Johns Hopkins School of Nursing, Baltimore, MD, USA.
Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.
Glob Health Res Policy. 2024 Jul 15;9(1):26. doi: 10.1186/s41256-024-00368-9.
Hypertension poses a significant health burden globally. In Nigeria, hypertension prevalence is on the rise, with low rates of awareness, treatment, and control. This policy brief explores the critical gaps addressed by the Hypertension Treatment in Nigeria (HTN) Program, highlighting its strengths, initial outcomes, and scalability in primary care settings. The HTN Program employs an integrated, multilevel care model based on the World Health Organization's HEARTS technical package, including patient registration and empanelment, team-based care, training and supervision, a standardized treatment protocol, a health information management system, and a drug revolving fund to improve medication accessibility. By December 2023, hypertension treatment and control rates reached surpassing 90% and 50%, respectively, thus underscoring the program's impact. The HTN Program serves as a model for delivering integrated hypertension care in primary care. Results should be leveraged for political commitment and financing to evaluate and manage non-communicable diseases such as hypertension in primary care through federal and state primary health development agencies. Furthermore, incorporating metrics related to hypertension control and treatment into the Integrated Supportive Management Information System can enhance routine monitoring and evaluation.
高血压在全球范围内造成了巨大的健康负担。在尼日利亚，高血压的患病率呈上升趋势，而知晓率、治疗率和控制率都很低。本政策简报探讨了尼日利亚高血压治疗（HTN）计划所解决的关键差距，强调了其在初级保健环境中的优势、初步成果和可扩展性。HTN 计划采用了一种基于世界卫生组织 HEARTS 技术包的综合多层次护理模式，包括患者登记和入组、团队护理、培训和监督、标准化治疗方案、健康信息管理系统和药物循环基金，以提高药物可及性。截至 2023 年 12 月，高血压的治疗和控制率分别达到了 90%以上和 50%以上，这凸显了该计划的影响力。HTN 计划为在初级保健中提供综合高血压护理提供了一个范例。应利用这些结果争取政治承诺和资金，通过联邦和州初级卫生发展机构在初级保健中评估和管理高血压等非传染性疾病。此外，将与高血压控制和治疗相关的指标纳入综合支持性管理信息系统，可以加强常规监测和评估。
