A Global Perspective on Using Implementation Research to Address Hypertension-Associated Target Organ Damage.

Abstract:

:Hypertension, a major risk factor for cardiovascular disease, imposes a significant public health burden and challenge to address it worldwide. Scaling up delivery of proven, effective interventions for hypertension could significantly advance the goal of reducing the global burden. Although significant progress has been made in many countries, some lament that large-scale initiatives focused on reducing blood pressure in global populations have not effectively addressed this challenge. Late-stage implementation research plays a critical role in determining effective and sustainable scale-up of these initiatives. In this article, we briefly discuss some of the global initiatives that have been funded by the National Heart, Lung, and Blood Institute of the US National Institutes of Health. Intervention delivery strategies in low resource settings must have demonstrated effectiveness and consideration for the social, cultural and physical context (eg, access, affordability, and availability of medications) in which a program is being delivered in order to be sustainable nationally and globally. Hence, the use of implementation research is central to determining sustainable delivery of evidence-based and tailored interventions focused on hypertension control. The sustained control of hypertension in global populations holds tremendous potential for reducing morbidity, premature mortality, and the adverse economic impact of cardiovascular disease in all regions.

journal_name

Ethn Dis

journal_title

Ethnicity & disease

authors

Peprah E,Lopez-Class M,Shero S,John-Sowah J,Engelgau M

doi

10.18865/ed.26.3.395

subject

Has Abstract

pub_date

2016-07-21 00:00:00

pages

395-8

issue

3

eissn

1049-510X

issn

1945-0826

pii

ed.26.3.395

journal_volume

26

pub_type

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