Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries
Abstract 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 resu...
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| Format: | Article |
| Language: | English |
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BMC
2022-12-01
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| Series: | BMC Public Health |
| Subjects: | |
| Online Access: | https://doi.org/10.1186/s12889-022-14833-y |
| _version_ | 1797977197299892224 |
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| author | Johannes Boch Lakshmi Venkitachalam Adela Santana Olivia Jones Theresa Reiker Sarah Des Rosiers Jason T. Shellaby Jasmina Saric Peter Steinmann Jose M. E. Ferrer Louise Morgan Asha Barshilia Edmir Peralta Rollemberg Albuquerque Alvaro Avezum Joseph Barboza Yara C. Baxter Luiz Bortolotto Enkhtuya Byambasuren Márcia Cerqueira Naranjargal Dashdorj Karina Mauro Dib Babacar Guèye Karim Seck Mariana Silveira Suely Miya Shiraishi Rollemberg Renato W. de Oliveira Tumurbaatar Luvsansambuu Ann Aerts |
| author_facet | Johannes Boch Lakshmi Venkitachalam Adela Santana Olivia Jones Theresa Reiker Sarah Des Rosiers Jason T. Shellaby Jasmina Saric Peter Steinmann Jose M. E. Ferrer Louise Morgan Asha Barshilia Edmir Peralta Rollemberg Albuquerque Alvaro Avezum Joseph Barboza Yara C. Baxter Luiz Bortolotto Enkhtuya Byambasuren Márcia Cerqueira Naranjargal Dashdorj Karina Mauro Dib Babacar Guèye Karim Seck Mariana Silveira Suely Miya Shiraishi Rollemberg Renato W. de Oliveira Tumurbaatar Luvsansambuu Ann Aerts |
| author_sort | Johannes Boch |
| collection | DOAJ |
| description | Abstract 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. |
| first_indexed | 2024-04-11T05:03:06Z |
| format | Article |
| id | doaj.art-6c7e3dbd7acd4c58b68938978861390b |
| institution | Directory Open Access Journal |
| issn | 1471-2458 |
| language | English |
| last_indexed | 2024-04-11T05:03:06Z |
| publishDate | 2022-12-01 |
| publisher | BMC |
| record_format | Article |
| series | BMC Public Health |
| spelling | doaj.art-6c7e3dbd7acd4c58b68938978861390b2022-12-25T12:32:51ZengBMCBMC Public Health1471-24582022-12-0122111410.1186/s12889-022-14833-yImplementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countriesJohannes Boch0Lakshmi Venkitachalam1Adela Santana2Olivia Jones3Theresa Reiker4Sarah Des Rosiers5Jason T. Shellaby6Jasmina Saric7Peter Steinmann8Jose M. E. Ferrer9Louise Morgan10Asha Barshilia11Edmir Peralta Rollemberg Albuquerque12Alvaro Avezum13Joseph Barboza14Yara C. Baxter15Luiz Bortolotto16Enkhtuya Byambasuren17Márcia Cerqueira18Naranjargal Dashdorj19Karina Mauro Dib20Babacar Guèye21Karim Seck22Mariana Silveira23Suely Miya Shiraishi Rollemberg24Renato W. de Oliveira25Tumurbaatar Luvsansambuu26Ann Aerts27Novartis FoundationAmerican Heart AssociationAmerican Heart AssociationAmerican Heart AssociationNovartis FoundationNovartis FoundationNovartis FoundationSwiss Tropical and Public Health InstituteSwiss Tropical and Public Health InstituteAmerican Heart AssociationAmerican Heart AssociationAmerican Heart AssociationSecretaria Municipal da SaúdeSociedade de Cardiologia do Estado de São Paulo & Hospital Alemão Oswaldo CruzIntrahealthYC BaxterSociedade Brasileira de HipertensãoMongolian Public Health Professionals’ AssociationSecretaria Municipal da SaúdeOnom FoundationSecretaria Municipal da SaúdeMinistère de la Santé et de l’Action SocialeNovartis FoundationInstituto TellusSecretaria Municipal da SaúdeIqviaCapital City Health DepartmentNovartis FoundationAbstract 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.https://doi.org/10.1186/s12889-022-14833-yPopulation healthPrimary careUrban healthPublic private partnershipCardiovascular riskHypertension |
| spellingShingle | Johannes Boch Lakshmi Venkitachalam Adela Santana Olivia Jones Theresa Reiker Sarah Des Rosiers Jason T. Shellaby Jasmina Saric Peter Steinmann Jose M. E. Ferrer Louise Morgan Asha Barshilia Edmir Peralta Rollemberg Albuquerque Alvaro Avezum Joseph Barboza Yara C. Baxter Luiz Bortolotto Enkhtuya Byambasuren Márcia Cerqueira Naranjargal Dashdorj Karina Mauro Dib Babacar Guèye Karim Seck Mariana Silveira Suely Miya Shiraishi Rollemberg Renato W. de Oliveira Tumurbaatar Luvsansambuu Ann Aerts Implementing a multisector public-private partnership to improve urban hypertension management in low-and middle- income countries BMC Public Health Population health Primary care Urban health Public private partnership Cardiovascular risk Hypertension |
| 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 | Population health Primary care Urban health Public private partnership Cardiovascular risk Hypertension |
| url | https://doi.org/10.1186/s12889-022-14833-y |
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