2021-06-28-世界卫生组织-Hypertension_Kiribati_2020_country_profile_2页_376kb

Kiribati Hypertension Fact Sheet Summary

Burden of Hypertension (2015)

• In 2015, the adult population of Kiribati had a hypertension prevalence rate of 35.3%, with an estimated 22,200 people affected out of a total national population of 110,927.
• Awareness, treatment, and control rates were low, with 4,900 cases aware of their condition; 2,200 under treatment; and 1,200 controlled.
• Age-standardized prevalence shows increasing rates across age groups from 18-29 to 45-69 years.

National Systems Response (2019)

• In 2019, no specific national targets were set for blood pressure reduction or salt consumption.
• Essential hypertension medicines were available but not fully established policies for reducing sodium intake.
• Only a limited number of primary health care facilities reported availability of blood pressure measurement as "generally available."

WHO Recommendations

• Focus on reducing modifiable risk factors such as excessive salt intake, physical inactivity, obesity, and tobacco use.
• Implement technical packages like HEARTS for improving hypertension control through better identification, treatment, and medication access.
• Monitor blood pressure control rates and population prevalence to track progress.

Definitions

• Population with hypertension: Adults with systolic blood pressure ≥140 mmHg, diastolic BP ≥90 mmHg, or diagnosed by a health worker and on treatment.
• Aware (diagnosed): Persons with hypertension who have been informed and are aware of their condition.
• Under treatment: Hypertensive individuals receiving prescribed medication.
• Controlled: Those with blood pressure <140/90 mmHg and on treatment.

Data Sources

• Prevalence and cascade data from 2015 Kiribati STEPS survey.
• Population estimates based on UN data.
• National capacity survey and Global Health Observatory for trends.

Trends in Uncontrolled Hypertension

• The prevalence of uncontrolled hypertension among adults aged 18+ has increased over time, rising from baseline levels reached in 2015.
• Future projections indicate continued increase until 2025, highlighting the need for enhanced interventions.

Hypertension Cascade by Age and Sex (2015)

• Age and sex-specific data show higher prevalence in females aged 45-69 years compared to other groups.
• Key gaps: Low awareness (e.g., 19.2% of males 18-69 had hypertension), poor treatment coverage (8.3% under treatment), and minimal control (2.6% controlled).