Close Menu

Books in a Library

Using the HIV Treatment Cascade to Identify Implementation Gaps in Hypertension Management in Jamaica



Objective: Hypertension is the biggest contributor to cardiovascular disease – the leading cause of death in Jamaica and the Caribbean.  In this paper, we utilized the HIV treatment cascade model to identify research, treatment and implementation gaps for hypertension in Jamaica 

Methods: Data from the second Jamaica Health and Lifestyle Survey, collected between November 2007 and February 2008, were utilized.  Trained interviewers completed questionnaires and measured blood pressure using standardized techniques in a randomly selected sample of 15-74-year-old Jamaicans. Questionnaire responses and the blood pressure measurement were used to create a hypertension treatment cascade.

Results: The biggest gap in hypertension care was in disease awareness with only 50% aware of the presence of the disease.  Most patients (99%) aware of their diagnosis had been seen by a doctor at some point for hypertension,  with 91% of those who had seen a doctor remaining in care and 84% of those in care prescribed blood pressure medications. Only 40% of patients on treatment in the health care system had achieved a target blood pressure of ≤ 140/90mmHg.   

Conclusions: There is an urgent need for more mixed methods research to explain Jamaica’s hypertension treatment cascade, develop culturally-relevant, targeted interventions to address these issues and implement proven strategies to address hypertension awareness and control. 

12 Dec, 2017
e-Published: 13 Dec, 2017


Manuscripts that are Published Ahead of Print have been peer reviewed and accepted for publication by the Editorial Board of the West Indian Medical Journal. They may appear in their original format and may not be copy edited or formatted in the style guide of this Journal. While accepted manuscripts are not yet assigned a volume, issue or page numbers, they can be cited using the DOI and date of e-publication. See our Instructions for Authors on how to properly cite manuscripts at this stage. The contents of the manuscript may change before it is published in its final form. Manuscripts in this section will be removed once they have been issued to a volume and issue, but will still retain the DOI and date of e-publication.

Top of Page