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The Lancet

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

Evidence from nationally representative studies in low-income and middle-income countries (LMICs) on where in the hypertension care continuum patients are lost to care is sparse. This information, however, is essential for effective targeting of interventions by health services and monitoring progress in improving hypertension care. We aimed to determine the cascade of hypertension care in 44 LMICs—and its variation between countries and population groups—by dividing the progression in the care process, from need of care to successful treatment, into discrete stages and measuring the losses at each stage.

Geldsetzer, P., J. Manne-Goehler, M. Marcus, C. Ebert, Z. Zhumadilov, C. Wesseh, L. Tsabedze, A. Supiyev, L. Sturua, B. Silver, A. Sibai, S. Quesnel-Crooks, B. Norov, J. Mwangi, O. Mwalim, R. Wong-McClure, M. Mayige, J. Martins, N. Lunet, D. Labadarios, K. Karki, G. Kagaruki, J. Jorgensen, N. Hwalla, D. Houinato, C. Houehanou, M. Msaidie, D. Guwatudde, M. Gurung, G. Gathecha, M. Dorobantu, A. Damasceno, P. Bovet, B. Bicaba, K. Aryal, G. Andall-Brereton, K. Agoudavi, A. Stokes, J. Davies, T. Bärnighausen, R. Atun, S. Vollmer und L. Jaacks (2019), 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, 394, 10199, 652-662

DOI: 10.1016/S0140-6736(19)30955-9