HYPERTENSION CONTROL RESOURCE LIBRARY
Sample treatment protocols, program implementation guides, monitoring tools and more
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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.
Other related resources:
- Designing an optimal digital tool for hypertension and other long-term treatment programs
- Leading a Good Data Review Meeting – full guide and factsheet
- Change Package: Overdue Patient Management
This one-page factsheet outlines the key takeaways from the full guide, Leading a Good Data Review Meeting, and is designed as a resource for staff in your hypertension clinic.
Other related resources:
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.
Other related resources:
- Designing an optimal digital tool for hypertension and other long-term treatment programs
- Guide for Management of Overdue Patients with Hypertension
- Leading a Good Data Review Meeting – factsheet
- Phone Calls to Overdue Patients with Hypertension – factsheet
- Change Package: Overdue Patient Management
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.
Other related resources:
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.
Other related resources:
- Designing an optimal digital tool for hypertension and other long-term treatment programs
- Phone Calls to Overdue Patients with Hypertension – factsheet
- Leading a Good Data Review Meeting – full guide and factsheet
- Change Package: Overdue Patient Management
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.
Key Resource
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.
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 PhD, Sonu Goel PhD, Kritika Upadhyay MPH, Anupam Khungar Pathni MBBS, Om Prakash Bera MPH, MBA, Vandana Shah LLM
Learn how integrating hypertension management in HIV services improved health outcomes in India.
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.
Learn more about how Resolve to Save Lives is working to end preventable deaths from cardiovascular disease in India.
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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Playbook with step-by-step guidance for creating an effective digital tool for hypertension management and other chronic disease programs
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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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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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.
Study estimating time spent by staff nurses on hypertension and other NCD activities in primary care facilities and time savings from the Simple app
Implementer report on the Simple mobile app from BMJ Health & Care Informatics
Key Resource
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.
Treatment protocol developed by LINKS Grantee, Makarere University Joint AIDS Program
Sample treatment protocol used by RTSL partners in Fujian, China
Executive summary of Resolve to Save Lives’ toolkit to help HIV control programs incorporate a patient-centered approach to hypertension care
Key Resource
A practical guide to a patient-centered approach to integrating hypertension and HIV care using differentiated service delivery
Key Resource
A hypertension control package for the District Health Information System 2 (DHIS2)—a free, open-source health management data platform.
Key Resource
Fact sheet from Resolve to Save Lives with six steps to implementing a successful national hypertension control program.
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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.
Updated in 2021
Short video outlining how to choose a blood pressure device
Short video with a step-by-step guide for health care workers on how to accurately measure blood pressure
Hypertension management training resource for health care workers
Video sobre los monitores digitales automatizados para medir la presion arterial
Online training course aimed at program managers and implementers
Online training course for primary care physicians, nurses and others health workers
Excel spreadsheet to assist health facilities register new hypertension patients and calculate facility hypertension control rates (download)
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
Key Resource
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.
Technical package including process improvements that outpatient clinical settings can implement to improve hypertension control rates
Online training course available in English and Spanish
Example of completed spreadsheet for registering new hypertension patients and calculating facility hypertension control rates (download)
Key Resource
Calculator modeling the impact of cardiovascular health interventions (including improved hypertension control) by country
Article published in the Journal of Clinical Hypertension
Updated guidance on blood pressure measuring devices (2020)
Manual for hypertension program implementers at national and subnational levels
Sample treatment protocol used by RTSL partners in West Bengal, India
Sample treatment protocol used by RTSL partners in Vietnam
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
Article published in Hypertension
Sample treatment protocol used by RTSL partners in Sri Lanka
Article published in the Journal of Human Hypertension in September 2021
Article published in the Lancet Regional Health – Americas
Checklist that can be used to survey resources in the clinic setting for a hypertension program
Case studies on the implementation of HEARTS from 18 countries
Fact sheet from Resolve to Save Lives on why validated, digital blood pressure monitors are preferred.
Case study of Kaiser Permanente Northern California’s successful hypertension control program published in JAMA
Position statement from Resolve to Save Lives and the World Hypertension League published in the Journal of Clinical Hypertension
Simplified indicators adapted from the WHO HEARTS “S” module by Resolve to Save Lives
Hypertension program monitoring visit checklist
Fact sheet with commons myths about hypertension
Video for health workers from Johns Hopkins School of Public Health
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)
Video for health workers from Johns Hopkins School of Public Health
Video for health care workers from Johns Hopkins School of Public Health
Short video from Resolve to Save Lives
Video for health workers from Johns Hopkins School of Public Health
Independent, peer-reviewed list from the British and Irish Hypertension Society
List of recommended devices from Hypertension Canada
Suggested requirements for external validation from Resolve to Save Lives
Journal of Clinical Hypertension article with lessons from Resolve to Save Lives’ hypertension programs
Recommendations for low- and middle-income country settings from Resolve to Save Lives
Short video from Resolve to Save Lives
Video corto de Resolve to Save Lives sobre los protocolos simplificados de tratamiento (con subtítulos en español)
Sample treatment protocol used by RTSL partners in Latin America and the Caribbean
Sample treatment protocol used by RTSL partners in Punjab, India
Sample treatment protocol used by RTSL partners in Telangana, India
Sample treatment protocol used by RTSL partners in Madhya Pradesh, India
Sample treatment protocol used by RTSL partners in Maharashtra, India
Sample treatment protocol used by RTSL partners in Kerala, India
Sample treatment protocol used by RTSL partners in the Philippines
Sample treatment protocol used by RTSL partners in Ethiopia
Sample treatment protocol used by RTSL partners in Bangladesh
Journal of Clinical Hypertension article on lifesaving potential of hypertension control, salt reduction and trans fat elimination
Sample treatment protocol from Resolve to Save Lives
Sample treatment protocol from Resolve to Save Lives
WHO HEARTS package tool for treatment protocol development
Template with proposed members and terms of reference
Fact sheet from Resolve to Save Lives with best practices for clinicians
Poster with tips for taking blood pressure correctly from Resolve to Save Lives
FAQs on hypertension management compiled by Resolve to Save Lives
Key Resource
WHO’s technical package for cardiovascular disease management in primary health care
Commentary published in the Journal of Clinical Hypertension
Annotated bibliography on hypertension control from the US CDC. Last updated in 2018.
Cardiovascular Health
Hypertension Control
Sodium Reduction
Trans Fat Elimination
Cardiovascular Health Resource Library
Find guidance, case studies, advocacy tools and more for large-scale heart health programs