2021-06-28-世界卫生组织-Hypertension_Palau_2020_country_profile_2页_381kb

Palau Hypertension Fact Sheet Summary

Core Content

The document provides an overview of the burden and trends of hypertension in Palau, highlighting key statistics, national responses, and WHO recommendations for prevention and control.

Key Statistics (2016)

• Total Population: 17,661
• Estimated Number with Hypertension: 4,540 (25.7%)
• Aware (Diagnosed): 2,810 (61.9%)
• Under Treatment: 2,200 (48.5%)
• Controlled: 970 (21.3%)

Hypertension Cascade by Age and Sex

National Systems Response (2019)

• Policy on Salt/Sodium Consumption: Availability of a policy to reduce population salt/sodium consumption
• Hypertension-related Medicines: Number of essential hypertension-related medicines reported as "generally available"

National Targets (2015-2020)

• Reduce Raised Blood Pressure Prevalence in Adults 25-64 Years: 10% reduction from 49% (2014) to 44% (2020)
• Reduce Salt Intake by 2020: 30% reduction

WHO Recommendations for Hypertension Prevention and Control

• Address Population Prevalence: Reduce modifiable risk factors such as unhealthy diets (excessive salt, high saturated fat and trans fats, low fruit and vegetable intake), physical inactivity, tobacco and alcohol consumption, and overweight/obesity.
• Technical Packages: WHO MPOWER, ACTIVE, SHAKE, REPLACE, and HEARTS can support these efforts.
• Hypertension Control (HEARTS Technical Package):
  • Improve and expand identification and treatment using evidence-based protocols.
  • Intensify treatment for uncontrolled cases and ensure access to medicines.
  • Track blood pressure control rates in clinical settings and measure population prevalence.

Trends in Uncontrolled Hypertension Prevalence (Adults 18+)

• The prevalence of uncontrolled hypertension has decreased over time.
• Past Trends: ● (indicates presence)
• Projected Linear Trends: — (indicates no data)
• Global Targets: ···○ (indicates target status)

Definitions

• Population with Hypertension: Individuals with SBP ≥ 140 mmHg, DBP ≥ 90 mmHg, or diagnosed with hypertension and treated with medication in the past two weeks.
• Aware (Diagnosed): Individuals with hypertension who have been told by a health worker they have the condition.
• Under Treatment: Individuals with hypertension who are aware and have been treated with medication in the past two weeks.
• Controlled: Individuals with SBP < 140 mmHg, DBP < 90 mmHg, and are under treatment.

Data Sources

1. Prevalence and hypertension cascade data from the Palau 2016 STEPS survey.
2. Population estimates derived from the 2015 census.
3. National systems response data from the 2019 National County Capacity Survey for NCDs.
4. National targets from the Republic of Palau Non-communicable Disease Prevention and Control Strategic Plan of Action 2015-2020.
5. Trend data from the Global Health Observatory data repository.