Innovative Implementation Strategies for Hypertension Control in Low- and Middle-Income Countries: a Narrative Review.

Abstract:

PURPOSE OF REVIEW:This review summarizes the most recent and innovative implementation strategies for hypertension control in low- and middle-income countries (LMICs). RECENT FINDINGS:Implementation strategies from Latin America, Africa, and Asia were organized across three levels: community, health system, and policy/population. Multicomponent interventions involving task-shifting strategies, with or without mobile health tools, had the most supporting evidence, with policy or population-level interventions having the least, focused only on salt reduction with mixed results. More research is needed to better understand how context affects intervention implementation. There is an emerging evidence base for implementation strategies for hypertension control and CVD risk reduction in LMICs at the community and health system levels, but further research is needed to determine the most effective policy and population-level strategies. How to best account for local context in adapting and implementing these evidence-based interventions in LMICs still remains largely unknown. Accelerating the translation of this implementation research into policy and practice is imperative to improve health and save lives globally.

journal_name

Curr Hypertens Rep

authors

Mercer T,Nulu S,Vedanthan R

doi

10.1007/s11906-020-01045-1

subject

Has Abstract

pub_date

2020-05-13 00:00:00

pages

39

issue

5

eissn

1522-6417

issn

1534-3111

pii

10.1007/s11906-020-01045-1

journal_volume

22

pub_type

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