Simple, standard treament protocols

Standardizing blood pressure care

Right: Participants in “Law & Health Security: Strengthening Nigeria’s Legal Preparedness”. Credit – Resolve to Save Lives

Simple, standard treatment protocols
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Challenge

Worldwide, more than 1 billion adults require hypertension care, but treatment approaches vary by region, clinic and even physician—making it difficult to scale treatment.  

Solution

We support protocols that are evidence-based, easy to follow, and include just the few key medications needed to treat most patients and deliver quality care.

Impact

Standardized care for high blood pressure helps manage more patients, with better results—and helps keep key medicines available and affordable.

What are simple, standard treatment protocols?

When treating high blood pressure, consistency saves lives. A simple, evidence-based protocol standardizes criteria for starting patients on treatment and making step-by-step adjustments to drug or dose until blood pressure stays under control.

How treatment protocols work

Preferred medications in common doses

Simple protocols work because they only include the preferred, evidence-based drugs in the most commonly needed doses. By specifying how and when to increase doses, include additional medicines, and refer patients to a specialist, simple protocols reduce unnecessary variation in treatment approach and improve quality of care. 

Lowering medication costs through bulk purchasing

Without standard protocols, doctors may prescribe a wide range of medications in different doses, forcing clinics to stock too many options in small amounts. This makes it harder to predict demand and keep shelves stocked. When supplies run out, patients are forced to turn to expensive private pharmacies—or go without the medication they need. Simple, standardized treatment protocols also streamline procurement. When programs buy just a few carefully selected, cost-effective medicines in large quantities, they can negotiate better prices and keep down costs to patients.

Enabling team-based care

A clear and effective blueprint for treating high blood pressure makes training and supervision of health care workers easier. Simple protocols allow non-physician health workers to take a more active role in routine hypertension management in non-specialized clinics, so doctors can focus on more complex cases. This results in shorter wait times, less crowding, and better, more accesible patient care—and not just for people with high blood pressure.

Learn more about team-based care

How we support treatment protocols

We partner with countries to adopt simple treatment protocols that reflect local needs. Working with ministries of health, clinician groups, and other stakeholders, we help programs design and endorse a protocol that is standardized, clinically-sound, and low-cost—aligned with local drug manufacturing, existing supply chains, and existing clinical practices. 

We also advocate for the integration of simple treatment protocols into national guidelines for treating high blood pressure so any patient seeking care at any clinic receives the same quality of care.

Simple treatment protocols in action

Resources for treatment protocols

JACC-Lessons learned article cover

Lessons learned from treating 34 million people with hypertension

Journal of the American College of Cardiology
Hypertension is the leading cause of preventable death globally, yet only one in five people with high blood pressure have it under control despite availability of effective, low-cost medicines and…
Executive summary for Lessons Learned Philippines Healthy Hearts Programme report

How to increase hypertension control 6-fold through primary health care

Resolve to Save Lives
This advocacy resource from Resolve to Save Lives highlights lessons learned and key strategies for improving population-level blood pressure control in the Philippines.
Cover image for NATIONAL NONCOMMUNICABLE DISEASES MANAGEMENT PROTOCOLSPROTOCOLS from the Ethiopia Ministry of Health

Ethiopia National Non-Communicable Diseases Management Protocols

Ethiopia Ministry of Health
Ethiopia’s National NCD management protocols for:  Hypertension Diabetes Rheumatic heart disease  Chronic respiratory diseases Cardiovascular Disease (Risk Assessment) 
Screenshot 2025-05-09 at 10.23.29

Ethiopia Pharmaceuticals Procurement List: Third Edition

Ethiopian Pharmaceuticals Supply Service
Published in 2024 by the The Ethiopian Pharmaceuticals Supply Service (EPSS).

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