–even as patient coverage increases significantly in two years

YESTERDAY, in recognition of World Hypertension Day, Guyana joined the World Health Organization (WHO) and global health partners in raising awareness about hypertension-commonly known as high blood pressure-under the theme, “Measure Your Blood Pressure Accurately, Control It, Live Longer.”

In his message to Guyanese, Health Minister, Dr. Frank Anthony, said hypertension is a global health challenge, affecting an estimated 1.13 billion people worldwide, with over two-thirds of cases found in low- and middle-income countries. Men are slightly more affected than women.

Despite its prevalence, hypertension is often called the “silent killer” because it usually presents with few or no symptoms, yet it can result in severe health complications such as chronic kidney disease, heart disease, stroke, dementia, and even death.

In Guyana, stroke and ischemic heart disease-both closely linked to hypertension-remain among the leading causes of mortality.

Understanding blood pressure readings is crucial. Healthcare providers typically express blood pressure as two numbers, such as “130 over 80.”

The top number, or systolic pressure, measures the force inside arteries when the heart contracts, while the bottom number, or diastolic pressure, reflects the pressure when the heart is relaxed. Experts define high blood pressure as a top number of 130 or above and/or a bottom number of 80 or above.

Elevated blood pressure falls between a top number of 120 and 129 with a bottom number of 79 or below, while normal blood pressure is below 119/79.

In Guyana, the 2016 STEPS Survey revealed that 18.4% of adults had high blood pressure but were not receiving proper medication.

In response, the Ministry of Health launched the HEARTS programme-a comprehensive initiative designed to improve the management of elevated and high blood pressure.

HEARTS stands for Healthy lifestyle counselling, Evidence-based protocols, Access to essential medicines and technology, Risk-based cardiovascular disease management, Team-based care, and Systems for monitoring.

This evidence-based approach supports patients in managing hypertension and preventing complications. Since its inception, the HEARTS programme has expanded from eight pilot sites in 2022 to 237 sites by February 2025, increasing patient coverage from 8,899 to 43,618 individuals.

These numbers represent significant progress in improving both individual health outcomes and community well-being. The Ministry’s goal is for all health centres in Guyana to adopt the HEARTS programme by the end of 2025.

“…all Guyanese are encouraged to learn how to accurately measure and consistently monitor their blood pressure. Visiting a healthcare provider to learn proper measurement techniques and ensuring blood pressure remains within a healthy range is vital. For those prescribed medication for hypertension, it is critical to take it as directed and avoid missing doses,” the Health Minister said.

He added: “The efforts of healthcare professionals, especially those in primary care, are commendable for their dedication to the accurate diagnosis, effective treatment, and ongoing management of hypertension. By working together, Guyana can significantly reduce the burden of hypertension and promote longer, healthier lives for all its citizens.”