SCALE SAIA Hypertension
Undiagnosed and untreated hypertension is one of the largest drivers of cardiovascular disease, which contributes to one third of deaths globally.
Hypertension in Mozambique
Hypertension disproportionately affects low and middle income countries. A systematic review across sub-Saharan Africa reported hypertension prevalence between 14.7-69.9% (median prevalence 29%). In Mozambique (a low-income country with >13% adult HIV prevalence), hypertension prevalence among adults increased sharply from 2005 to 2015, now affecting nearly 40% of adults. Yet just 14.5% are aware of their hypertension status (the lowest in sSA); among these, only 50.1% are in treatment, less than half of whom have controlled hypertension. As a result of this leaky cascade, only 3% of the adult population with hypertension in Mozambique have their condition controlled.
The overall goal of SCALE SAIA-HTN is to develop a dissemination and implementation model for SAIA-HTN that is delivered by district Ministry of Health supervisors (rather than research nurses), to serve as a foundation for national scaling.
Study Location
SCALE SAIA-HTN is ongoing in 18 health facilities across Maputo Province in southern Mozambique.
SCALE SAIA Hypertension Team
Ana Olga Mocumbi, MD, PhD
Principal Investigator
Contact: amocumbi@gmail.com
Igor Dobe, MD, MPH
Study Coordinator
Riaze Rafik
Research Assistant
Sarah Gimbel, PhD, MPH, BSN
Multiple-Principal Investigator
Contact: sgimbel@uw.edu
Dulce Filipe, MD
Study Manager
Elso Ofumhan
Research Assistant
Orvalho Augusto, MD, PhD, MPH
Co-Investigator
Contact: orvaquim@uw.edu
Zakir Ossman, MD
Research Assistant
Additional Team Members:
Norberto Lumbandali | Research Assistant
Inocêncio Mate | Data Manager
Kenneth Sherr, PhD | Co-Investigator | ksherr@uw.edu
Kristjana Asbjornsdottir | Co-Investigator | kasbjorn@uw.edu
David Watkins | Co-Investigator | davidaw@uw.edu
Donors
National Institutes of Health NHLBI
Partners
Mozambique Institute for Health Education and Research
Mozambique National Institute of Health
Mozambique Ministry of Health
University of Eduardo Mondlane
Doctors with Africa CUAMM
Comité para a Saúde de Moçambique
University of Washington School of Nursing
University of Washington Department of Global Health