CBC Health Services enjoins Experts to brainstorm and develop a drug- and dose-specific protocol for hypertension management.
Elevated blood pressure is a global public health challenge and is responsible for about 10 million deaths yearly. Current estimates put the prevalence of hypertension at 29.2% with less than 50% of those on treatment having controlled blood pressure. The lack of clinical protocols/guidelines to guide and standardize management practices may explain at least in part, the low blood pressure control rates.
As part of her efforts to promote heart health in Cameroon, the CBC Health Services (CBCHS), with support from Resolve to Safe Lives, through the LINKS project has brought together a panel of experts who, through deliberations have resolved on the best possible management protocol for hypertension within the CBCHS. This was during a consensus meeting that took place on the 11th of July 2019 at the CBC Health Services Resource Center Mvan, Yaounde.
The “need” for a drug-and dose specific protocol was clearly demonstrated with a presentation of an assessment of clinicians’ Use of Guidelines/Protocols for managing Hypertension by Dr. Epie Njume, General Supervisor of the NCD Prevention and Control Program and Technical Supervisor of the Project. Of the 68 respondents, only 60% accepted that a Hypertension Management Guideline/Protocol is present, and can be verified at the facility.
About one in 10 admitted are not using any Hypertension Management Guideline/Protocol, but those who did, use about nine different guidelines/protocols between them. There was heterogeneity in the prescription patterns of the clinicians, of course, considering so many protocols are in use. Amongst those who were not using any Guidelines/Protocol, reasons included; available protocols are complex, confusing, impracticable in our setting, lacking commodities, and protocols not being available at all. However, it is noteworthy that no protocol for hypertension management exist at the national level and so the results of this assessment may be a reflection of what happens nationwide.