Hypertension management task allowed by countries, level of task complexity and type of healthcare provider (basic and advanced clinical tasks)
Tasks level | Taking patient history | BP measurement | Refilling medications | Counselling patients | Initiating treatment* | Titrating treatment* | Diagnosing hypertension | |||||||||||||||||||||
HCW cadre | P | N | Ph | C | P | N | Ph | C | P | N | Ph | C | P | N | Ph | C | P | N | Ph | C | P | N | Ph | C | P | N | Ph | C |
Africa | ||||||||||||||||||||||||||||
Algeria | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | ||||||||||
Burundi | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||||||
Ethiopia | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||||||
Nigeria | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | |||
Uganda | · | · | · | · | · | · | · | |||||||||||||||||||||
Americas | ||||||||||||||||||||||||||||
Chile | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||||||
Cuba | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||||||
Saint Lucia | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||||||
Europe | ||||||||||||||||||||||||||||
Turkey | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||||||
Southeast Asia | ||||||||||||||||||||||||||||
Bangladesh | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||||||
India | ||||||||||||||||||||||||||||
Kerala | · | · | · | · | · | No one | · | · | · | |||||||||||||||||||
Madhya Pradesh | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | |||||||
Maharashtra | · | · | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||||
Punjab | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | |||||||||
Telangana | · | · | · | · | · | · | · | · | · | · | ||||||||||||||||||
Nepal | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | ||||||||
Sri Lanka | · | · | No one | · | · | · | No one | · | · | |||||||||||||||||||
Western Pacific | ||||||||||||||||||||||||||||
China | ||||||||||||||||||||||||||||
Beijing | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||
Henan | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | ||||||||||
Shandong | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | |||||||||||||
Philippines | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | · | ||||||||||
Thailand | · | · | · | · | · | · | · | · | · | · | · | · | ||||||||||||||||
Vietnam | · | · | · | · | · | · | · | · | · | · | · |
Definitions: Administrative tasks: Scheduling: scheduling return to the clinic for patients diagnosed with hypertension; Retrieving patients: retrieving and bringing back to clinic hypertension patients who missed appointments; Medication delivery: delivering medications to a patient's home, or the community; Registry management: entering new patient information into a registry and updating as necessary. Basic clinical tasks: Taking patient history: taking patient history or assessing cardiovascular risk; Measuring blood pressure: measuring blood pressure with an automated device; Refilling medications: refilling prescriptions of antihypertensive medications without adjusting dosage or medication type; Counselling patients: counselling patients about lifestyle changes and medication adherence. Advanced clinical tasks: Initiating treatment per protocol: initiating hypertension treatment based on a treatment protocol; Titrating treatment per protocol: adjusting a patient's dosage of antihypertensive medication based on a treatment protocol; Diagnosing hypertension: diagnosing hypertension based on blood pressure measured or clinical examination.
*Initiating and titrating hypertension treatment per protocol.
BP, blood pressure; C, community health workers; HCW, healthcare worker; N, nursing professionals; No one, no one performed this task; P, physicians, including general and specialists medical practitioners; Ph, pharmacists.