2021-06-28-世界卫生组织-Hypertension_Fiji_2020_country_profile_2页_379kb

Summary of Hypertension Burden and Control in Fiji (2011 and 2019)

Core Content

The document provides an overview of the burden of hypertension in Fiji, highlighting the prevalence, awareness, treatment, and control rates among adults aged 18 years and older, as well as national policy responses and targets for hypertension control and prevention.

Key Statistics (2011)

• Total population: 863,451
• Percentage of adults with hypertension: 31.7%
• Estimated number of adults with hypertension: 131.2 thousand
• Aware (diagnosed): 60.0 thousand
• Under treatment: 35.3 thousand
• Controlled: 9.4 thousand

Hypertension Cascade by Age and Sex (2011)

The table below shows the distribution of hypertension status across different age groups and genders:

National Systems Response (2019)

• Availability of policy to reduce salt/sodium consumption: Yes
• Number of essential hypertension-related medicines generally available: Not specified
• Blood pressure measurement availability in primary health care facilities: Yes

National Targets (2015-2019)

• Salt consumption reduction: 30% decrease in age-standardized mean population intake of salt (per day in grams per person aged 18+) by 2025
• Raised blood pressure: No specific target

WHO Recommendations for Hypertension Prevention and Control

The World Health Organization (WHO) recommends the following strategies for hypertension prevention and control:

• Address population prevalence:

  • Reduce modifiable risk factors such as excessive salt consumption, high intake of saturated and trans fats, low fruit and vegetable intake, physical inactivity, tobacco and alcohol use, and overweight/obesity.
  • Utilize the MPOWER, ACTIVE, SHAKE, REPLACE, and HEARTS technical packages to support these efforts.

• Address hypertension control (via the HEARTS technical package):

  • Improve and expand identification and treatment using evidence-based protocols.
  • Intensify treatment for patients with uncontrolled blood pressure and ensure access to essential medicines.
  • Monitor blood pressure control rates in clinical settings and measure population prevalence.

Trends in Uncontrolled Hypertension Prevalence (18+ years)

• The prevalence of uncontrolled hypertension has decreased over time.
• Past trends and projected linear trends are indicated with symbols (● and —), while global targets are marked with (···○).

Definitions

Population with Hypertension

• Individuals with:
  • SBP ≥ 140 mmHg (mean of 2nd and 3rd measurements)
  • DBP ≥ 90 mmHg (mean of 2nd and 3rd measurements)
  • Or who have been diagnosed with hypertension and are currently under treatment with prescribed medication.

Aware (Diagnosed)

• Individuals who meet the hypertension definition and have been informed by a health worker of their condition.

Under Treatment

• Individuals who meet the hypertension definition and are currently receiving treatment with prescribed medication.

Controlled

• Individuals who meet the hypertension definition, are under treatment, and have SBP < 140 mmHg and DBP < 90 mmHg.

Data Sources

1. Prevalence and hypertension cascade data: Fiji 2011 STEPS survey
2. Population estimates: UN 2011 population estimates for 25-64 years
3. National systems response data: 2019 National County Capacity Survey for NCDs
4. National targets: NCD Strategic Plan 2015-2019
5. Trend data: WHO Global Health Observatory data repository, February 2020