Anastase Dzudie1, Dike Ojji2, Albertino Damasceno3, Mahmoud U Sani4, Euloge Kramoh5, Jean Baptiste Kacou5, Benedict Anisiuba6, Elijah Ogola7, Mohamed Awad8, George Nel9, Harun Otieno10, Ali Ibrahim Toure11, Abdoul Kane12, Andre Pascal Kengne13, Calypse Ngwasiri14, Hamadou Ba15, Samuel Kingue15, Bruno Mipinda16, Bertrand Ellenga Mbolla17, Amha Weldehana18, Fred Bukachi19, Bernard Gitura20, Brice Kitio21, Brian Rayner22, Aletta E Shutte23, Ana Olga Mocumbi3, Bongani Mayosi22, Arun Jose24, Bhalla Sandeep24, Michael Weber25, Christian Delles26, Francesco Cappuccio27, Habib Gamra28, Dorairaj Prabhakaran24, Neil Poulter29, Saad Subhani8. 1. Department of Physiology, Yaoundé Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon; Clinical Research Education Networking and Consultancy, and Cardiology Unit, Douala General Hospital, Douala, Cameroon; Hatter Institute for Cardiovascular Research, University of Cape Town, South Africa. Email: aitdzudie@yahoo.com. 2. Department of Medicine, Faculty of Health Sciences, University of Abuja; Cardiology Unit, Department of Medicine, University of Abuja Teaching Hospital, Gwagwalada, Abuja, Nigeria. 3. Faculty of Medicine, Eduardo Mondlane University, Maputo, Mozambique. 4. Department of Medicine, Bayero University and Aminu Kano Teaching Hospital, Kano, Nigeria. 5. Institut cardiologique d'Abidjan, Abidjan, Cote d'Ivoire. 6. Department of Medicine, University of Nigeria Teaching Hospital, Enugu, Nigeria. 7. Department of Clinical Medicine and Therapeutics, University of Nairobi, Nairobi, Kenya. 8. Division of Cardiology, University of Khartoum, Khartoum, Sudan. 9. Pan-African Society of Cardiology (PASCAR), Cape Town, South Africa. 10. Section of Cardiology, Department of Medicine, Aga Khan University Hospital, Nairobi, Kenya. 11. Cardiovascular Department, Faculty of Medical Sciences, University Teaching Hospital, Niamey, Niger. 12. Service de cardiologie, Hôpital Général de Grand Yolf, Dakar, Senegal. 13. Clinical Research Education Networking and Consultancy, and Cardiology Unit, Douala General Hospital, Douala, Cameroon; Medical Research Council, Cape Town, South Africa. 14. Clinical Research Education Networking and Consultancy, and Cardiology Unit, Douala General Hospital, Douala, Cameroon. 15. Department of Physiology, Yaoundé Faculty of Medicine and Biomedical Sciences, Yaoundé, Cameroon. 16. Centre Hospitalier et Universitaire de Libreville, Libreville, Gabon. 17. Centre Hospitalier et Universitaire de Brazaville, Brazaville, Congo. 18. Addis Ababa University Medical School, Addis Ababa, Ethiopia. 19. Ministry of Public Health, Kenya. 20. Cardiorenal Centre, Nairobi, Kenya. 21. Guidelines Advisory Network for Africa. 22. University of Cape Town, Cape Town, South Africa. 23. Hypertension in Africa Research Team (HART); MRC Unit for Hypertension and Cardiovascular Disease, North-West University, Potchefstroom, South Africa. 24. Public Health Foundation of India, New Delhi, India. 25. Division of Cardiovascular Medicine, State University of New York, Downstate Medical Center, New York, USA. 26. Institute of Cardiovascular and Medical Sciences, University of Glasgow, Glasgow, Scotland. 27. Mental Health and Wellbeing, University of Warwick, Coventry, UK. 28. African Heart Network. 29. International Centre for Circulatory Health, Imperial College, London, UK.
Abstract
BACKGROUND: In response to the call by the World Health Organisation to reduce premature deaths from non-communicable diseases by 25% by the year 2025 (25×25), the Pan-African Society of Cardiology (PASCAR), in partnership with several organisations, including the World Heart Federation, have developed an urgent 10-point action plan to improve detection, treatment and control of hypertension in Africa. Priority six of this action plan is to promote a task-shifting/task-sharing approach in the management of hypertension. AIM: This capacity-building initiative aims to enhance the knowledge, skills and core competences of primary healthcare physicians in the management of hypertension and related complications. METHODS: In a collaborative approach with the International Society of Hypertension, the British and Irish Hypertension Society, the Public Health Foundation of India and the Centre for Chronic Disease Control, the PASCAR hypertension taskforce held a continental faculty meeting in Kenya on 25 and 26 February 2018 to review and discuss a process of effective contextualisation and implementation of the Indian hypertension management course on the African continent. RESULTS: A tailored African course in terms of evidence-based learning, up-to-date curriculum and on-the-job training was developed with a robust monitoring and evaluation strategy. The course will be offered on a modular basis with a judicious mix of case studies, group discussions and contact sessions, with great flexibility to accommodate participants' queries. CONCLUSIONS: Hypertension affects millions of people in Africa and if left untreated is a major cause of heart disease, kidney disease and stroke. CCMH-Africa will train in the next 10 years, 25 000 certified general physicians and 50 000 nurses, capable of adequately managing uncomplicated hypertension, thereby freeing the few available specialists to focus on severe or complicated cases.
BACKGROUND: In response to the call by the World Health Organisation to reduce premature deaths from non-communicable diseases by 25% by the year 2025 (25×25), the Pan-African Society of Cardiology (PASCAR), in partnership with several organisations, including the World Heart Federation, have developed an urgent 10-point action plan to improve detection, treatment and control of hypertension in Africa. Priority six of this action plan is to promote a task-shifting/task-sharing approach in the management of hypertension. AIM: This capacity-building initiative aims to enhance the knowledge, skills and core competences of primary healthcare physicians in the management of hypertension and related complications. METHODS: In a collaborative approach with the International Society of Hypertension, the British and Irish Hypertension Society, the Public Health Foundation of India and the Centre for Chronic Disease Control, the PASCAR hypertension taskforce held a continental faculty meeting in Kenya on 25 and 26 February 2018 to review and discuss a process of effective contextualisation and implementation of the Indian hypertension management course on the African continent. RESULTS: A tailored African course in terms of evidence-based learning, up-to-date curriculum and on-the-job training was developed with a robust monitoring and evaluation strategy. The course will be offered on a modular basis with a judicious mix of case studies, group discussions and contact sessions, with great flexibility to accommodate participants' queries. CONCLUSIONS:Hypertension affects millions of people in Africa and if left untreated is a major cause of heart disease, kidney disease and stroke. CCMH-Africa will train in the next 10 years, 25 000 certified general physicians and 50 000 nurses, capable of adequately managing uncomplicated hypertension, thereby freeing the few available specialists to focus on severe or complicated cases.
Entities:
Keywords:
Africa; certified course; hypertension; primary care physicians; roadmap