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LETTER TO THE EDITOR
Year : 2018  |  Volume : 6  |  Issue : 1  |  Page : 45-46

HEARTS package for the management of cardiovascular diseases


Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, Chennai, Tamil Nadu, India

Date of Web Publication14-Dec-2017

Correspondence Address:
Saurabh RamBihariLal Shrivastava
Department of Community Medicine, Shri Sathya Sai Medical College and Research Institute, 3rd Floor, Ammapettai, Thiruporur - Guduvanchery Main Road, Sembakkam, Kancheepuram - 603 108, Tamil Nadu
India
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DOI: 10.4103/sjmms.sjmms_128_17

PMID: 30787818

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How to cite this article:
Shrivastava SR, Shrivastava PS, Ramasamy J. HEARTS package for the management of cardiovascular diseases. Saudi J Med Med Sci 2018;6:45-6

How to cite this URL:
Shrivastava SR, Shrivastava PS, Ramasamy J. HEARTS package for the management of cardiovascular diseases. Saudi J Med Med Sci [serial online] 2018 [cited 2021 May 17];6:45-6. Available from: https://www.sjmms.net/text.asp?2018/6/1/45/220792

Sir,

Cardiovascular diseases (CVDs) are the leading cause of death worldwide, accounting for >17 million deaths in 2015.[1] It is noteworthy that of these total deaths due to CVD, >75% are reported from low- and middle-income countries, a clear indication of the prevailing lacunae in the field of prevention and poor-quality diagnostic and management services in those countries.[1],[2] These findings also highlight the need for intensification of efforts to improve the overall reach of services and for strengthening health-care systems in these countries to reduce the number of premature deaths.[1],[2]

In the Philippines, noncommunicable diseases (NCDs), including CVDs, have had a significant negative impact and, alarmingly, impact all age groups, especially the young population.[3] In fact, 33% of the reported deaths in the Philippines are owing to CVDs, thereby highlighting the immediate need to plan and implement measures to reduce the number of CVD-related deaths.[1],[3] Given its scale, CVDs cannot be countered by the health-care sector alone, and thus there is an indispensable need to have a multipronged approach that actively involves all concerned stakeholders.[1],[2]

Acknowledging the magnitude of the problem and the number of premature deaths due to CVDs in countries like the Philippines, the World Health Organization, along with US Centers for Disease Control and Prevention, has launched the HEARTS (Healthy lifestyle; Evidence-based treatment protocol; Access to essential medicines and technologies; Risk-based assessments; Team-based care and task-sharing; Systems for monitoring) initiative to support governments in scaling up CVD preventive and controlling measures in primary health-care setup to ensure delivery of targeted services to high-risk people.[3],[4] The idea is to motivate people and help them change their long-term habits by increasing their access to essential information, thereby ensuring that they make wise decisions to be more physically active, consume healthier food and refrain from tobacco and its products.[3],[4]

In the Philippines, through the concerted efforts of local health authorities and with guidance by the HEARTS technical package, existing problems and a wide range of deficiencies (namely, interrupted supply of medicines and logistics and limited capacity of health professionals to counsel patients and families for adopting healthy life choices) were identified in an area of Manila.[3] Accordingly, with the assistance of the HEARTS technical package, health authorities were able to provide hands-on care and counseling to improve dietary habits and physical activity levels for having a healthy heart.[3] In addition, specific efforts have been taken to implement the HEARTS package for essential NCD interventions in primary health care to standardize the management of CVDs in Manila.[1],[3] Moreover, this project is being scaled up to include other districts of Manila to assist health authorities in improving health-seeking behavior and minimize unnecessary treatment costs.[3],[4]

From the above, it can be concluded that to control CVDs, a strong collaboration is required across all levels of the health-care system for providing the best possible care and to reduce the number of deaths and the disability attributed to them.

Financial support and sponsorship

Nil.

Conflicts of interest

There are no conflicts of interest.

 
  References Top

1.
World Health Organization. Cardiovascular Diseases (CVDs) – Fact Sheet No. 317; 2017. Available from: http://www.who.int/mediacentre/factsheets/fs317/en/. [Last accessed on 2017 Oct 02].  Back to cited text no. 1
    
2.
Shrivastava SR, Shrivastava PS, Ramasamy J. Coronary heart disease: Pandemic in a true sense. J Cardiovasc Thorac Res 2013;5:125-6.  Back to cited text no. 2
    
3.
World Health Organization. Philippines Embraces Efforts to Step up Cardiovascular Disease Care; 2017. Available from: http://www.who.int/features/2017/philippines-cardiovascular-disease/en/. [Last accessed on 2017 Oct 02].  Back to cited text no. 3
    
4.
World Health Organization. Global Hearts Initiative; 2017. Available from: http://www.who.int/cardiovascular_diseases/global-hearts/en/. [Last accessed on 2017 Oct 02].  Back to cited text no. 4
    



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