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. 2021 Sep 10;16(1):63. doi: 10.5334/gh.1066

Table 5.

Successful features of HT control programmes.

Programme Country Year started Key components Control rate

HEARTS Cuba [130] Cuba 2016 Highly organized, comprehensive, accessible primary care system
Affordable medications
Education and training for the public and patients to improve awareness and self-management
Standardized training for healthcare professionals
Simple directive diagnosis and treatment algorithm
Registry providing performance reports
Dedicated funding
From 37.7% to 58% in 1 year (overall population)
HOPE 4 [112] Colombia and Malaysia 2014 Community screening
Treatment of risk factors by non-physician health workers using management algorithms
Counselling programmes
Free antihypertensive and statin medications
Support from family or friend
69% (intervention group)
30% (control group)
Yaroslavl programme [146] Russia 2011 Specific training for healthcare professionals
Public awareness program
Patient registry with performance reporting
Patient recall system
17% to 33% in 4 yrs (overall population)
Kaiser Permanente Northern California Program [147] USA 2004 Treatment algorithm
Regularly updated hypertension guidelines
Team-based care, BP measurements by medical assistants
Registry with performance reports
Single-pill combination therapy
Quality performance metrics
From 44% to 90% in 13 yrs (clinical population)
Canadian Hypertension Control Program [130,148] Canada Start mid-1990s Regularly updated management recommendations
Standardized education to primary care
Education for the public and patients
Dedicated leadership position
13% to 66% in 6 yrs (overall population)