HYPERTENSION CONTROL RESOURCE LIBRARY

Sample treatment protocols, program implementation guides, monitoring tools and more

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Resolve to Save Lives

This two-page factsheet outlines the key takeaways from the full guide, Guide for Management of Overdue Patients with Hypertension, and is designed as a resource for staff in your hypertension clinic.

 

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Resolve to Save Lives

The ultimate goal of a successful hypertension program is to improve blood pressure control at the population level. Establishing regular data review meetings to review program progress using the HEARTS360 dashboard can enhance decision-making and build a culture of quality and accountability for large-scale hypertension programs. Use the following four steps to identify, address, and track barriers to blood pressure control within your hypertension program.

 

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Resolve to Save Lives

Program managers of large-scale hypertension programs can use the evidence-based interventions outlined in this new resource from Resolve to Save Lives to better track and manage patients overdue for a visit—and return them to care.

 

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Resolve to Save Lives

In this new guide from Resolve to Save Lives, large-scale hypertension programs can better find patients who are overdue for a health visit and bring them back to care. Reducing loss to follow-up is a leading way to improve hypertension control and reduce deaths from heart attacks and strokes. Phone calls, text messages, and home visits keep patients retained in treatment.

Program managers can use this resource to support their staff to track and manage overdue patients and successfully get them the care they need.

 

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BioMed Central Ltd

By bringing care delivery closer to communities, we can provide more people with access to quality care, improve hypertension control and save more lives. Our experts in India documented the decentralization process and its impact on patient outcomes in nine districts from 2018–2022.

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Resolve to Save Lives

Resolve to Save Lives’ partnerships for heart health between 2018 and 2023 will result in 7.5 million fewer deaths worldwide. Here’s how we supported countries to make rapid progress, and how we measured our impact.

The Journal of Clinical Hypertension

Improving hypertension control requires patient retention to hypertension treatment, which requires ready access to care. This study highlights the need for improved primary care services and patient-centered services, including extended clinic hours and diagnostic facilities.

Experts from Resolve to Save Lives India analyzed patient retention rates in hypertension treatment using a mixed-method concurrent design in a North Indian district, considering socio-demographic characteristics and patient follow-up rates along with focus group discussions and in-depth interviews with health care providers and patients. Patient retention and blood pressure control were better at Health and Wellness Centers (HWCs) levels;  barriers such as medication side effects, pill burden, and limited health care access hindered patient retention and medication adherence, compromising hypertension control at higher-level facilities, notably among females.

“The decentralization process involved training, treatment protocol provision, supervision, and monitoring. Among 394,038 individuals registered with hypertension from 2018–2021, 69% were under care in 2022. Nearly half of those under care (129,720/273,355) received treatment from HWCs in 2022. Care of hypertensive individuals from district hospitals (14%), community health centres (20%), and primary health centres (24%) were decentralized to HWCs. Overall BP control rose from 20% (4,004/20,347) in 2019 to 58% (157,595/273,355) in 2022, while missed visits decreased from 61% (12,394/20,347) in 2019 to 26% (70,894/273,355) in 2022. This trend was consistent in both states. HWCs exhibited the highest BP control and the lowest missed visits throughout the study period compared to other facility types.”

Read the full study here.

Authors: Nidhi Jaswal PhDSonu Goel PhDKritika Upadhyay MPHAnupam Khungar Pathni MBBSOm Prakash Bera MPH, MBAVandana Shah LLM

Resolve to Save Lives

Learn how integrating hypertension management in HIV services improved health outcomes in India.

Resolve to Save LIves

Sodium reduction is the single most important dietary intervention for improving heart health and saving lives in India. Learn more in this resource developed by Resolve to Save Lives.

Resolve to Save Lives

Learn more about how Resolve to Save Lives is working to end preventable deaths from cardiovascular disease in India.

RESOLVE TO SAVE LIVES

A qualitative study conducted by Resolve to Save Lives determined this poster to be the most impactful for encouraging patients to take their blood pressure medications daily. Forty patients from five different places said they prefer this poster because it shows someone actually taking their medication, which made clear what they needed to do.

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Resolve to Save Lives

Playbook with step-by-step guidance for creating an effective digital tool for hypertension management and other chronic disease programs

Resolve to Save Lives

Key findings from WHO’s first-ever Global Hypertension Report, which shows that the number of people with hypertension has doubled since 1990, from 650 million to 1.3 billion, and the economic benefits of hypertension treatment outweigh costs by 18 to one.

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World Health Organization

WHO’s first-ever report on the global burden of high blood pressure and the progress made to manage the disease.

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Andrew E. Moran, ET AL.

In the Journal of American College of Cardiology International, a summary of success, progress, and lessons learned during the first five years of the HEARTS initiative.

Ashish Krishna et al.

Study estimating time spent by staff nurses on hypertension and other NCD activities in primary care facilities and time savings from the Simple app

Daniel Burka et al.

Implementer report on the Simple mobile app from BMJ Health & Care Informatics

Key Resource

Resolve to Save Lives

There are five crucial components of hypertension care at public health scale: simple treatment protocols; access to quality, affordable medications, team-based care and task sharing; patient-centered care; and strong information systems.

Resolve to Save Lives

Treatment protocol developed by LINKS Grantee, Makarere University Joint AIDS Program

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Fujian, China

Resolve to Save Lives

Executive summary of Resolve to Save Lives’ toolkit to help HIV control programs incorporate a patient-centered approach to hypertension care

Key Resource

Resolve to Save Lives

A practical guide to a patient-centered approach to integrating hypertension and HIV care using differentiated service delivery

Key Resource

Resolve to Save Lives

A hypertension control package for the District Health Information System 2 (DHIS2)—a free, open-source health management data platform.

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Resolve to Save Lives

Fact sheet from Resolve to Save Lives with six steps to implementing a successful national hypertension control program.

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Resolve to Save Lives and Médecins Sans Frontières

Our report, developed in collaboration with the Médecins Sans Frontières Access project, identifies barriers to affordable blood pressure medication in LMICs and underscores the need for a transformation of the global blood pressure medicines market to make life-saving medicines more affordable and available.

Welch Center

Short video outlining how to choose a blood pressure device

Resolve to Save Lives

Short video with a step-by-step guide for health care workers on how to accurately measure blood pressure

India Hypertension Control Initiative

Hypertension management training resource for health care workers

Resolve to Save Lives

Video sobre los monitores digitales automatizados para medir la presion arterial

Hopkins

Online training course aimed at program managers and implementers 

Pan American Health Organization

Online training course for primary care physicians, nurses and others health workers

Resolve to Save Lives

Excel spreadsheet to assist health facilities register new hypertension patients and calculate facility hypertension control rates (download)

Resolve to Save Lives

A guide that expands upon the WHO’s team-based care module of the HEARTS technical package, providing guidance and resources to assist in implementing team-based care for hypertension at the primary health care facility level

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Resolve to Save Lives

Our guide for program managers starting up national or subnational hypertension control programs, broken down into six steps and and supported by practical tools from our hypertension control resource library and the WHO HEARTS technical package and adaptable to the local program and setting.

U.S. CDC

Technical package including process improvements that outpatient clinical settings can implement to improve hypertension control rates

Pan American Health Organization

Online training course available in English and Spanish

Resolve to Save Lives

Example of completed spreadsheet for registering new hypertension patients and calculating facility hypertension control rates (download)

Key Resource

Resolve to Save Lives

Calculator modeling the impact of cardiovascular health interventions (including improved hypertension control) by country

Tammy M. Brady et al.

Article published in the Journal of Clinical Hypertension

World Health Organization

Updated guidance on blood pressure measuring devices (2020)

Pan American Health Organization

Manual for hypertension program implementers at national and subnational levels

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in West Bengal, India

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Vietnam

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Nigeria

Sample treatment protocol used by RTSL partners in Karnataka, India

Sample treatment protocol used by RTSL partners in Bihar, India

Sample treatment protocol used by RTSL partners in Andhra Pradesh, India

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Sri Lanka

Li Qin et al.

Article published in the Journal of Human Hypertension in September 2021

Resolve to Save Lives

Checklist that can be used to survey resources in the clinic setting for a hypertension program

World Health Organization

Case studies on the implementation of HEARTS from 18 countries

Resolve to Save Lives

Fact sheet from Resolve to Save Lives on why validated, digital blood pressure monitors are preferred.

Marc G Jaffe et al.

Case study of Kaiser Permanente Northern California’s successful hypertension control program published in JAMA

Marc G. Jaffe et al.

Position statement from Resolve to Save Lives and the World Hypertension League published in the Journal of Clinical Hypertension

Resolve to Save Lives

Simplified indicators adapted from the WHO HEARTS “S” module by Resolve to Save Lives

Resolve to Save Lives

Hypertension program monitoring visit checklist

Resolve to Save LIves

Fact sheet with commons myths about hypertension

Johns Hopkins School of Public Health

Video for health workers from Johns Hopkins School of Public Health

Resolve to Save Lives

Short video on cardiovascular disease in China  / 如何预防中国首要死因:心血管疾病(决心工程制)

Johns Hopkins School of Public Health

Video for health workers from Johns Hopkins School of Public Health

Johns Hopkins School of Public Health

Video for health care workers from Johns Hopkins School of Public Health

Resolve to Save Lives

Short video from Resolve to Save Lives

Hopkins

Video for health workers from Johns Hopkins School of Public Health

British and Irish Hypertension Society

Independent, peer-reviewed list from the British and Irish Hypertension Society

Hypertension Canada

List of recommended devices from Hypertension Canada

Resolve to Save Lives

决心工程出品

United Nations Development Programme

Guidance from the UNDP

Resolve to Save Lives

Suggested requirements for external validation from Resolve to Save Lives

Thomas R. Frieden et al.

Journal of Clinical Hypertension article with lessons from Resolve to Save Lives’ hypertension programs

Resolve to Save Lives

Recommendations for low- and middle-income country settings from Resolve to Save Lives

Resolve to Save Lives

Short video from Resolve to Save Lives

Resolve to Save Lives

Video corto de Resolve to Save Lives sobre los protocolos simplificados de tratamiento (con subtítulos en español)

Pan American Health Organization

Sample treatment protocol used by RTSL partners in Latin America and the Caribbean

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Punjab, India

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Telangana, India

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Madhya Pradesh, India

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Maharashtra, India

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Kerala, India

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in the Philippines

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Ethiopia

Resolve to Save Lives

中国河南决心工程合作伙伴使用的高血压试行治疗方案

Resolve to Save Lives

Sample treatment protocol used by RTSL partners in Bangladesh

Journal of Clinical Hypertension

Journal of Clinical Hypertension article on lifesaving potential of hypertension control, salt reduction and trans fat elimination

Resolve to Sae Lives

Sample treatment protocol from Resolve to Save Lives

Resolve to Save Lives

Sample treatment protocol from Resolve to Save Lives

World Health Organization

WHO HEARTS package tool for treatment protocol development

Resolve to Save Lives

Template with proposed members and terms of reference

Resolve to Save Lives

Fact sheet from Resolve to Save Lives with best practices for clinicians

Resolve to Save Lives

Poster with tips for taking blood pressure correctly from Resolve to Save Lives

Resolve to Save Lives

FAQs on hypertension management compiled by Resolve to Save Lives

Key Resource

World Health Organization

WHO’s technical package for cardiovascular disease management in primary health care

Donald J. DiPette et al.

Commentary published in the Journal of Clinical Hypertension

U.S. CDC

Annotated bibliography on hypertension control from the US CDC. Last updated in 2018.

Cardiovascular Health

Trans Fat Elimination