TABLE 1. Key components of successful population-based hypertension control programs.
Component |
Description |
---|---|
Leadership |
Prioritize hypertension control Facilitate adequate resource allocation |
Screening, outreach and patient follow up |
Undertake opportunistic screening in clinics and systematic outreach Address the entire population at risk Develop mechanisms to ensure appropriate follow up |
Treatment protocols |
Ensure a simple and standardized clinical pathway for diagnosis and treatment Use as opportunity for consensus building Facilitate medication procurement and task-sharing |
Medications |
Prefer small number of high-quality and effective medications and doses Prefer affordability with low-cost or no-cost medications Use single-pill combination medications to reduce burden and increase control |
Task-sharing |
Allow larger workforce to address hypertension Ensure personnel work at their maximum scope Is more efficient and allows for greater opportunities to deliver care |
Monitoring and reporting |
Ensure that metrics are easy to measure, shared widely and distributed regularly Standardize to allow for comparison with other centers and programs Allow for identification of opportunities for improvement and successes |
Source: Table prepared by the authors from the analysis undertaken for this report.