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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 27, No 3, May/June 2016

200

AFRICA

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Development of the roadmap for reducing cardiovascular

morbidity and mortality through the detection, treatment

and control of hypertension in Africa: report of a working

group of the PASCAR Hypertension Task Force

Anastase Dzudie, Abdoul Kane, Euloge Kramoh, Jean-Baptiste Anzouan-Kacou, Jean Marie Damourou,

Lucien Allawaye, Jolis Nzisabira, Latif Mousse, Dadier Balde, Ouane Nouhom, Jean Louis Nkoa, Kimbally

Kaki, Armel Djomou, Alain Menanga, Christ Nadege Nganou, Jean Bruno Mipinda, Lucie Nebie, Liliane

Mfeukeu Kuate, Samuel Kingue, Serigne Abdou Ba, on behalf of the PASCAR task force on hypertension

Abstract

The fourth Pan-African Society of Cardiology (PASCAR)

hypertension taskforce meeting was held at the Yaoundé

Hilton Hotel on 16 March 2016. Its main goals were to update

and facilitate understanding of the PASCAR roadmap for

the control of hypertension on the continent, to refine the

PASCAR hypertension algorithm, and to discuss the next

steps of the PASCAR hypertension policy, including how the

PASCAR initiative can be customised at country level. The

formation of the PASCAR coalition against hypertension,

the writing group and the current status of the PASCAR

hypertension policy document as well as the algorithm

were presented to delegates representing 12 French-speaking

countries. The urgency to finalise the continental policy was

recognised and consensus was achieved by discussion on

the main points and strategy. Relevant scientific issues were

discussed and comments were received on all points, including

how the algorithm could be simplified and made more acces-

sible for implementation at primary healthcare centres.

Keywords:

hypertension, policy, PASCAR, roadmap, Africa

In sub-Saharan Africa, the high prevalence of hypertension is

coupled with poor rates of detection, treatment and control.

1

The disease is a major threat to achievement of the World

Health Organisation Global Action Plan 2013–2020 for

non-communicable disease (NCD) reduction, specifically focused

on heart attacks, strokes and other cardiovascular diseases.

As the leading continental organisation, the Pan-African

Society of Cardiology (PASCAR), including all hypertension

experts and stakeholders, embarked on the development of a

continental hypertension policy to help reduce heart disease and

stroke on the continent by the year 2025. To achieve its goal,

this coalition started working in 2014,

2

achieving consensus on

a majority of points by group discussion during conference calls

and three face-to-face meetings, as well as by iterative revisions of

the written document. This document, which is a customisation

of the World Heart Federation (WHF) global roadmap

3

to the

Africa-specific context, was discussed and reviewed on several

occasions in opportunistic and scheduled meetings.

Meeting Report