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The state of hypertension care in 44 low-income and middle-income countries: A cross-sectional study of nationally representative individual-level data from 1·1 million adults

The Lancet Aug 29, 2019

Geldsetzer P, Manne-Goehler J, Marcus ME, et al. - Via a cross-sectional study involving nationally representative individual-level data from 1,100,507 million adults, researchers ascertained the cascade of hypertension care in 44 low-income and middle-income countries (LMICs)—and its distinction between countries and population groups—by dividing the progression in the care process, from requirement of care to successful treatment, into discrete stages and measuring the losses at each stage. In LMICs, significant evidence for the design and targeting of health policies and service interventions for hypertension were given. In each of the 44 countries, at what steps and for whom there were gaps in the hypertension care process, were demonstrated. Countries in each world region that perform better than assumed from their economic development, which can direct policymakers to relevant policy lessons, were also noted. In light of the high disease burden caused by hypertension in LMICs, nationally representative hypertension care cascades, as constructed in this study, were a significant measure of progress directing toward attaining universal health coverage.

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