Abstract
Hypertension is the leading preventable cause of death and disability worldwide, accounting for 19·2% (10·8 million) of all deaths globally and 16·4% (2 million) of all deaths in low-income and middle-income countries.1 Hypertension is easy to diagnose, treat, and control, yet suboptimal screening and inadequate therapy has resulted in an increased number of patients with uncontrolled disease despite numerous advances over the past two decades. Increasing awareness, treatment, and control of hypertension is predicated on the accessibility and responsiveness of the health system to the needs of its population.
Highlights
Hypertension is the leading preventable cause of death and disability worldwide, accounting for 19·2% (10·8 million) of all deaths globally and 16·4% (2 million) of all deaths in low-income and middleincome countries.[1]
The COBRA-BPS study provides useful information on the effectiveness of a complex intervention programme led by community health workers in combating hypertension in rural areas.[3]
In this cluster-randomised trial among 30 communities in Bangladesh, Pakistan, and Sri Lanka, a multicom ponent hypertension management programme was evaluated for the budget that is required to scale up the programme and its cost-effectiveness.[4]
Summary
Hypertension is the leading preventable cause of death and disability worldwide, accounting for 19·2% (10·8 million) of all deaths globally and 16·4% (2 million) of all deaths in low-income and middleincome countries.[1]. Innovations for effective implementation of guidelinebased hypertension care in low-income and middle-income countries
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