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.

2025 AHA/ACC blood pressure guideline and HEARTS 2.0: implications for the future evolution of integrated cardiovascular–kidney–metabolic care in the Americas

Hypertension is the leading modifiable risk factor for cardiovascular disease. In 2025, two major evidence-based frameworks evolved in parallel: HEARTS 2.0, an implementation-oriented clinical pathway for integrated cardiovascular–kidney–metabolic (CKM) care through primary health care, and the updated American Heart Association/American College of Cardiology Blood Pressure Guideline, one of the world's leading hypertension guidelines.

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