A Population-Based Policy and Systems Change Approach to Prevent and Control Hypertension (2010) / Chapter Skim
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3 The Role of the Division for Heart Disease and Stroke Prevention in the Prevention and Control of Hypertension
3 The Role of the Division for Heart Disease and Stroke Prevention in the Prevention and Control of Hypertension
Pages 75-90
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From page 75... ...
Division for Heart Disease and Stroke Prevention, its resources, the legislative history of relevant programs, and an overview of activities directed at preventing and reducing hypertension in the United States. The Cardiovascular Health Studies Branch, established in 1989 within the Division of Adult and Community Health in the National Center for Chronic Disease Prevention and Health Promotion (NCCDPHP)
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From page 76... ...
NATIONAL HEART DISEASE AND STROKE PREVENTION PROGRAM Established in 1998, the State Heart Disease and Stroke Prevention Program is the division's largest program. The program funds or provides tools, guidance, and other assistance to all 50 states; thus, it is now referred to as a national program.
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From page 77... ...
These states implement and evaluate policies, offer environmental and educational interventions in various settings, and facilitate provider education and training. In an effort to assist in the outcome evaluation of heart disease and stroke prevention activities within states, the DHDSP developed policy and systems outcome indicators for controlling high blood pressure.
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From page 78... ...
Each high blood pressure control outcome Figure 3-1 grayscale indicator identified in the DHDSP's draft document can be nested within a component outlined in the logic model. The model includes a spectrum of intervention approaches, including health care system changes, provider changes, individual changes, worksite changes, and community changes, that can effectively reduce the burden of risk factors and disease.
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From page 79... ...
The legislation specifically required that grants for the program be provided only through entities that screen women for breast or cervical cancer through the National Breast and Cervical Cancer Early Detection Program. As the name of the program suggests, the legislation integrates and leverages the services and efforts of a cancer screening and evaluation program with a primary prevention program to reduce cardiovascular risk in women.
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From page 80... ...
. THE PAuL COVERDELL NATIONAL ACuTE STROKE REGISTRy The CDC's effort to create state-based stroke registries was initiated in 2001 as a result of congressional language in the CDC Heart Disease and Stroke appropriations budget line.
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From page 81... ...
State awardees design a survey to collect data on blood pressure, cholesterol, and other relevant cardiovascular health information, including risk factors and health behaviors. The goal of the program is to provide data with which to monitor progress toward the Healthy People 2010 objectives related to control of high blood pressure and high cholesterol.
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From page 82... ...
The objectives identified in this area included the reduction of coronary heart disease and stroke deaths and also addressed cholesterol, smoking, dietary fat, physical activity, and overweight. The objectives relating to hypertension included efforts to increase control of high blood pressure, increase therapeutic actions by those with high blood pressure, and increase blood pressure screening.
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From page 83... ...
Other partners engaged in working with the DHDSP and NHLBI to achieve these goals included other CDC units, other federal agencies, and the American Heart Association. The Memorandum of Understanding signed by these partners in 2001 created the Healthy People 2010 Partnership for Heart Disease and Stroke Prevention, which in 2003 became the National Forum for Heart Disease and Stroke Prevention and includes a much broader array of participants.
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From page 84... ...
APPROACH TO PREVENT AND CONTROL HYPERTENSION FIGuRE 3-2 Progress quotient chart for Healthy People 2010 Focus Area 12: Heart Disease and Stroke.
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From page 85... ...
The Action Plan is not specific to the prevention and control of hypertension; rather, it is written for the most part in the general terms of preventing heart disease and stroke. Two recommendations were considered fundamental to the plan: Effective Communication: • he urgency and promise of preventing heart disease and stroke T and their precursors (i.e., atherosclerosis, high blood pressure, and their risk factors and determinants)
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From page 86... ...
As an example, research to assess community-wide interventions aimed at maintaining and restoring low blood cholesterol levels and low blood pressure, which help prevent atherosclerosis and high blood pressure, are suggested. This recommendation was designated a 2008-2009 priority.
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From page 87... ...
Some of the relevant primary prevention activities are the domain of other divisions of the National Coordinating Center for Chronic Disease Prevention and Health Promotion that focus broadly on preventing chronic diseases and their risk factors. These divisions work as separate organizational units, each with its own budget and mission related to a specific disease, risk factor(s)
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From page 88... ...
Division of $57.6 DASH funds education and health agencies in 22 Adolescent and states and 1 tribal government to help schools School Health implement a coordinated school health approach, (DASH) with an emphasis on promoting physical activity, healthy eating, and a tobacco-free lifestyle.
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From page 89... ...
ACHIEVE selects communities to participate in an Action Institute, which convenes community action teams and trains community leaders making policy, systems, and environmental changes to prevent and control chronic diseases and their risk factors. DACH also supports the YMCA of the Pioneering Healthier Communities initiative.
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From page 90... ...
1991. Healthy people 2000: National health promotion and disease prevention objec tives.
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