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Saint Lucia Joins HEARTS Initiative to Improve Prevention and Control of Hypertension

Image: The launch of the Hearts initiative in Saint Lucia.

SAINT Lucia became the third country of the Caribbean to implement the HEARTS initiative to improve prevention and control of hypertension, one of the risk factors for cardiovascular diseases such as heart attacks and strokes, the principal causes of death in the Caribbean.

HEARTS, promoted by the Pan American Health Organization/World Health Organization (PAHO/WHO), together with the US Centers for Disease Control and Prevention (CDC), the initiative Resolve to Save Lives and other partners, is an opportunity to improve the cardiovascular health of the population of St Lucia.

Image: PAHO consultant, Professor Donald DiPette, University of South Carolina.
PAHO consultant, Professor Donald DiPette, University of South Carolina.

Cardiovascular diseases have been the main causes of disease and death in St. Lucia for a decade, according to the Ministry of Health and Welfare of St Lucia. In 2017, these diseases contributed to 31% of the mortality in the country.

Before launching it at the national level, St Lucia will implement HEARTS demonstrations in several primary care clinics across the island, including Babonneau, Bellevue, Ciceron, Grande Riviere, La Croix Maingot and Richfond, which were already evaluated. Health workers participated in a training workshop this week to implement the project in the six wellness centres. The initiative includes training the health team, a registry of patients and an active search for people with hypertension who do not know their condition.

“Implementing the package of measures that HEARTS includes, which are simple and of proven effectiveness, can prevent complications from cardiovascular diseases and premature deaths,” said PAHO/WHO experts.

Image of Dr. Shana Cyr-Philbert, Senior Medical Officer (chronic diseases) Ministry of Health of Saint Lucia.
Dr. Shana Cyr-Philbert, Senior Medical Officer (chronic diseases) Ministry of Health of Saint Lucia.

Hypertension is a problem that contributes to heart disease. However, it is estimated that 40 percent of people with hypertension in the region do not know their condition. Of those who know they have hypertension and receive treatment, around 20 percent have their blood pressure controlled.

Among the initiative’s measures for primary health care workers are the establishment of a protocol for the management of hypertension, adoption of a set of drugs and technologies of proven effectiveness to treat hypertension, reorganization of the tasks of the health team, registry and monitoring of progress; and advice to patients on healthy habits and lifestyles.

HEARTS, which dates from 2016, seeks to support governments in strengthening prevention and control of cardiovascular diseases to save lives and help countries meet the global goal to reduce by a third premature deaths from noncommunicable diseases by 2030.

Image: The launch of the Hearts initiative in Saint Lucia.
The launch of the Hearts initiative in Saint Lucia.

Barbados and Trinidad and Tobago are the two other countries in the English-speaking Caribbean where HEARTS is being implemented. In the rest of the Americas, the project is also active in Argentina, Chile, Cuba, Colombia, Ecuador, Mexico, Panama, Peru, and Dominican Republic. Eleven more countries in the world are part of the initiative.

The results of the project in participating health centers in the region show an increase of about 30 percent in the number of people with hypertension who are undergoing treatment, and a similar increase among people who have their blood pressure controlled.

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