São Paulo - Novartis Foundation...This is particularly true for São Paulo, which has one of the...
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A Novartis Foundation initiative to improve cardiovascular health in low-income urban communities by encouraging the adoption of healthier lifestyles and improving the control of hypertension as a key risk factor for cardiovascular disease. Improves the prevention, detection, treatment, management and care of high blood pressure (hypertension) through a multisector approach with long-term sustainability in mind. Why São Paulo? Why is high blood pressure such a problem? The Novartis Foundation selected São Paulo for the Better Hearts Better Cities initiative because of its high unmet need in hypertension (high blood pressure). 25.9% of people surveyed in São Paulo reported that they knew they were at risk of hypertension. 1 Control rates for hypertension in Brazil are low. Uncontrolled hypertension can lead to cardiovascular diseases such as stroke, heart disease or heart failure. These chronic diseases are responsible for 1 in 3 deaths in Brazil. 1,2 Putting its people at the center, the local authorities in São Paulo, supported by the Novartis Foundation and its partners, are committed to improving how health systems manage chronic conditions like hypertension. 3 High blood pressure is often called a “silent killer” because it has no obvious symptoms, but dramatically increases the risk of stroke or heart attack. Worse, many people live with high blood pressure without knowing it. Even among people who have been diagnosed, treatment adherence remains extremely low: in São Paulo, only 20% of hypertensive patients take their medication on a regular basis. 4 Additionally, changing lifestyles increasingly characterized by unhealthy diet, reduced physical activity, stress, excessive alcohol and tobacco consumption increase the risk of developing high blood pressure. This is particularly true for São Paulo, which has one of the world’s highest population densities. Only 32.4% of people in the city are physically active, 3 only 30% eat fruit or vegetables on a regular basis, 5 and more than half of the population is overweight. 3 Plus, one-third of São Paulo’s population live in the city’s lower income neighborhoods, 6 where access to quality public healthcare services is unequally distributed. 3 What is Better Hearts Better Cities? How does it work? São Paulo Why is a multisector approach needed? Today’s urban health challenges are complex, involving factors as broad as lifestyle choices, diet, transport, workplace practices and air pollution. These challenges are systemic and cannot be tackled by one organization alone. By collaborating with partners across a range of sectors, we can co-design and implement holistic solutions for healthier cities and communities. Better Hearts Better Cities builds networks of multisector partners. Partners can include healthcare providers, digital and telecommunication organizations, food suppliers, employers, insurance funds, social enterprises and civil societies - all in collaboration with local government.
Transcript of São Paulo - Novartis Foundation...This is particularly true for São Paulo, which has one of the...
A Novartis Foundation initiative to improve cardiovascular health in low-income urban communities by encouraging the adoption of healthier lifestyles and improving the control of hypertension as a key risk factor for cardiovascular disease.
Improves the prevention, detection, treatment, management and care of high blood pressure (hypertension) through a multisector approach with long-term sustainability in mind.
Why São Paulo?
Why is high blood pressure such a problem?
The Novartis Foundation selected São Paulo for the Better Hearts Better Cities initiative because of its high unmet need in hypertension (high blood pressure). 25.9% of people surveyed in São Paulo reported that they knew they were at risk of hypertension.1
Control rates for hypertension in Brazil are low. Uncontrolled hypertension can lead to cardiovascular diseases such as stroke, heart disease or heart failure. These chronic diseases are responsible for 1 in 3 deaths in Brazil.1,2
Putting its people at the center, the local authorities in São Paulo, supported by the Novartis Foundation and its partners, are committed to improving how health systems manage chronic conditions like hypertension.3
High blood pressure is often called a “silent killer” because it has no obvious symptoms, but dramatically increases the risk of stroke or heart attack. Worse, many people live with high blood pressure without knowing it. Even among people who have been diagnosed, treatment adherence remains extremely low: in São Paulo, only 20% of hypertensive patients take their medication on a regular basis.4 Additionally, changing lifestyles increasingly characterized by unhealthy diet, reduced physical activity, stress, excessive alcohol and tobacco consumption increase the risk of developing high blood pressure.
This is particularly true for São Paulo, which has one of the world’s highest population densities. Only 32.4% of people in the city are physically active,3 only 30% eat fruit or vegetables on a regular basis,5 and more than half of the population is overweight.3 Plus, one-third of São Paulo’s population live in the city’s lower income neighborhoods,6 where access to quality public healthcare services is unequally distributed.3
What is Better Hearts Better Cities?
How does it work?
São Paulo
Why is a multisector approach needed?
Today’s urban health challenges are complex, involving factors as broad as lifestyle choices, diet, transport, workplace practices and air pollution. These challenges are systemic and cannot be tackled by one organization alone. By collaborating with partners across a range of sectors, we can co-design and implement holistic solutions for healthier cities and communities.
Better Hearts Better Cities builds networks of multisector partners. Partners can include healthcare providers, digital and telecommunication organizations, food suppliers, employers, insurance funds, social enterprises and civil societies - all in collaboration with local government.
What’s the overall aim?
How will Better Hearts Better Cities be managed?
Which local partners are involved in Better Hearts Better Cities in São Paulo?
What’s going to happen?
Better Hearts Better Cities has the ambitious aim of developing a replicable and sustainable model for the prevention and management of noncommunicable diseases (NCDs) in low income urban settings, with a focus on hypertension.
The initiative is driven by a collective of partners in close collaboration with local authorities. A steering committee provides strategic direction for local interventions. An operations committee made up of multisector partners coordinates the implementation of these interventions.
A mix of global and local partners are working with the Novartis Foundation as part of Better Hearts Better Cities in São Paulo.
Instituto Tellus is the local implementation partner and will lead and align partners behind identified priorities, like conducting health education campaigns and implementing healthy lifestyle activities.
Other local partners are Sta. Marcelina, SOCESP and the City of São Paulo. Their work will be complemented by global partners including the CDC Foundation, the American Heart Association, NCD Alliance, and the Business Performance Institute.
Partners in selected districts of São Paulo will test a number of interventions across five key areas beginning in 2018:
• Strengthening Primary Care: leveraging São Paulo’s existing primary care infrastructure to strengthen hypertension prevention and care via training schemes, making medical decision-making easier, enhancing the digital registry of hypertensive patients to improve patient management, and health outcomes monitoring.
• Improving Patient Centeredness and Care Coordination: setting up digital tools for identifying undiagnosed hypertensive patients via community healthcare workers.
• Health Literacy: improving hypertension awareness and health literacy by working with primary care professionals and civil society to reinforce education programs.
• Access and Affordability: identifying ways to improve equitable access to care for hypertension.
• Promoting Healthy Living and Working Conditions: working with partners from other sectors like education, sport and insurance to motivate all people, no matter where they live in the city, to lead healthier and more active lifestyles.
São Paulo
1. Lotufo, P. (2015). Cardiovascular diseases in Brazil: premature mortality, risk factors and priorities for action. Comments on the preliminary results from the Brazilian National Health Survey (PNS), 2013. Sao Paulo Med J. 133(2):69-72.2. WHO. NCD Country Profile 2014. Brazil. Available at: http://www.who.int/nmh/countries/bra_en.pdf3. Prefeitura de São Paulo (2017). Programa de Metas 2017 – 20204. Pierin et al. (2011). High blood pressure control and related factors at primary care located in the west side of the city of São Paulo, Brazil.5. Brasil Ministério da Saúde (2016). Vigitel Brasil 2016. Brasília: Ministério da Saúde, 2017.6. World Bank. Improving Slums: Stories from Sao Paulo. Available at: http://blogs.worldbank.org/sustainablecities/no-excuses-slum-upgrading. .
For more information, visit www.novartisfoundation.org
