2021-06-28-世界卫生组织-Hypertension_Eritrea_2020_country_profile_2页_383kb

Eritrea Hypertension Fact Sheet Summary

Core Content

The document provides an overview of the burden and management of hypertension in Eritrea, focusing on data from 2010 and updates from 2019. It highlights the prevalence of hypertension, the proportion of the population that is aware, under treatment, and controlled, as well as national targets and WHO recommendations for prevention and control.

Key Statistics (2010)

• Total Population (2010): 3,170,428
• Prevalence of Hypertension in Adults (18+): 14.6%
• Estimated Number with Hypertension: 171,000
  • Aware (Diagnosed): 49,400
  • Under Treatment: 31,600
  • Controlled: 12,300

Hypertension Cascade by Age and Sex (2010)

• The percentage of the population with hypertension who are aware, under treatment, and controlled are shown for each age group.
• For males, the awareness rate is 25.6%, treatment rate is 16.4%, and control rate is 6.1%.
• For females, the awareness rate is 30.1%, treatment rate is 19.2%, and control rate is 7.6%.

National Systems Response (2019)

• Policy to Reduce Salt/Sodium Consumption: Available
• Essential Hypertension-Related Medicines: Generally available in primary health care facilities
• Blood Pressure Measurement: Generally available in public sector primary health care facilities

National Targets (2019 - 2023)

• Reduce Prevalence of High Blood Pressure: From 14.1% in 2010 to 13% by 2023
• Salt Consumption: No specific target set

WHO Recommendations for Hypertension Prevention and Control

• Address Modifiable Risk Factors:
  • Reduce excessive salt consumption
  • Limit saturated and trans fats
  • Increase fruit and vegetable intake
  • Promote physical activity
  • Reduce tobacco and alcohol use
  • Address overweight and obesity
• Use WHO Technical Packages:
  • MPOWER: For population-level prevention
  • ACTIVE, SHAKE, REPLACE, HEARTS: For hypertension control and management
• Improve Hypertension Control:
  • Enhance 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

• The prevalence of uncontrolled hypertension has increased over time.
• Past Trends: Both males and females show an increase in uncontrolled hypertension.
• Projected Linear Trends: Not specified for males, but shown for females.
• Global Targets: Not yet met for both males and females.

Definitions

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

Data Sources

1. Prevalence and Hypertension Cascade Data: Eritrea 2010 STEPS survey
2. Population Estimates: UN World Population Prospects 2019
3. National Systems Response Data: 2019 National County Capacity Survey for NCDs
4. National Targets: National Multi-sectoral Strategic Plan for Non-Communicable Diseases (2019 - 2023)
5. Trend Data: Global Health Observatory data repository (accessed February 2020)