HEARTS Accreditation: institutionalizing quality improvement of integrated cardiovascular, kidney, and metabolic services in primary care

Cardiovascular diseases are the leading cause of death in the World Health Organization (WHO) Region of the Americas, with uncontrolled hypertension as the main modifiable risk factor. Their frequent coexistence with kidney and metabolic conditions creates an interconnected cardiovascular, kidney, and metabolic burden and highlights gaps in prevention, detection, continuity, integration, and quality of care. HEARTS in the Americas is one of the largest regional implementations of the WHO’s Global HEARTS initiative and a central platform for strengthening primary care.

Body weight perception and body self-esteem in adolescents with overweight or obesity in Costa Rica: challenges for public health policy

Objective: This study estimates the prevalence of weight misperception among Costa Rican adolescents in general and examines its association with body esteem and weight-control behaviors to inform public health policy.

Role of the doctorate in public health program, UWI, in strengthening public health capacity in the Caribbean

This paper describes the Doctor of Public Health (DrPH) program at The University of the West Indies and its role in building public health capacity in the English-speaking Caribbean. DrPH reports, student assessments and external reviews were used to describe the development of the DrPH program. The program was established in 2009 as a part-time competency-based program over 4–7 years delivered by face-to-face and distant learning modules, electives, field placements, and research leading to a thesis.

National implementation of HEARTS in Cuba: Management and innovation in a context of limited resources

The HEARTS initiative in the Americas, aimed at reducing cardiovascular mortality through the control of hypertension, required significant contextual adaptation for its successful implementation in Cuba. This article analyzes the organizational strategy and key innovations used to adapt the model to the national context, which enabled the program to expand from a single demonstration site (2016) to 451 primary care centers nationwide (2022).

HEARTS in Guatemala: Implementation experience in addressing cardiorenometabolic risk, 2022–2025

Guatemala faces a growing burden of chronic noncommunicable diseases, with hypertension and type 2 diabetes mellitus being the leading contributors to cardiovascular mortality and progression to chronic kidney disease. In 2022, the Ministry of Public Health and Social Assistance began implementing the Pan American Health Organization/World Health Organization’s HEARTS technical package to strengthen the prevention and clinical management of these conditions in low- and medium-complexity health care facilities.

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