Table 1.3Recommendations for Health Systems Improvements That Enable Implementation of the Recommended Interventions

PolicyPlatform
Improve access to the following essential medications: aspirin, beta-blockers, diuretics, ACEi, or ARBs, statins, mineralocorticoid agents, nonanalog insulin, bronchodilators, and inhaled corticosteroidsPolicy, public health
Develop a category of trained (nonphysician) health workerPolicy, intersectoral
Offer public emergency medical transport servicesPolicy, intersectoral
Create standardized care pathways for first-level hospitals to manage acute episodes for myocardial infarction, stroke, critical limb ischemia, heart failure, acute kidney injury, chronic obstructive pulmonary disease, or asthma exacerbationPolicy, public health
Issue national targets for secondary prevention to enable primary health centers to manage CVRD effectivelyPolicy, public health

Note: ACEi = angiotensin-converting enzyme inhibitors; ARB = angiotensin receptor blocker; CVRD = cardiovascular and respiratory disease.

From: Chapter 1, Cardiovascular, Respiratory, and Related Disorders: Key Messages and Essential Interventions to Address Their Burden in Low- and Middle-Income Countries

Cover of Cardiovascular, Respiratory, and Related Disorders
Cardiovascular, Respiratory, and Related Disorders. 3rd edition.
Prabhakaran D, Anand S, Gaziano TA, et al., editors.
© 2017 International Bank for Reconstruction and Development / The World Bank.

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