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Enhanced Facility-Based Hypertension Screening: A Quality Improvement Initiative at Primary Health Care Facilities in Ethiopia

RTSL and Global Heart
September 23, 2026

This Global Heart publication, part of the journal’s “Lessons from the Field” series, documents a quality improvement initiative that made blood pressure screening part of routine care at six primary health care facilities. Technical experts at Resolve to Save Lives co-authored the article with the Ethiopian ministry of health and local partners.

What the article covers

  • Why routine screening matters: An estimated 11 million people in Ethiopia live with high blood pressure, and fewer than half know they have it.
  • How the initiative worked: Facilities began measuring every adult’s blood pressure at every visit, whatever the reason for the visit.
  • What changed: Between April 2024 and February 2025, monthly screening of adults rose from 41% to 80%, and monthly enrollments in the hypertension program more than tripled.
  • What comes next: Ethiopia is now scaling the approach to program facilities across the country.

Who it’s for

Ministries of health, program managers, and implementing partners looking for a practical model to improve hypertension detection in primary care.

Keywords

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