African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE): novel strategies for accelerating hypertension control in Africa

Mayowa Owolabi, Paul Olowoyo, Ana Mocumbi, Okechukwu S. Ogah, Augustine Odili, Kolawole Wahab, Dike Ojji, Abiodun M. Adeoye, Rufus Akinyemi, Albert Akpalu, Reginald Obiako, Fred S. Sarfo, Charlotte Bavuma, Hind Mamoun Beheiry, Moshen Ibrahim, Wafaa el Aroussy, Gianfranco Parati, Anastase Dzudie, Sandhya Singh, Onoja AkpaAndre Pascal Kengne, Akinkunmi Paul Okekunle, Ama de Graft Aikins, Charles Agyemang, Gbenga Ogedegbe, Bruce Ovbiagele, Renu Garg, Norman R. C. Campbell, Daniel T. Lackland, Prebo Barango, Slim Slama, Cherian V. Varghese, Paul K. Whelton, Xin-Hua Zhang

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Abstract

Hypertension is a leading preventable and controllable risk factor for cardiovascular and cerebrovascular diseases and the leading preventable risk for death globally. With a prevalence of nearly 50% and 93% of uncontrolled cases, very little progress has been made in detecting, treating, and controlling hypertension in Africa over the past thirty years. We propose the African Control of Hypertension through Innovative Epidemiology and a Vibrant Ecosystem (ACHIEVE) to implement the HEARTS package for improved surveillance, prevention, treatment/acute care of hypertension, and rehabilitation of those with hypertension complications across the life course. The ecosystem will apply the principles of an iterative implementation cycle by developing and deploying pragmatic solutions through the contextualization of interventions tailored to navigate barriers and enhance facilitators to deliver maximum impact through effective communication and active participation of all stakeholders in the implementation environment. Ten key strategic actions are proposed for implementation to reduce the burden of hypertension in Africa.
Original languageEnglish
JournalJournal of human hypertension
Early online date2023
DOIs
Publication statusPublished - 19 Apr 2023

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