Alyssa Smith-Longee, Samantha Johnson, Adrien M Aubert, Anna-Veera Seppänen, Veronique Pierrat, Michael Zemlin, Jo Lebeer, Iemke Sarrechia, Veronica Siljehav, Jennifer Zeitlin, Mariane Sentenac
The early educational environment at five years of age in a European cohort of children born very preterm: challenges and opportunities for research
BMC pediatrics
governmentled populationwide initiatives crucial advancing management hypertension leading cause cardiovascular disease cvd morbidity mortality urban population health initiative conducted backdrop focussing hypertension primary health system paulo brazil within frame initiative supervision leadership municipal health authorities situational analysis conducted needs hypertension management marking first phase design thinking process article describes situational analysis process presents identified elements strengthened considering hypertension diagnosis treatment control first mixedmethods approach used starting literature review municipal hypertension data followed meetings n 20 local public health administration assess health system level components investigate activities hypertension diagnosis treatment control nine primary healthcare units selected two districts paulo city itaquera penha received online form addressed managers participated conversation circles staff patients underwent shadowing community health agents data gave rise two main outputs patient care journey map ii matrix summarizing identified needs patient healthcare professional health system level diagnosis treatment control hypertension patient awareness knowledge hypertension found insufficient management needs improved health professionals disease awareness technical training time dedicated patients simplified guidelines clinical decisionmaking tools hypertension management identified principal needs situational analysis found healthcare systems efficiency might improved establishing defined treatment care delivery goals focus outcomes implemented action plans situational analysis identified several needs related hypertension control paulo line global challenges improve control cvd risk factors findings also confirmed locally expansion phase situational analysis additional primary care facilities consequence solutions designed promptly taken implemented municipal health secretariat