Skip to main content
Have a personal or library account? Click to login
A Decisive Decade for Cardiovascular Health in Africa: Turning Evidence into System Design Cover

A Decisive Decade for Cardiovascular Health in Africa: Turning Evidence into System Design

Open Access
|Apr 2026

References

  1. Roth GA, Mensah GA, Johnson CO, Addolorato G, Ammirati E, Baddour LM, et al. Global Burden of Cardiovascular Diseases and Risk Factors, 1990–2019: Update From the GBD 2019 Study. J Am Coll Cardiol. 2020 Dec 22;76(25):29823021. DOI: 10.1016/j.jacc.2020.11.010
  2. Nel JH, Steyn NP. The Nutrition Transition and the Double Burden of Malnutrition in Sub-Saharan African Countries: How Do These Countries Compare with the Recommended LANCET COMMISSION Global Diet? Int J Environ Res Public Health. 2022 Dec 14;19(24):16791. DOI: 10.3390/ijerph192416791
  3. Keates AK, Mocumbi AO, Ntsekhe M, Sliwa K, Stewart S. Cardiovascular disease in Africa: epidemiological profile and challenges. Nat Rev Cardiol. 2017 May;14(5):273293. DOI: 10.1038/nrcardio.2017.19
  4. Minja NW, Nakagaayi D, Aliku T, Zhang W, Ssinabulya I, Nabaale J, et al. Cardiovascular diseases in Africa in the twenty-first century: Gaps and priorities going forward. Front Cardiovasc Med [Internet]. 2022 Nov 10 [cited 2025 Dec 7];9. Available from: https://www.frontiersin.org/journals/cardiovascular-medicine/articles/10.3389/fcvm.2022.1008335/full
  5. Lamptey P, Laar A, Adler AJ, Dirks R, Caldwell A, Prieto-Merino D, et al. Evaluation of a community-based hypertension improvement program (ComHIP) in Ghana: data from a baseline survey. BMC Public Health. 2017 Apr 28;17:368. DOI: 10.1186/s12889-017-4260-5
  6. Levine AR, Buchner JA, Verceles AC, Zubrow MT, Mallemat HA, Papali A, et al. Ultrasound images transmitted via FaceTime are non-inferior to images on the ultrasound machine. J Crit Care. 2016 Jun;33:5155. DOI: 10.1016/j.jcrc.2016.02.019
  7. The burden of stroke in Africa: a glance at the present and a glimpse into the future. PubMed [Internet]. [cited 2025 Dec 7]. Available from: https://pubmed.ncbi.nlm.nih.gov/25962945/
  8. Ahadzi D, Gaye B, Commodore-Mensah Y. Advancing the Cardiovascular Workforce in Africa to Tackle the Epidemic of Cardiovascular Disease: The Time is Now. Global Heart [Internet]. 2023 Apr 21 [cited 2025 Dec 7];18(1). Available from: https://globalheartjournal.com/articles/10.5334/gh.1197
  9. Adler AJ, Laar A, Prieto-Merino D, Der RMM, Mangortey D, Dirks R, et al. Can a nurse-led community-based model of hypertension care improve hypertension control in Ghana? Results from the ComHIP cohort study. BMJ Open. 2019 Apr 2;9(4):e026799. DOI: 10.1136/bmjopen-2018-026799
  10. Rusingiza EK, El-Khatib Z, Hedt-Gauthier B, Ngoga G, Dusabeyezu S, Tapela N, et al. Outcomes for patients with rheumatic heart disease after cardiac surgery followed at rural district hospitals in Rwanda. Heart. 2018 Oct 1;104(20):17071713. DOI: 10.1136/heartjnl-2017-312644
  11. Kwan GF, Bukhman AK, Miller AC, Ngoga G, Mucumbitsi J, Bavuma C, et al. A Simplified Echocardiographic Strategy for Heart Failure Diagnosis and Management Within an Integrated Noncommunicable Disease Clinic at District Hospital Level for Sub-Saharan Africa. JACC: Heart Failure. 2013 Jun;1(3):230236. DOI: 10.1016/j.jchf.2013.03.006
  12. Kingue S, Angandji P, Menanga AP, Ashuntantang G, Sobngwi E, Dossou-Yovo RA, et al. Efficiency of an intervention package for arterial hypertension comprising telemanagement in a Cameroonian rural setting: The TELEMED-CAM study. Pan Afr Med J. 2013;15:153. DOI: 10.11604/pamj.2013.15.153.2655
  13. Kessler M, Thumé E, Marmot M, Macinko J, Facchini LA, Nedel FB, et al. Family Health Strategy, Primary Health Care, and Social Inequalities in Mortality Among Older Adults in Bagé, Southern Brazil. Am J Public Health. 2021 May;111(5):927936. DOI: 10.2105/AJPH.2020.306146
  14. Debon R, Bellei EA, Biduski D, Volpi SS, Alves ALS, Portella MR, et al. Effects of using a mobile health application on the health conditions of patients with arterial hypertension: A pilot trial in the context of Brazil’s Family Health Strategy. Sci Rep. 2020 Apr 7;10(1):6009. DOI: 10.1038/s41598-020-63057-w
  15. Avezum Á, Drager LF, Reiker T, Bigoni A, Leonel LP, Abreu A, et al. An Intersectoral Approach to Hypertension Care: Solutions for Improving Blood Pressure Control in São Paulo, Brazil. Am J Hypertens. 2024 May 1;37(5):366378. DOI: 10.1093/ajh/hpae005
  16. Eschliman BH, Pham HH, Navathe AS, Dale KM, Harris J. The role of payment and financing in achieving health equity. Health Serv Res. 2023 Dec;58(Suppl 3):311317. DOI: 10.1111/1475-6773.14219
  17. Financing health in sub-Saharan Africa 1990–2050: Donor dependence and expected domestic health spending. PMC [Internet]. [cited 2026 Feb 3]. Available from: https://pmc.ncbi.nlm.nih.gov/articles/PMC11355530/
  18. Afriyie DO, Muhongerwa DK, Nabyonga-Orem J, Chukwujekwu O. Countdown to 2030: overview of current and planned health financing reforms for universal health coverage in the WHO African Region. J Glob Health. 2025 Aug 8;15:04233. DOI: 10.7189/jogh.15.04233
  19. Musah A, Aawaar G, Musah G, Abdul-Mumuni A. Financial development, public health financing, and health outcomes in Sub-Saharan Africa. BMC Public Health. 2025 Aug 27;25(1):2943. DOI: 10.1186/s12889-025-24404-6
DOI: https://doi.org/10.5334/gh.1551 | Journal eISSN: 2211-8179
Language: English
Submitted on: Dec 21, 2025
Accepted on: Apr 15, 2026
Published on: Apr 27, 2026
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2026 Johann A. C. Edjimbi, Mohamed B. Jalloh, Krutarth Kandarp Pandya, Marvellous Adeoye, Camille Lassale, Eloi Marijon, Bamba Gaye, Pasquale Maffia, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.