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Building the health-economic case for scaling up the WHO-HEARTS hypertension control package in low- and middle-income countries

Bibliographic Data

ID14967706
AuthorsAndrew E Moran (0000-0003-3554-0085, Resolve to Save Lives, New York, United States of America, corresponding author), Margaret Farrell (Resolve to Save Lives, New York, United States of America), Danielle Cazabon (0000-0002-4326-2321, Resolve to Save Lives, New York, United States of America), Swagata Kumar Sahoo (Resolve to Save Lives, New York, United States of America), Doris Mugrditchian (Resolve to Save Lives, New York, United States of America), Anirudh Pidugu (Columbia University Irving Medical Center, New York, United States of America), Carlos Chivardi (0000-0003-0470-3371, University of York), Magdalena Walbaum (0000-0002-2179-9224, London School of Economics and Political Science), Senait Alemayehu (0000-0002-0429-3643, Ethiopian Public Health Institute, Addis Ababa, Ethiopia), Wanrudee Isaranuwatchai (0000-0002-8368-6065, Health Intervention and Technology Assessment Program), Chaisiri Ankurawaranon (Chiang Mai University), Sohel Reza Choudhury (0000-0002-7498-4634, National Heart Foundation Hospital & Research Institute), Sarah Pickersgill (Seattle University), Sarah J Pickersgill (University of Washington, Seattle, United States of America), David Watkins (0000-0002-3930-5990, University of Washington), David A Watkins (University of Washington, Seattle, United States of America), Muhammad Jami Husain (0000-0001-6049-0505, Centers for Disease Control and Prevention), Krishna D Rao (0000-0001-9347-3648, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States of America), Kunihiro Matsushita (0000-0002-7179-718X, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States of America), Matti Marklund (0000-0002-3320-796X, Johns Hopkins Bloomberg School of Public Health, Baltimore, United States of America), Brian Hutchinson (0000-0002-5537-008X, RTI International), Rachel Nugent (0000-0001-6421-9077, RTI International), Dobrinka Kostova (0000-0003-2414-0166, Centers for Disease Control and Prevention), Deliana Kostova (Centers for Disease Control and Prevention), Renu Garg (0000-0003-3760-4249, Resolve to Save Lives, New York, United States of America)
Year2022
Volume46
Pages1
Publication date2022-09-02
Open AccessYes
TypeARTICLE
VenueRevista Panamericana de Salud Pública (JOURNAL)
Journal identifiersISSN: 1020-4989 • E-ISSN: 1680-5348
PublisherPan American Health Organization (PUBLISHER • US)
DOI10.26633/rpsp.2022.140
PMID36071923
OpenAlexW4294507408
LanguageEN
Citations received2
References cited16

Generally, hypertension control programs are cost-effective, including in low- and middle-income countries, but country governments and civil society are not likely to support hypertension control programs unless value is demonstrated in terms of public health benefits, budget impact, and value-for-investment for the individual country context. The World Health Organization (WHO) and the Pan American Health Organization (PAHO) established a standard, simplified Global HEARTS approach to hypertension control, including preferred antihypertensive medicines and blood pressure measurement devices. The objective of this study is to report on health economic studies of HEARTS hypertension control package cost (especially medication costs), cost-effectiveness, and budget impact and describe mathematical models designed to translate hypertension control program data into the optimal approach to hypertension care service delivery and financing, especially in low- and middle-income countries. Early results suggest that HEARTS hypertension control interventions are either cost-saving or cost-effective, that the HEARTS package is affordable at between US$ 18-44 per person treated per year, and that antihypertensive medicines could be priced low enough to reach a global standard of an average

Business · Context (archaeology · Control (management · Economic evaluation · Economic growth · Economics · Geography · Government (linguistics · Investment (military · Management · Political science · Psychological intervention · Public economics · Public health · Public sector · Blood Pressure and Hypertension Studies · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing · Pharmaceutical Practices and Patient Outcomes

  • The HEARTS partner forum—supporting implementation of HEARTS to treat and control hypertension

    Open Access•Taskeen Khan, Andrew E Moran et al.•Frontiers in Public Health•2023

  • Optimizing cardiovascular disease risk screening in a low-resource setting

    Open Access•Nilmini Wijemunige, Ravindra P Rannan-Eliya et al.•BMC Public Health•2023

  • Blood pressure lowering for prevention of cardiovascular disease and death

    Open Access•Dena Ettehad, Connor A Emdin et al.•The Lancet•2016

  • The cost-effectiveness of hypertension management in low-income and middle-income countries

    Open Access•Dobrinka Kostova, Garrison Spencer et al.•BMJ Global Health•2020

  • Assessing costs of a hypertension program in primary care

    Open Access•Carlos Chivardi, Brian Hutchinson et al.•Revista Panamericana de Salud…•2022

Citations per year0.67
Citation span2023 - 2023 (1)
Highly citedNo

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