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Roadmap to Achieve 25% Hypertension Control in Africa by 2025

Authors:

Anastase Dzudie ,

Department of Internal Medicine, Yaounde Faculty of Medicine and Biomedical Sciences, Yaounde, CM; Department of Medicine, University of Cape Town, Cape Town; Hatter Institute for Cardiovascular Research in Africa, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, ZA
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Brian Rayner,

Division of Nephrology and Hypertension, Department of Medicine, Groote Schuur Hospital and University of Cape Town, Cape Town, ZA
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Dike Ojji,

Department of Medicine, Faculty of Health Sciences, University of Abuja Gwagwalada, Abuja; Cardiology Unit, Department of Medicine, University of Abuja Teaching Hospital, Gwagwalada, Abuja, NG
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Aletta E. Schutte,

Hypertension in Africa Research Team (HART), MRC Unit for Hypertension and Cardiovascular Disease, North-West University, Potchefstroom, ZA
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Marc Twagirumukiza,

College of Medicine and Health Sciences, University of Rwanda, Kigali, RW; African Society of Hypertension (AfSoH) Initiative, Heymans Institute of Pharmacology, Gent University, Ghent, BE
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Albertino Damasceno,

Faculty of Medicine, Eduardo Mondlane University, Maputo, MZ
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Seringe Abdou Ba,

Le Dantec University Teaching Hospital, Dakar, SN
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Abdoul Kane,

Service de cardiologie, Hôpital Général de Grand Yolf, Dakar, SN
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Euloge Kramoh,

Institut cardiologique d’Abidjan, Abidjan, CI
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Jean Baptiste Anzouan Kacou,

Institut cardiologique d’Abidjan, Abidjan, CI
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Basden Onwubere,

Department of Medicine, University of Nigeria Teaching Hospital, Enugu, NG
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Ruth Cornick,

Knowledge Translation Unit, University of Cape Town Lung Institute, University of Cape Town, Cape Town; Department of Medicine, University of Cape Town, Cape Town, ZA
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Karen Sliwa,

Department of Medicine, University of Cape Town, Cape Town; Hatter Institute for Cardiovascular Research in Africa, Department of Medicine, Groote Schuur Hospital, University of Cape Town, Cape Town, ZA
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Benedict Anisiuba,

Department of Medicine, University of Nigeria Teaching Hospital, Enugu, NG
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Ana Olga Mocumbi,

National Health Institute, Maputo; University Eduardo Mondlane, Maputo, MZ
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Elijah Ogola,

Department of Clinical Medicine and Therapeutics, University of Nairobi, Nairobi, KE
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Mohamed Awad,

Division of Cardiology, University of Khartoum, Khartoum, SD
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George Nel,

Pan-African Society of Cardiology (PASCAR), Cape Town, ZA
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Harun Otieno,

Section of Cardiology, Department of Medicine, Aga Khan University Hospital, Nairobi, KE
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Ali Ibrahim Toure,

Division of Cardiology, University of Khartoum, Khartoum, SD
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Samuel Kingue,

Department of Internal Medicine, Yaounde Faculty of Medicine and Biomedical Sciences, Yaounde, CM
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Andre Pascal Kengne,

Medical Research Council, Cape Town, ZA
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Pablo Perel,

Science Advisory Unit, World Heart Federation, Geneva, CH; London School of Hygiene and Tropical Medicine, London, GB
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Alma Adler,

Science Advisory Unit, World Heart Federation, Geneva, CH; London School of Hygiene and Tropical Medicine, London, GB
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Neil Poulter,

International Centre for Circulatory Health, Imperial College, London, GB
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Bongani Mayosi,

Department of Medicine, University of Cape Town, Cape Town, ZA
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on behalf of the PASCAR Task Force on Hypertension

Abstract

Background: The Pan-African Society of Cardiology (PASCAR) has identified hypertension as the highest area of priority action to reduce heart disease and stroke on the continent.

Objectives: The aim of this PASCAR roadmap on hypertension was to develop practical guidance on how to implement strategies that translate existing knowledge into effective action and improve detection, treatment and control of hypertension and cardiovascular health in sub-Saharan Africa (SSA) by the year 2025.

Methods: Development of this roadmap started with the creation of a consortium of experts with leadership skills in hypertension. In 2014, experts in different fields, including physicians and nonphysicians, were invited to join. Via face-to-face meetings and teleconferences, the consortium made a situation analysis, set a goal, identified roadblocks and solutions to the management of hypertension and customized the World Heart Federation roadmap to Africa.

Results: Hypertension is a major crisis on the continent but very few randomized controlled trials have been conducted on its management. Also, only 25.8% of the countries have developed or adopted guidelines for management of hypertension. Other major roadblocks are either government and health-system related or health care professional or patient related. The PASCAR hypertension task force identified a 10-point action plan to be implemented by African ministries of health to achieve 25% control of hypertension in Africa by 2025.

Conclusions: Hypertension affects millions of people in SSA and if left untreated, is a major cause of heart disease and stroke. Very few SSA countries have a clear hypertension policy. This PASCAR roadmap identifies practical and effective solutions that would improve detection, treatment and control of hypertension on the continent and could be implemented as is or adapted to specific national settings.

How to Cite: Dzudie A, Rayner B, Ojji D, Schutte AE, Twagirumukiza M, Damasceno A, et al.. Roadmap to Achieve 25% Hypertension Control in Africa by 2025. Global Heart. 2018;13(1):45–59. DOI: http://doi.org/10.1016/j.gheart.2017.06.001
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Published on 01 Mar 2018.
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