Tazeen H. Jafar, Mihir Gandhi, H. Asita de Silva, Imtiaz Jehan et al.
BACKGROUND: The burden of hypertension is escalating, and control rates are poor in low- and middle-income countries. Cardiovascular mortality is high in rural areas. METHODS: We conducted a cluster-randomized, controlled trial in rural districts in Bangladesh, Pakistan, and Sri Lanka. A total of 30...
Helena Legido‐Quigley, Aliya Naheed, H. Asita de Silva, Imtiaz Jehan et al.
Hypertension is the leading risk factor for cardiovascular disease and leading cause of premature death globally. In 2008, approximately 40% of adults were diagnosed with hypertension, with more than 1.5 billion people estimated to be affected globally by 2025. Hypertension disproportionally affects...
Tazeen H. Jafar, Mihir Gandhi, Imtiaz Jehan, Aliya Naheed et al.
BACKGROUND: Uncontrolled blood pressure (BP) is a leading risk factor for death and disability in South Asia. We aimed to determine the cross-country variation, and the factors associated with uncontrolled BP among adults treated for hypertension in rural South Asia. METHODS: We enrolled 1,718 indiv...
Liang Feng, Imtiaz Jehan, H Asita de Silva, Aliya Naheed et al.
OBJECTIVE: To determinate the prevalence and correlates of cardiometabolic multimorbidity (CMM), and their cross-country variation among individuals with hypertension residing in rural communities in South Asia. DESIGN: A cross-sectional study. SETTING: Rural communities in Bangladesh, Pakistan and ...
Eric Finkelstein, Anirudh Krishnan, Aliya Naheed, Imtiaz Jehan et al.
BACKGROUND: COBRA-BPS (Control of Blood Pressure and Risk Attenuation-Bangladesh, Pakistan, Sri Lanka), a multi-component hypertension management programme that is led by community health workers, has been shown to be efficacious at reducing systolic blood pressure in rural communities in Bangladesh...
Tazeen H. Jafar, Asita de Silva, Aliya Naheed, Imtiaz Jehan et al.
BACKGROUND: High blood pressure (BP) is the leading attributable risk for cardiovascular disease globally. There is little information on effective and sustainable public health system strategies for managing hypertension in South Asian countries. We conducted a feasibility study to gather prelimina...
for COBRA-BPS Study Group, Tazeen H. Jafar, Imtiaz Jehan, H. Asita de Silva et al.
BACKGROUND: High blood pressure (BP) is the leading attributable risk for cardiovascular disease (CVD). In rural South Asia, hypertension continues to be a significant public health issue with sub-optimal BP control rates. The goal of the trial is to compare a multicomponent intervention (MCI) to us...
Muhammad Amir Khan, Muhammad Ahmar Khan, John Walley, Nida Khan et al.
BACKGROUND: In Pakistan,the estimated prevalence of chronic obstructive pulmonary disease (COPD) and asthma are 2.1% and 4.3% respectively, and existing care is grossly lacking both in coverage and quality. An integrated approach is recommended for delivering COPD and asthma care at public health fa...
Liang Feng, Hithanadura Asita De Silva, Imtiaz Jehan, Aliya Naheed et al.
BACKGROUND: We aimed to determine the prevalence of chronic kidney disease (CKD) and its cross-country variation among hypertensive individuals in rural Bangladesh, Pakistan and Sri Lanka. We also explored the factors associated with CKD in these populations. METHOD: We studied baseline data from th...
Muhammad Amir Khan, Nida Khan, John Walley, Shaheer Ellahi Khan et al.
Background Hypertension in Pakistan affects 33% of people aged ≥45 years, and in urban areas around 70% of basic health care occurs in private facilities. Aim To assess whether enhanced care at urban private clinics resulted in better control of hypertension, cardiovascular disease (CVD) risk factor...
Tazeen H. Jafar, Saeideh Tavajoh, H Asita de Silva, Aliya Naheed et al.
BACKGROUND: COBRA-BPS (Control of Blood Pressure and Risk Attenuation-Bangladesh, Pakistan, Sri Lanka), a multicomponent, community health-worker (CHW)-led hypertension management program, has been shown to be effective in rural communities in South Asia. This paper presents the acceptability of COB...
Liang Feng, Aliya Naheed, H Asita de Silva, Imtiaz Jehan et al.
We aimed to explore the cross-country variation in the prevalence of comorbid prediabetes or diabetes and determine the sociodemographic, lifestyle, and clinical factors, especially body mass index (BMI) and waist circumference, associated with comorbid diabetes in individuals with hypertension in r...
Muhammad Amir Khan, John Walley, Saima Ali, Rebecca King et al.
BACKGROUND: Integrated care for diabetes and associated conditions at primary level health facilities can make care available to a much larger population, especially in rural areas. AIM: This process evaluation was to understand how the authors' integrated care was implemented and experienced by the...
Muhammad Amir Khan, Nida Khan, John Walley, Muhammad Ahmar Khan et al.
Background In Pakistan chronic obstructive pulmonary disease (COPD) prevalence is 2.1% in adults aged >40 years. Despite being a health policy focus, integrated COPD care has remained neglected, with wide variation in practice. Aim To assess whether enhanced care at public health facilities resul...
Muhammad Amir Khan, John Walley, Nida Khan, Muhammad Ahmar Khan et al.
BACKGROUND: In Pakistan about 18% of all adults are affected by hypertension, and only one in eight of the prevalent cases have their hypertension controlled. As in many other low-middle income countries, a public-private partnership approach is being considered for delivering non-communicable disea...