Hypertension prevention and control in Malaysia: a review

Background: Hypertension is a major public health issue. It is the leading preventable risk factor for premature death and disability, mainly due to ischemic heart disease and stroke. In Malaysia, the age-adjusted prevalence of hypertension was 35.3% in 2015. Hypertension burden is expected to grow...

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Main Authors: Tan, Hooi Shyuan, Ariffin, Ahmad Azuhairi, Mustapha, Feisul Idzwan
Format: Article
Language:English
Published: Community Health Society Malaysia 2020
Online Access:http://psasir.upm.edu.my/id/eprint/89240/
http://psasir.upm.edu.my/id/eprint/89240/1/HEALTH.pdf
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author Tan, Hooi Shyuan
Ariffin, Ahmad Azuhairi
Mustapha, Feisul Idzwan
author_facet Tan, Hooi Shyuan
Ariffin, Ahmad Azuhairi
Mustapha, Feisul Idzwan
author_sort Tan, Hooi Shyuan
building UPM Institutional Repository
collection Online Access
description Background: Hypertension is a major public health issue. It is the leading preventable risk factor for premature death and disability, mainly due to ischemic heart disease and stroke. In Malaysia, the age-adjusted prevalence of hypertension was 35.3% in 2015. Hypertension burden is expected to grow with the ageing population, urbanization, and unhealthy lifestyle. In this review, we aim to describe the current hypertension prevention and control program and its challenges in Malaysia, so that future strategies can be developed to further reduce hypertension prevalence. Methods: A narrative review was conducted in June 2020 using published and grey literature, policy and programme documents, guidelines, official statistics and technical reports that are related to hypertension prevention and control programme in Malaysia. Results: The National Strategic Plan for Non-communicable Diseases presented an overarching framework for primordial, primary, and secondary prevention of NCDs through a multi-faceted approach. The Salt Reduction Strategy has demonstrated a cost-effective, primary population-based prevention. The well-established health care system provided primary and secondary prevention through universal health coverage incorporating the Family Doctor Concept and guided by the Clinical Practice Guideline. Community-based programmes were launched to create a healthy environment that encourages and empowers communities to practice healthy behaviours. Conclusion: Moving the strategic plan forward will require substantial effort and significant capacity building through the whole of government and whole of society approaches. Furthermore, more implementation researches of innovative, cost-effective and sustainable programmes incorporating technologies, are needed to combat the country's emerging hypertension burden.
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spelling upm-892402021-09-20T23:30:21Z http://psasir.upm.edu.my/id/eprint/89240/ Hypertension prevention and control in Malaysia: a review Tan, Hooi Shyuan Ariffin, Ahmad Azuhairi Mustapha, Feisul Idzwan Background: Hypertension is a major public health issue. It is the leading preventable risk factor for premature death and disability, mainly due to ischemic heart disease and stroke. In Malaysia, the age-adjusted prevalence of hypertension was 35.3% in 2015. Hypertension burden is expected to grow with the ageing population, urbanization, and unhealthy lifestyle. In this review, we aim to describe the current hypertension prevention and control program and its challenges in Malaysia, so that future strategies can be developed to further reduce hypertension prevalence. Methods: A narrative review was conducted in June 2020 using published and grey literature, policy and programme documents, guidelines, official statistics and technical reports that are related to hypertension prevention and control programme in Malaysia. Results: The National Strategic Plan for Non-communicable Diseases presented an overarching framework for primordial, primary, and secondary prevention of NCDs through a multi-faceted approach. The Salt Reduction Strategy has demonstrated a cost-effective, primary population-based prevention. The well-established health care system provided primary and secondary prevention through universal health coverage incorporating the Family Doctor Concept and guided by the Clinical Practice Guideline. Community-based programmes were launched to create a healthy environment that encourages and empowers communities to practice healthy behaviours. Conclusion: Moving the strategic plan forward will require substantial effort and significant capacity building through the whole of government and whole of society approaches. Furthermore, more implementation researches of innovative, cost-effective and sustainable programmes incorporating technologies, are needed to combat the country's emerging hypertension burden. Community Health Society Malaysia 2020 Article PeerReviewed text en http://psasir.upm.edu.my/id/eprint/89240/1/HEALTH.pdf Tan, Hooi Shyuan and Ariffin, Ahmad Azuhairi and Mustapha, Feisul Idzwan (2020) Hypertension prevention and control in Malaysia: a review. International Journal of Public Health and Clinical Sciences, 7 (4). 19 - 31. ISSN 2289-7577 http://www.publichealthmy.org/ejournal/ojs2/index.php/ijphcs/article/view/1300
spellingShingle Tan, Hooi Shyuan
Ariffin, Ahmad Azuhairi
Mustapha, Feisul Idzwan
Hypertension prevention and control in Malaysia: a review
title Hypertension prevention and control in Malaysia: a review
title_full Hypertension prevention and control in Malaysia: a review
title_fullStr Hypertension prevention and control in Malaysia: a review
title_full_unstemmed Hypertension prevention and control in Malaysia: a review
title_short Hypertension prevention and control in Malaysia: a review
title_sort hypertension prevention and control in malaysia: a review
url http://psasir.upm.edu.my/id/eprint/89240/
http://psasir.upm.edu.my/id/eprint/89240/
http://psasir.upm.edu.my/id/eprint/89240/1/HEALTH.pdf