Cargando…

Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries

BACKGROUND: Cardiovascular disease presents an increasing health burden to low- and middle-income countries. Although ample therapeutic options and care improvement frameworks exist to address its prime risk factor, hypertension, blood pressure control rates remain poor. We describe the results of a...

Descripción completa

Detalles Bibliográficos
Autores principales: Boch, Johannes, Venkitachalam, Lakshmi, Santana, Adela, Jones, Olivia, Reiker, Theresa, Rosiers, Sarah Des, Shellaby, Jason T., Saric, Jasmina, Steinmann, Peter, Ferrer, Jose M. E., Morgan, Louise, Barshilia, Asha, Albuquerque, Edmir Peralta Rollemberg, Avezum, Alvaro, Barboza, Joseph, Baxter, Yara C., Bortolotto, Luiz, Byambasuren, Enkhtuya, Cerqueira, Márcia, Dashdorj, Naranjargal, Dib, Karina Mauro, Guèye, Babacar, Seck, Karim, Silveira, Mariana, Rollemberg, Suely Miya Shiraishi, de Oliveira, Renato W., Luvsansambuu, Tumurbaatar, Aerts, Ann
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2022
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761621/
https://www.ncbi.nlm.nih.gov/pubmed/36536360
http://dx.doi.org/10.1186/s12889-022-14833-y
_version_ 1784852716330156032
author Boch, Johannes
Venkitachalam, Lakshmi
Santana, Adela
Jones, Olivia
Reiker, Theresa
Rosiers, Sarah Des
Shellaby, Jason T.
Saric, Jasmina
Steinmann, Peter
Ferrer, Jose M. E.
Morgan, Louise
Barshilia, Asha
Albuquerque, Edmir Peralta Rollemberg
Avezum, Alvaro
Barboza, Joseph
Baxter, Yara C.
Bortolotto, Luiz
Byambasuren, Enkhtuya
Cerqueira, Márcia
Dashdorj, Naranjargal
Dib, Karina Mauro
Guèye, Babacar
Seck, Karim
Silveira, Mariana
Rollemberg, Suely Miya Shiraishi
de Oliveira, Renato W.
Luvsansambuu, Tumurbaatar
Aerts, Ann
author_facet Boch, Johannes
Venkitachalam, Lakshmi
Santana, Adela
Jones, Olivia
Reiker, Theresa
Rosiers, Sarah Des
Shellaby, Jason T.
Saric, Jasmina
Steinmann, Peter
Ferrer, Jose M. E.
Morgan, Louise
Barshilia, Asha
Albuquerque, Edmir Peralta Rollemberg
Avezum, Alvaro
Barboza, Joseph
Baxter, Yara C.
Bortolotto, Luiz
Byambasuren, Enkhtuya
Cerqueira, Márcia
Dashdorj, Naranjargal
Dib, Karina Mauro
Guèye, Babacar
Seck, Karim
Silveira, Mariana
Rollemberg, Suely Miya Shiraishi
de Oliveira, Renato W.
Luvsansambuu, Tumurbaatar
Aerts, Ann
author_sort Boch, Johannes
collection PubMed
description BACKGROUND: Cardiovascular disease presents an increasing health burden to low- and middle-income countries. Although ample therapeutic options and care improvement frameworks exist to address its prime risk factor, hypertension, blood pressure control rates remain poor. We describe the results of an effectiveness study of a multisector urban population health initiative that targets hypertension in a real-world implementation setting in cities across three continents. The initiative followed the “CARDIO4Cities” approach (quality of Care, early Access, policy Reform, Data and digital technology, Intersectoral collaboration, and local Ownership). METHOD: The approach was applied in Ulaanbaatar in Mongolia, Dakar in Senegal, and São Paulo in Brazil. In each city, a portfolio of evidence-based practices was implemented, tailored to local priorities and available data. Outcomes were measured by extracting hypertension diagnosis, treatment and control rates from primary health records. Data from 18,997 patients with hypertension in primary health facilities were analyzed. RESULTS: Over one to two years of implementation, blood pressure control rates among enrolled patients receiving medication tripled in São Paulo (from 12·3% to 31·2%) and Dakar (from 6·7% to 19·4%) and increased six-fold in Ulaanbaatar (from 3·1% to 19·7%). CONCLUSIONS: This study provides first evidence that a multisectoral population health approach to implement known best-practices, supported by data and digital technologies, and relying on local buy-in and ownership, can improve hypertension control in high-burden urban primary care settings in low-and middle-income countries. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14833-y.
format Online
Article
Text
id pubmed-9761621
institution National Center for Biotechnology Information
language English
publishDate 2022
publisher BioMed Central
record_format MEDLINE/PubMed
spelling pubmed-97616212022-12-19 Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries Boch, Johannes Venkitachalam, Lakshmi Santana, Adela Jones, Olivia Reiker, Theresa Rosiers, Sarah Des Shellaby, Jason T. Saric, Jasmina Steinmann, Peter Ferrer, Jose M. E. Morgan, Louise Barshilia, Asha Albuquerque, Edmir Peralta Rollemberg Avezum, Alvaro Barboza, Joseph Baxter, Yara C. Bortolotto, Luiz Byambasuren, Enkhtuya Cerqueira, Márcia Dashdorj, Naranjargal Dib, Karina Mauro Guèye, Babacar Seck, Karim Silveira, Mariana Rollemberg, Suely Miya Shiraishi de Oliveira, Renato W. Luvsansambuu, Tumurbaatar Aerts, Ann BMC Public Health Research BACKGROUND: Cardiovascular disease presents an increasing health burden to low- and middle-income countries. Although ample therapeutic options and care improvement frameworks exist to address its prime risk factor, hypertension, blood pressure control rates remain poor. We describe the results of an effectiveness study of a multisector urban population health initiative that targets hypertension in a real-world implementation setting in cities across three continents. The initiative followed the “CARDIO4Cities” approach (quality of Care, early Access, policy Reform, Data and digital technology, Intersectoral collaboration, and local Ownership). METHOD: The approach was applied in Ulaanbaatar in Mongolia, Dakar in Senegal, and São Paulo in Brazil. In each city, a portfolio of evidence-based practices was implemented, tailored to local priorities and available data. Outcomes were measured by extracting hypertension diagnosis, treatment and control rates from primary health records. Data from 18,997 patients with hypertension in primary health facilities were analyzed. RESULTS: Over one to two years of implementation, blood pressure control rates among enrolled patients receiving medication tripled in São Paulo (from 12·3% to 31·2%) and Dakar (from 6·7% to 19·4%) and increased six-fold in Ulaanbaatar (from 3·1% to 19·7%). CONCLUSIONS: This study provides first evidence that a multisectoral population health approach to implement known best-practices, supported by data and digital technologies, and relying on local buy-in and ownership, can improve hypertension control in high-burden urban primary care settings in low-and middle-income countries. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1186/s12889-022-14833-y. BioMed Central 2022-12-19 /pmc/articles/PMC9761621/ /pubmed/36536360 http://dx.doi.org/10.1186/s12889-022-14833-y Text en © The Author(s) 2022 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research
Boch, Johannes
Venkitachalam, Lakshmi
Santana, Adela
Jones, Olivia
Reiker, Theresa
Rosiers, Sarah Des
Shellaby, Jason T.
Saric, Jasmina
Steinmann, Peter
Ferrer, Jose M. E.
Morgan, Louise
Barshilia, Asha
Albuquerque, Edmir Peralta Rollemberg
Avezum, Alvaro
Barboza, Joseph
Baxter, Yara C.
Bortolotto, Luiz
Byambasuren, Enkhtuya
Cerqueira, Márcia
Dashdorj, Naranjargal
Dib, Karina Mauro
Guèye, Babacar
Seck, Karim
Silveira, Mariana
Rollemberg, Suely Miya Shiraishi
de Oliveira, Renato W.
Luvsansambuu, Tumurbaatar
Aerts, Ann
Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries
title Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries
title_full Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries
title_fullStr Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries
title_full_unstemmed Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries
title_short Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries
title_sort implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries
topic Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9761621/
https://www.ncbi.nlm.nih.gov/pubmed/36536360
http://dx.doi.org/10.1186/s12889-022-14833-y
work_keys_str_mv AT bochjohannes implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT venkitachalamlakshmi implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT santanaadela implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT jonesolivia implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT reikertheresa implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT rosierssarahdes implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT shellabyjasont implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT saricjasmina implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT steinmannpeter implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT ferrerjoseme implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT morganlouise implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT barshiliaasha implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT albuquerqueedmirperaltarollemberg implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT avezumalvaro implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT barbozajoseph implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT baxteryarac implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT bortolottoluiz implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT byambasurenenkhtuya implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT cerqueiramarcia implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT dashdorjnaranjargal implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT dibkarinamauro implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT gueyebabacar implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT seckkarim implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT silveiramariana implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT rollembergsuelymiyashiraishi implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT deoliveirarenatow implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT luvsansambuutumurbaatar implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries
AT aertsann implementingamultisectorpublicprivatepartnershiptoimproveurbanhypertensionmanagementinlowandmiddleincomecountries