Implementation design of the HEARTS healthy-lifestyle counselling module at the first level of care in Mexico

The number of people with cardiovascular diseases is a leading public health problem. The Ministry of Health of Mexico and the local representative office of the Pan American Health Organization have joined forces to implement the “HEARTS: technical package for cardiovascular disease management in primary health care.” The objective of this article is to describe the implementation design of the “Healthy-lifestyle counselling” module, which is part of the HEARTS technical package.

Political will and governance: keys to Implementing HEARTS in Peru

The objective of this article is to describe how governance and political will have influenced the implementation of the HEARTS Initiative for the prevention and control of hypertension in the Peruvian health system.
The governance process is described and a secondary data analysis compares baseline levels at the start of HEARTS phase 1 with observed levels after the first six months of follow-up in 34 health facilities.

World Radiology Day

The mission of the Pan American Journal of Public Health is to serve as an important vehicle for disseminating scientific public health information relevant to the Region of the Americas. The journal aims to strengthen national and local health systems and to bridge the gap between health care and policy-makers, ultimately improving the health of the peoples of the Americas.

Lessons learned from fostering tobacco taxes in the Americas and implications for other health taxes

During the past decade progress has been made from a public health perspective in advancing tobacco taxation policies in the World Health Organization’s Region of the Americas, and there are important lessons to be learned from this experience. This report aims to systematize and distill the key lessons learned, both by documenting progress and paving the way toward a comprehensive approach to taxing other health-harming products, particularly those considered to be drivers of the noncommunicable disease epidemic, such as alcohol and sugar-sweetened beverages.

Salt-related practices and its association with 24-hour urinary sodium excretion in an Uruguayan population cohort

Objectives.

To evaluate the association between knowledge, attitudes, and behavior (KAB) towards sodium use and sodium intake measured by 24-hour urinary collection in an adult cohort from Uruguay (Genotype Phenotype and Environment of Hypertension Study, GEFA-HT-UY).

Methods.

In a cross-sectional study (n = 159), a single 24-hour urinary sample, participants' physical, biochemical and blood pressure measurements and questionnaire data were collected. The association between KAB and 24-hour urinary sodium excretion was assessed using general linear models.

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