension patients than secondary sites.
  • All sites could diagnose hypertension, but only one was fully equipped for comprehensive treatment.
  • Diuretics and centrally acting agents were the only antihypertensive medications available across all facilities.

Conclusions:

  • Significant gaps exist in hypertension service delivery capacity and readiness in Malian hospitals.
  • Improving access to a wider range of antihypertensive medications is crucial.
  • Political engagement is vital for expanding assessments and supporting the HEARTS package implementation.
Abstract

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