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May Measurement Month 2017: an analysis of blood pressure screening results in Nepal—South Asia

Hypertension is the leading risk factor of mortality in Nepal accounting for ∼33 000 deaths in 2016. However, more than 50% of the hypertensive patients are unaware of their status. We participated in the May Measurement Month 2017 (MMM17) project initiated worldwide by the International Society of...

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Autores principales: Mishra, Shiva Raj, Shrestha, Nipun, Poudyal, Indra Prasad, Malla, Milan, Gyawali, Bishal, Shrestha, Aamod Dhoj, Pokharel, Shashank, Gyawali, Madan, Sapkota, Surendra, Bhattarai, Harikrishna, Dhakal, Liladhar, Soti, Pabitra Babu, Ghimire, Sagar, Paudel, Rajan, Xia, Xin, Beaney, Thomas, Koirala, Sweta, Olsen, Michael Hecht, Poulter, Neil R, Kallestrup, Per, Neupane, Dinesh
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Oxford University Press 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6479435/
https://www.ncbi.nlm.nih.gov/pubmed/31043887
http://dx.doi.org/10.1093/eurheartj/suz063
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author Mishra, Shiva Raj
Shrestha, Nipun
Poudyal, Indra Prasad
Malla, Milan
Gyawali, Bishal
Shrestha, Aamod Dhoj
Pokharel, Shashank
Gyawali, Madan
Sapkota, Surendra
Bhattarai, Harikrishna
Dhakal, Liladhar
Soti, Pabitra Babu
Ghimire, Sagar
Paudel, Rajan
Xia, Xin
Beaney, Thomas
Koirala, Sweta
Olsen, Michael Hecht
Poulter, Neil R
Kallestrup, Per
Neupane, Dinesh
author_facet Mishra, Shiva Raj
Shrestha, Nipun
Poudyal, Indra Prasad
Malla, Milan
Gyawali, Bishal
Shrestha, Aamod Dhoj
Pokharel, Shashank
Gyawali, Madan
Sapkota, Surendra
Bhattarai, Harikrishna
Dhakal, Liladhar
Soti, Pabitra Babu
Ghimire, Sagar
Paudel, Rajan
Xia, Xin
Beaney, Thomas
Koirala, Sweta
Olsen, Michael Hecht
Poulter, Neil R
Kallestrup, Per
Neupane, Dinesh
author_sort Mishra, Shiva Raj
collection PubMed
description Hypertension is the leading risk factor of mortality in Nepal accounting for ∼33 000 deaths in 2016. However, more than 50% of the hypertensive patients are unaware of their status. We participated in the May Measurement Month 2017 (MMM17) project initiated worldwide by the International Society of Hypertension to raise the awareness on the importance of blood pressure (BP) screening. In this paper, we discuss the screening results of MMM17 in Nepal. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2017 following the standard MMM protocol. Data were collected from 18 screening sites in 7 districts covering 5 provinces. Screenings were conducted either in health facilities, public places, or participants’ homes. Trained volunteers with health science background and female community health volunteers were mobilized to take part in the screening. A total of 5972 individuals were screened and of 5968 participants, for whom a mean of the 2nd and 3rd readings was available, 1456 (24.4%) participants had hypertension; 908 (16.8%) of those not receiving treatment were hypertensive; and 248 (45.2%) of those being treated had uncontrolled BP. MMM17 is the first nationwide BP screening campaign undertaken in Nepal. Given the suboptimal treatment and control rates identified in the study, there is a strong imperative to scale up hypertension prevention, screening, and management programmes. These results suggest that opportunistic screening can identify significant numbers with hypertension. Mobilization of existing volunteer networks and support of community stakeholders, would be necessary to improve the overall impact and sustainability of future screening programmes.
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spelling pubmed-64794352019-05-01 May Measurement Month 2017: an analysis of blood pressure screening results in Nepal—South Asia Mishra, Shiva Raj Shrestha, Nipun Poudyal, Indra Prasad Malla, Milan Gyawali, Bishal Shrestha, Aamod Dhoj Pokharel, Shashank Gyawali, Madan Sapkota, Surendra Bhattarai, Harikrishna Dhakal, Liladhar Soti, Pabitra Babu Ghimire, Sagar Paudel, Rajan Xia, Xin Beaney, Thomas Koirala, Sweta Olsen, Michael Hecht Poulter, Neil R Kallestrup, Per Neupane, Dinesh Eur Heart J Suppl Articles Hypertension is the leading risk factor of mortality in Nepal accounting for ∼33 000 deaths in 2016. However, more than 50% of the hypertensive patients are unaware of their status. We participated in the May Measurement Month 2017 (MMM17) project initiated worldwide by the International Society of Hypertension to raise the awareness on the importance of blood pressure (BP) screening. In this paper, we discuss the screening results of MMM17 in Nepal. An opportunistic cross-sectional survey of volunteers aged ≥18 years was carried out in May 2017 following the standard MMM protocol. Data were collected from 18 screening sites in 7 districts covering 5 provinces. Screenings were conducted either in health facilities, public places, or participants’ homes. Trained volunteers with health science background and female community health volunteers were mobilized to take part in the screening. A total of 5972 individuals were screened and of 5968 participants, for whom a mean of the 2nd and 3rd readings was available, 1456 (24.4%) participants had hypertension; 908 (16.8%) of those not receiving treatment were hypertensive; and 248 (45.2%) of those being treated had uncontrolled BP. MMM17 is the first nationwide BP screening campaign undertaken in Nepal. Given the suboptimal treatment and control rates identified in the study, there is a strong imperative to scale up hypertension prevention, screening, and management programmes. These results suggest that opportunistic screening can identify significant numbers with hypertension. Mobilization of existing volunteer networks and support of community stakeholders, would be necessary to improve the overall impact and sustainability of future screening programmes. Oxford University Press 2019-04 2019-04-24 /pmc/articles/PMC6479435/ /pubmed/31043887 http://dx.doi.org/10.1093/eurheartj/suz063 Text en Published on behalf of the European Society of Cardiology. © The Author(s) 2019. http://creativecommons.org/licenses/by-nc/4.0/ This is an Open Access article distributed under the terms of the Creative Commons Attribution Non-Commercial License (http://creativecommons.org/licenses/by-nc/4.0/), which permits non-commercial re-use, distribution, and reproduction in any medium, provided the original work is properly cited. For commercial re-use, please contact journals.permissions@oup.com
spellingShingle Articles
Mishra, Shiva Raj
Shrestha, Nipun
Poudyal, Indra Prasad
Malla, Milan
Gyawali, Bishal
Shrestha, Aamod Dhoj
Pokharel, Shashank
Gyawali, Madan
Sapkota, Surendra
Bhattarai, Harikrishna
Dhakal, Liladhar
Soti, Pabitra Babu
Ghimire, Sagar
Paudel, Rajan
Xia, Xin
Beaney, Thomas
Koirala, Sweta
Olsen, Michael Hecht
Poulter, Neil R
Kallestrup, Per
Neupane, Dinesh
May Measurement Month 2017: an analysis of blood pressure screening results in Nepal—South Asia
title May Measurement Month 2017: an analysis of blood pressure screening results in Nepal—South Asia
title_full May Measurement Month 2017: an analysis of blood pressure screening results in Nepal—South Asia
title_fullStr May Measurement Month 2017: an analysis of blood pressure screening results in Nepal—South Asia
title_full_unstemmed May Measurement Month 2017: an analysis of blood pressure screening results in Nepal—South Asia
title_short May Measurement Month 2017: an analysis of blood pressure screening results in Nepal—South Asia
title_sort may measurement month 2017: an analysis of blood pressure screening results in nepal—south asia
topic Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6479435/
https://www.ncbi.nlm.nih.gov/pubmed/31043887
http://dx.doi.org/10.1093/eurheartj/suz063
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