Patient Mr. Krishna Maharaj with his physician Dr. Michael Jaggernauth at Freeport Health Centre
Trinidad and Tobago is a twin-island state in the southern Caribbean. Its population of 1.35 million people come from diverse African, East Indian, and mixed ethnic backgrounds. Trinidad and Tobago joined the global HEARTS Initiative in July 2019, which is led in this country by the government in partnership with the Pan American Health Organization (PAHO). “The HEARTS Initiative is a new way to deliver health services, reforming the way we work”, explained Dr. Rohit Doon, Public Health Medical Advisor at the Ministry of Social Development and Family Services. The HEARTS Initiative includes key evidence-based interventions such as standardized treatment protocol, access to high-quality medication and blood pressure measuring devices, team-based care supported by training and a system for monitoring and evaluation to improve the quality of care provided.
Since 2019, the Ministry of Health in Trinidad and Tobago has been working to scale-up the implementation of this initiative. HEARTS was initially rolled out in five primary health care centers, one in each Regional Health Authority (RHA). Data provided by these health centers revealed that hypertension control improved significantly: In two of the health care centers, Sangre Grande blood pressure control increased from 20% to 36% and Arima from 30% to 51% (an increase of 16.0% and 21.0% respectively) within the first six months of implementation.[1] Today, HEARTS is being implemented in 102 primary care centers throughout the entire country, reaching around 100,000 persons with hypertension treatment, and transforming Trinidad and Tobago into the first country to scale up HEARTS nationally within its primary care system.