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Hypertension Care in Ukraine : Breakpoints and Implications for Action (Ukrainian)

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.

Details

  • Author

    Doroshenko,Olena, Khan,Olga, Fraser-Hurt,Nicole, Wilson,David, Zhao,Feng

  • Document Date

    2019/01/01

  • Document Type

    Working Paper

  • Report Number

    133691

  • Volume No

    1

  • Total Volume(s)

    1

  • Country

    Ukraine,

  • Region

    Europe and Central Asia,

  • Disclosure Date

    2019/01/11

  • Disclosure Status

    Disclosed

  • Doc Name

    Hypertension Care in Ukraine : Breakpoints and Implications for Action

  • Keywords

    primary health care; ischemic heart disease; adherence to medications; chronic care model; access to medication; health information system; primary care practice; burden of disease; duration of disease; old age group; primary care doctor; continuum of care; technical assistance program; health care facilities; health care facility; primary care personnel; Disease Control; privileges and immunity; body mass index; community health worker; blood pressure; medical records; adult population; body weight; ambulatory care; treatment adherence; target range; demographic statistic; patient risk; treatment strategies; monitoring data; patient records; diabetes mellitus; adult patients; survey respondent; pharmaceutical treatment; core objectives; blood glucose; partner institution; development cooperation; chronic mortality; long-term monitoring; regular monitoring; commercial purpose; largest groups; shifting responsibility; Disease Prevention; data exchange; secondary care; hospital admission; eligible individual; chronic disease; equal numbers; quality improvement; preventable mortality; female patients; weight gain; excess weight; weight reduction; weight loss; marginal change; medical prescription; Data Visualization; data availability; smoking rates; early detection; drug cost; Cardiovascular Disease; total deaths; heart surgery; Tobacco Taxation; emergency cases; reducing mortality; heart attack; Death rates; emergency care; reimbursable drug; high cholesterol; care delivery; record keeping; physical activity; patient data; managing risk; primary prevention

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Citation

Doroshenko,Olena Khan,Olga Fraser-Hurt,Nicole Wilson,David Zhao,Feng

Hypertension Care in Ukraine : Breakpoints and Implications for Action (Ukrainian). Ukraine continuum of care analyses - Breast Cancer, Cervical Cancer, Diabetes, Hypertension Washington, D.C. : World Bank Group. http://documents.worldbank.org/curated/en/209221547239438627/Hypertension-Care-in-Ukraine-Breakpoints-and-Implications-for-Action