Identifying Opportunities to Strengthen Service Delivery for Hypertension in Tajikistan
Hypertension is a major driver of pre-mature death and disability in Tajikistan, a low-income country in Central Asia. The high burden of disease also results in significant health care expenditure and lost labour productivity. Therefore, there is...
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| Language: | English |
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World Bank, Washington, DC
2019
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| Online Access: | http://documents.worldbank.org/curated/en/610751567176916794/Identifying-Opportunities-to-Strengthen-Service-Delivery-for-Hypertension-in-Tajikistan http://hdl.handle.net/10986/32340 |
| Summary: | Hypertension is a major driver of
pre-mature death and disability in Tajikistan, a low-income
country in Central Asia. The high burden of disease also
results in significant health care expenditure and lost
labour productivity. Therefore, there is an urgent need to
strengthen service delivery systems through early detection
of high blood pressure, prompt diagnosis, sustained
treatment maintenance, and the attainment of blood pressure
control. The Ministry of Health and Social Protection and
the World Bank undertook implementation research to identify
effective and context-appropriate solutions for improving
hypertension services. The assessment used the cascade
framework to describe drop-offs along the continuum of care,
collected patient and health care provider perspectives on
the causes of discontinuities, used routine data from
participating facilities in a Bank-supported operation, and
drew on the international literature on chronic care
interventions. The report presents feasible and
cost-effective recommendations that, if adopted, can
strengthen current programs and policies to address the
growing burden of hypertension in Tajikistan. |
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