HEARTS initiative for the prevention and control of high blood pressure in the community of Paján in Ecuador
DOI:
https://doi.org/10.36097/rgcs.v2i2.3187Keywords:
hypertension, HEARTS, cardiovascular prevention, treatment adherenceAbstract
Cardiovascular diseases are the leading cause of morbidity and mortality worldwide, with high blood pressure (HBP) being its main modifiable risk factor. In response to this problem, the World Health Organization and the Pan American Health Organization developed the HEARTS initiative. This study aimed to analyze the HEARTS initiative in the community of Paján, Ecuador, evaluating its effectiveness in the prevention and control of HBP from a comprehensive approach based on primary care. A descriptive, cross-sectional, and observational methodology was employed, utilizing structured surveys and semi-structured interviews to analyze participants' perceptions regarding access to the program, adherence to treatment, and difficulties in controlling HBP. The results indicate the need to strengthen the dissemination of the program and improve access to medications to ensure its effectiveness in the community.
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Alejo, Y., Pedraza, D. L., Portell, J. E., Castro, L., Abelenda, M., &Morales, J. (2024). Una experiencia en la evaluación del Programa de Hipertensión Arterial basado en la iniciativa HEARTS. Revista Finlay, 14(2), 177-188. http://scielo.sld.cu/pdf/rf/v14n2/2221-2434-rf-14-02-177.pdf
Alvarado, J. M., & Zambrano, J. I. (2023). Tradition and nutrition: An analysis of Manabí cuisine and its impact on health and cultural identity. Journal of Food Science and Gastronomy, 1(2), 25-29. https://doi.org/10.5281/zenodo.13994886
Angulo, A. A., Rodríguez, D., & García, M. A. (2024). Estado nutricional y calidad de vida del adulto mayor: Revisión sistemática. Revista Gregoriana de Ciencias de la Salud, 1(2), 165-177. https://doi.org/10.36097/rgcs.v1i2.3149
Astudillo, L. Á., Chica, K. A., Sánchez, G. N., Álvarez, J. E., & Guzmán, M. J. (2025). Modifiable risk factors that influence the prevalence of diabetes mellitus II in the Quebrada “La Paja” community. Revista Gregoriana de Ciencias de la Salud, 2(1), 32-43. https://doi.org/10.36097/rgcs.v2i1.3159
Batista, V., Rodríguez, Y., Estepan, T., & De La Rosa, A. (2024). Health capacity building through the HEARTS Initiative in the Dominican Republic. Pan American Journal of Public Health, 48, e110. https://doi.org/10.26633/RPSP.2024.110
Beaney, T., Schutte, A. E., Tomaszewski, M., Ariti, C., Burrell, L. M., Castillo, R. R., Charchar, F. J., Damasceno, A., Kruger, R., Lackland, D. T., Nilsson, P. M., Prabhakaran, D., Ramirez, A. J., Schlaich, M. P., Wang, J., Weber, M. A., Poulter, N. R., & MMM Investigators. (2018). May Measurement Month 2017: An analysis of blood pressure screening results worldwide. The Lancet Global Health, 6(7), e736–e743. https://doi.org/10.1016/S2214-109X(18)30259-6
Casales-Hernández, M. G., Molina-Cuevas, V., Gloria-Hernández, L. E., Díaz-Aguilera, M. A., & Malo-Serrano, H. M. (2023). Preliminary results of the HEARTS Initiative in Mexico: Facilitators and barriers of information systems. Pan American Journal of Public Health, 46, e167. https://doi.org/10.26633/RPSP.2022.167
Durán, M., Ugel, E., Ojeda-Cáceres, H., Bonelli, A., Saglimbeni, M., Rodríguez Araque, E., González Galasso, C., Yñiguez, A., González, C., Ramos, D., & Rivera, E. (2024). Evaluation of the implementation of the HEARTS initiative in a rural community in Venezuela, 2023. Pan American Journal of Public Health, 48, e53. https://doi.org/10.26633/RPSP.2024.53
Forbes-Hernández, T. Y., Betancourt, G., Rodríguez, D., & García, M. A. (2020). Capacidad antioxidante total de la dieta vs. balance redox. QhaliKay: Revista de Ciencias de la Salud, 4(1), 35-48. https://doi.org/10.33936/qkrcs.v4i1.2711
Gallardo, W. D., & García, M. A. (2024). Junk food: Analysis of risks, benefits, and social perception. Journal of Food Science and Gastronomy, 2(1), 26-34. https://doi.org/10.5281/zenodo.13996283
Hernández, A. (2024, May 3). Hearts Initiative, implementation results. 3rd Scientific Conference on Primary Health Care, APS Gibara 2024. https://apsgibara2023.sld.cu/index.php/apsgibara2024/gibara2024/paper/view/540
Jafar, T. H., Gandhi, M., Jehan, I., Naheed, A., de Silva, H. A., Shahab, H., Alam, D., Luke, N., Wee Lim, C., & COBRA-BPS Study Group. (2018). Determinants of uncontrolled hypertension in rural communities in South Asia—Bangladesh, Pakistan, and Sri Lanka. American Journal of Hypertension, 31(11), 1205-1214. https://doi.org/10.1093/ajh/hpy071
López-Jaramillo, P., Sánchez, R. A., Diaz, M., Cobos, L., Bryce, A., Parra Carrillo, J. Z., Lizcano, F., Lanas, F., Sinay, I., Sierra, I. D., Peñaherrera, E., Bendersky, M., Schmid, H., Botero, R., Urina, M., Lara, J., Foss, M. C., Márquez, G., Harrap, S., … Latin America Expert Group. (2013). Latin American consensus on hypertension in patients with diabetes type 2 and metabolic syndrome. Journal of Hypertension, 31(2), 223-238. https://doi.org/10.1097/HJH.0b013e32835c5444
Macías, V. D., Macías, M. M., Sánchez, O. D., Veloz, R. A., Véliz, E. M., & Moreno, A. (2025). Poverty as a determinant associated with the main diseases identified in inhabitants of Lodana, Ecuador. Revista Gregoriana de Ciencias de la Salud, 2(1), 19-31. https://doi.org/10.36097/rgcs.v2i1.3163
Mills, K. T., Stefanescu, A., & He, J. (2020). The global epidemiology of hypertension. Nature Reviews Nephrology, 16(4), 223-237. https://doi.org/10.1038/s41581-019-0244-2
Ordunez, P., Campbell, N. R. C., Giraldo Arcila, G. P., Angell, S. Y., Lombardi, C., Brettler, J. W., Rodríguez Morales, Y. A., Connell, K. L., Gamarra, A., DiPette, D. J., Rosende, A., Jaffe, M. G., Rodríguez, L., Piñeiro, D. J., Martínez, R., & Sharman, J. E. (2023). HEARTS in the Americas: Innovations to improve hypertension and cardiovascular risk management in primary care. Pan American Journal of Public Health, 46, e197. https://doi.org/10.26633/RPSP.2022.197
Ordunez, P., Tajer, C., Gaziano, T., Rodríguez, Y. A., Rosende, A., & Jaffe, M. G. (2023). The HEARTS app: A clinical tool for cardiovascular risk and hypertension management in primary health care. Pan American Journal of Public Health, 46, e12. https://doi.org/10.26633/RPSP.2022.12
Pérez-Cruz, M., Afonso-de-León, J. A., & Morera-Galbán, Y. (2024). Need to calculate global cardiovascular risk in hypertensive patients. Electronic Medical Journal, 46. http://scielo.sld.cu/scielo.php?script=sci_abstract&pid=S1684-18242024000100034
Rodríguez, G., Rosende, A., Prado, C., Cejas Mariño, R., Irazola, V., DiPette, D., Orias, M., Giraldo Arcila, G., & Laspiur, S. (2022). Implementation of the HEARTS Initiative in Argentina: First results. Pan American Journal of Public Health, 46, e181. https://doi.org/10.26633/RPSP.2022.181
Rosende, A., DiPette, D., Brettler, J., Rodríguez, G., Zúñiga, E., Connell, K., & Ordunez, P. (2023). HEARTS in the Americas appraisal checklist and clinical pathway for comprehensive hypertension management in primary care. Pan American Journal of Public Health, 46, e125. https://doi.org/10.26633/RPSP.2022.125
Valdés, Y., Morejón, A., Pérez, L., Jiménez, A., López, C., Campbell, N., & Giraldo, G. (2023). The HEARTS Initiative in Cuba: Experiences after 5 years of implementation. Pan American Journal of Public Health, 46, e176. https://doi.org/10.26633/RPSP.2022.176
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Copyright (c) 2025 Sofía D. Véliz, Melanie D. Toro, Mario A. Revilla, Diana J. Asanza, Jordan J. Demera, Freddy B. Saldarriaga, Patricia P. Pinargote
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