Table 1

Hypertension management task allowed by countries, level of task complexity and type of healthcare provider (basic and advanced clinical tasks)

Tasks levelTaking patient historyBP measurementRefilling medicationsCounselling patientsInitiating treatment*Titrating treatment*Diagnosing hypertension
HCW cadrePNPhCPNPhCPNPhCPNPhCPNPhCPNPhCPNPhC
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.