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.

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.

National and regional social observatories of tuberculosis in eight countries in Latin America and the Caribbean

Ending tuberculosis (TB) requires a multisectoral approach, including participation from organized civil society. With the support of a regional project (OBSERVA TB) financed by the Global Fund, TB social observatories have been created since 2019 in eight countries in Latin America and the Caribbean (Bolivia, Colombia, the Dominican Republic, El Salvador, Guatemala, Haiti, Mexico, and Peru), as well as a regional TB social observatory, as part of implementation of the ENGAGE-TB approach promoted by the World Health Organization.

Advancing patient-centered care: moving from outcome-based to risk factor-based models using the big four risk factors

This article reimagines the health care system to focus on risk factors rather than outcomes in order to improve patient-centered care and reduce health care expenditure. Patient-centered care has been a global priority since 2001 when the Institute of Medicine declared it an essential aim for health care systems. As part of this discussion and to help facilitate this change, the concept of the big four risk factors – diet and nutrition; physical activity; smoking and tobacco use; and excessive alcohol consumption – is introduced in the context of the Americas from which it originates.

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