Hypertension Care in Ukraine : Breakpoints and Implications for Action

Hypertension is one of the leading causes of preventable mortality in Ukraine. It is estimated that high systolic blood pressure was responsible for 42 percent of total deaths in 2016, which is among the highest rates in the world. This report pres...

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Main Author: World Bank
Format: Brief
Language:English
Published: World Bank, Washington, DC 2019
Subjects:
Online Access:http://documents.worldbank.org/curated/en/525041547230842315/Hypertension-Care-in-Ukraine-Breakpoints-and-Implications-for-Action
http://hdl.handle.net/10986/31155
id okr-10986-31155
recordtype oai_dc
spelling okr-10986-311552021-05-25T10:54:36Z Hypertension Care in Ukraine : Breakpoints and Implications for Action World Bank PRIMARY HEALTH CARE HEART DISEASE HEALTHCARE SERVICES HYPERTENSION Hypertension is one of the leading causes of preventable mortality in Ukraine. It is estimated that high systolic blood pressure was responsible for 42 percent of total deaths in 2016, which is among the highest rates in the world. This report presents key findings from an analysis of the continuum of hypertension care in Ukraine, where the World Bank implements a technical assistance program to support reforms and governance in the health sector. The analysis found significant gaps in detection, treatment monitoring and treatment adherence in hypertension care. The largest breakpoints were blood pressure monitoring at the frequency recommended by the protocol (67 and 71 percent gap in compliance in Lviv and Poltava regions) and achieving normal blood pressure while on treatment (76 and 65 percent gap among patients with monitoring data in Lviv and Poltava regions). The analysis provided lessons with policy implications, including more systematic screening to detect hypertension early and link cases to effective treatment, and a monitoring focus on patients with stage 2 and 3 hypertension and those with co-morbidities like diabetes to prevent poor outcomes. Treatment for blood pressure control is cost-effective in all regions of the world, and in Ukraine improved hypertension care would save lives, reduce disability and save resources in health care. 2019-01-15T14:31:22Z 2019-01-15T14:31:22Z 2019-01-11 Brief http://documents.worldbank.org/curated/en/525041547230842315/Hypertension-Care-in-Ukraine-Breakpoints-and-Implications-for-Action http://hdl.handle.net/10986/31155 English CC BY 3.0 IGO http://creativecommons.org/licenses/by/3.0/igo World Bank World Bank, Washington, DC Publications & Research Publications & Research :: Brief Europe and Central Asia Ukraine
repository_type Digital Repository
institution_category Foreign Institution
institution Digital Repositories
building World Bank Open Knowledge Repository
collection World Bank
language English
topic PRIMARY HEALTH CARE
HEART DISEASE
HEALTHCARE SERVICES
HYPERTENSION
spellingShingle PRIMARY HEALTH CARE
HEART DISEASE
HEALTHCARE SERVICES
HYPERTENSION
World Bank
Hypertension Care in Ukraine : Breakpoints and Implications for Action
geographic_facet Europe and Central Asia
Ukraine
description Hypertension is one of the leading causes of preventable mortality in Ukraine. It is estimated that high systolic blood pressure was responsible for 42 percent of total deaths in 2016, which is among the highest rates in the world. This report presents key findings from an analysis of the continuum of hypertension care in Ukraine, where the World Bank implements a technical assistance program to support reforms and governance in the health sector. The analysis found significant gaps in detection, treatment monitoring and treatment adherence in hypertension care. The largest breakpoints were blood pressure monitoring at the frequency recommended by the protocol (67 and 71 percent gap in compliance in Lviv and Poltava regions) and achieving normal blood pressure while on treatment (76 and 65 percent gap among patients with monitoring data in Lviv and Poltava regions). The analysis provided lessons with policy implications, including more systematic screening to detect hypertension early and link cases to effective treatment, and a monitoring focus on patients with stage 2 and 3 hypertension and those with co-morbidities like diabetes to prevent poor outcomes. Treatment for blood pressure control is cost-effective in all regions of the world, and in Ukraine improved hypertension care would save lives, reduce disability and save resources in health care.
format Brief
author World Bank
author_facet World Bank
author_sort World Bank
title Hypertension Care in Ukraine : Breakpoints and Implications for Action
title_short Hypertension Care in Ukraine : Breakpoints and Implications for Action
title_full Hypertension Care in Ukraine : Breakpoints and Implications for Action
title_fullStr Hypertension Care in Ukraine : Breakpoints and Implications for Action
title_full_unstemmed Hypertension Care in Ukraine : Breakpoints and Implications for Action
title_sort hypertension care in ukraine : breakpoints and implications for action
publisher World Bank, Washington, DC
publishDate 2019
url http://documents.worldbank.org/curated/en/525041547230842315/Hypertension-Care-in-Ukraine-Breakpoints-and-Implications-for-Action
http://hdl.handle.net/10986/31155
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