Publication: Hypertension Care in Ukraine: Breakpoints and Implications for Action
Date
2019-01-11
ISSN
Published
2019-01-11
Author(s)
World Bank
Abstract
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.
Citation
“World Bank. 2019. Hypertension Care in Ukraine: Breakpoints and Implications for Action. © World Bank, Washington, DC. http://hdl.handle.net/10986/31155 License: CC BY 3.0 IGO.”