8 results on '"Abdallahi Sidy Ali"'
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2. Blood pressure-lowering medicines implemented in 12 African countries: the cross-sectional multination EIGHT study
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Xavier Jouven, Bamba Gaye, Marie Antignac, Ibrahima Bara Diop, Marie Cécile Perier, Jean Laurent Takombe, Dadhi Balde, Roland N'Guetta, Anastase Dzudie, Liliane Mfeukeu Kuate, Charles Kouam Kouam, Samuel Kingue, Adama Kane, Pauline Cavagna, Jean Marie Damorou, Stephane Méo Ikama, Kouadio Euloge Kramoh, Ibrahim Ali Toure, Beatriz Ferreira, Martin Houenassi, Suzy Gisele Kimbally-kaki, Emmanuel Limbole, Jean Bruno Mipinda, Carol Nhavoto, Abdallahi Sidy Ali, Gabriel S Tajeu, Diane Macquart De Terline, and Michel Azizi
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Medicine - Abstract
Objective In Africa, the number of patients with hypertension is expected to reach 216.8 million by 2030. Large-scale data on antihypertensive medications used in Sub-Saharan Africa (SSA) are scarce.Here, we describe antihypertensive drug strategies and identify treatment factors associated with blood pressure (BP) control in 12 Sub-Saharan countries.Setting Outpatient consultations for hypertension in urban tertiary cardiology centres of 29 hospitals from 17 cities across 12 SSA countries between January 2014 and November 2015.Participants Patients ≥18 years of age with hypertension were enrolled at any visit during outpatient consultations in the cardiology departmentsMain outcome measure We collected BP levels, demographic characteristics and antihypertensive treatment use (including traditional medicine) of patients with hypertension attending outpatient visits. BP control was defined as seated office BP
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- 2021
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3. The importance of considering cultural and environmental elements in an interventional model of care to fight hypertension in Africa
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Pauline Cavagna, Kouadio Eulodge Kramoh, Abdallahi Sidy Ali, Dahdi M. Balde, Abdoulaye K. Traore, Stephanie Khoury, Xavier Jouven, and Marie Antignac
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Diseases of the circulatory (Cardiovascular) system ,RC666-701 - Published
- 2021
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4. Factors associated with poor adherence to medication among hypertensive patients in twelve low and middle income Sub-Saharan countries.
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Diane Macquart de Terline, Adama Kane, Kouadio Euloge Kramoh, Ibrahim Ali Toure, Jean Bruno Mipinda, Ibrahima Bara Diop, Carol Nhavoto, Dadhi M Balde, Beatriz Ferreira, Martin Dèdonougbo Houenassi, Méo Stéphane Ikama, Samuel Kingue, Charles Kouam Kouam, Jean Laurent Takombe, Emmanuel Limbole, Liliane Mfeukeu Kuate, Roland N'guetta, Jean Marc Damorou, Zouwera Sesso, Abdallahi Sidy Ali, Marie-Cécile Perier, Michel Azizi, Jean Philippe Empana, Xavier Jouven, and Marie Antignac
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Medicine ,Science - Abstract
IntroductionOver the past few decades, the prevalence of hypertension has dramatically increased in Sub-Saharan Africa. Poor adherence has been identified as a major cause of failure to control hypertension. Scarce data are available in Africa.AimsWe assessed adherence to medication and identified socioeconomics, clinical and treatment factors associated with low adherence among hypertensive patients in 12 sub-Saharan African countries.MethodWe conducted a cross-sectional survey in urban clinics of both low and middle income countries. Data were collected by physicians on demographics, treatment and clinical data among hypertensive patients attending the clinics. Adherence was assessed by questionnaires completed by the patients. Factors associated with low adherence were investigated using logistic regression with a random effect on countries.ResultsThere were 2198 individuals from 12 countries enrolled in the study. Overall, 678 (30.8%), 738 (33.6%), 782 (35.6%) participants had respectively low, medium and high adherence to antihypertensive medication. Multivariate analysis showed that the use of traditional medicine (OR: 2.28, 95%CI [1.79-2.90]) and individual wealth index (low vs. high wealth: OR: 1.86, 95%CI [1.35-2.56] and middle vs. high wealth: OR: 1.42, 95%CI [1.11-1.81]) were significantly and independently associated with poor adherence to medication. In stratified analysis, these differences in adherence to medication according to individual wealth index were observed in low-income countries (pConclusionThis study revealed the high frequency of poor adherence in African patients and the associated factors. These findings should be useful for tailoring future programs to tackle hypertension in low income countries that are better adapted to patients, with a potential associated enhancement of their effectiveness.
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- 2019
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5. The importance of considering cultural and environmental elements in an interventional model of care to fight hypertension in Africa
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Abdoulaye K. Traore, Abdallahi Sidy Ali, Pauline Cavagna, Kouadio Eulodge Kramoh, Xavier Jouven, Stéphanie Khoury, D Balde, Marie Antignac, Service de Pharmacie [CHU Saint Antoine], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Sorbonne Université (SU), Paris-Centre de Recherche Cardiovasculaire (PARCC (UMR_S 970/ U970)), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP), Sorbonne Université - Faculté de Médecine (SU FM), Sorbonne Université (SU), and Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)
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business.industry ,Endocrinology, Diabetes and Metabolism ,[SDV]Life Sciences [q-bio] ,Disease Management ,Blood Pressure ,030204 cardiovascular system & hematology ,Public relations ,Ghana ,03 medical and health sciences ,Treatment Outcome ,0302 clinical medicine ,Hypertension ,Internal Medicine ,Humans ,Medicine ,030212 general & internal medicine ,Letters to the Editor ,Cardiology and Cardiovascular Medicine ,business ,Letter to the Editor ,Africa South of the Sahara ,ComputingMilieux_MISCELLANEOUS - Abstract
A chronic disease management model of care (Empower Health) was launched in rural and urban areas of Ghana and Kenya in 2018. The goal was to improve disease awareness, reduce the burden of disease, and improve the clinical effectiveness and efficiency of managing hypertension. Leveraging the model, clinicians provide patients with tailored management plans. Patients accessed regular blood pressure checks at home, at the clinic, or at community-partner locations where they received real-time feedback. On the mobile application, clinicians viewed patient data, provided direct patient feedback, and wrote electronic prescriptions accessible through participating pharmacies. To date, 1266 patients had been enrolled in the "real-world" implementation cohort and followed for an average of 351 ± 133 days across 5 facilities. Average baseline systolic blood pressure (SBP) was 145 ± 21 mmHg in the overall cohort and 159 ± 16 mmHg in the subgroup with uncontrolled hypertension (n = 743) as defined by baseline SBP ≥ 140 mmHg. SBP decreased significantly through 12 months in both the overall cohort (-9.4 mmHg, p .001) and in the uncontrolled subgroup (-17.6 mmHg, p .001). The proportion patients with controlled pressure increased from 46% at baseline to 77% at 12 months (p .001). In summary, a new chronic disease management model of care improved and sustained blood pressure control to 12 months, especially in those with elevated blood pressure at enrollment.
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- 2021
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6. Antihypertensive strategies and hypertension control in Sub-Saharan Africa
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Abdallahi Sidy Ali, Méo Stéphane Ikama, Murielle Hounkponou, Anastase Dzudie, Gabriel S. Tajeu, Jean Marie F. Damorou, Jean Laurent Takombe, Emmanuel Limbole, Ibrahim Ali Toure, Suzy Gisèle Kimbally-Kaki, Adama Kane, Xavier Jouven, Michel Azizi, Carol Nhavoto, Liliane Mfeukeu Kuate, Kouadio Euloge Kramoh, Samuel Kingue, Dadhi M. Balde, Martin Dèdonougbo Houenassi, Charles Kouam Kouam, Marie Antignac, Jean Bruno Mipinda, Beatriz Ferreira, Roland N'Guetta, Bamba Gaye, Ibrahima Bara Diop, Marie Cécile Perier, Diane Macquart de Terline, Pauline Cavagna, Pôle de Pharmacie - Santé Publique - Information médicale [CHU Saint-Antoine], CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Paris-Centre de Recherche Cardiovasculaire (PARCC (UMR_S 970/ U970)), Hôpital Européen Georges Pompidou [APHP] (HEGP), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université Paris Cité (UPCité), University Marien Ngouabi of Brazzaville (umng), Institute of Cardiology of Abidjan [Abidjan, Côte d’Ivoire], Ngaliema Hospital [Kinshasa, Democratic Republic of the Congo], University Hospital of Fann [Dakar, Senegal], University Hospital of Lamorde [Niamey, Niger], Department of Cardiology [Conakry, Guinea], University Hospital of Conakry [Conakry, Guinea], Douala General Hospital, Internal Medicine Department, Douala, Cameroun, Instituto do Coração [Maputo, Mozambique] (ICOR), National University hospital of Hubert K. MAGA [Cotonou, Bénin] (CNHU-HKM), Hôpital Aristide-Le-Dantec, University of Yaoundé [Cameroun], Régional Hospital [Bafoussam, Cameroon], University of Kinshasa (UNIKIN), University hospital of Libreville [Libreville, Gabon], Université de Lomé [Togo], Faculté des Sciences et Techniques [Nouakchott, Mauritania], Temple University [Philadelphia], Pennsylvania Commonwealth System of Higher Education (PCSHE), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO), HAL-SU, Gestionnaire, Pôle de Pharmacie - Santé Publique - Information médicale [Saint-Antoine], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU)-CHU Saint-Antoine [AP-HP], Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Sorbonne Université (SU), Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Assistance publique - Hôpitaux de Paris (AP-HP) (AP-HP)-Hôpitaux Universitaires Paris Ouest - Hôpitaux Universitaires Île de France Ouest (HUPO)-Institut National de la Santé et de la Recherche Médicale (INSERM)-Université de Paris (UP), and Faculty of Medicine, University of Kinshasa
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Sub saharan ,[SDV.MHEP] Life Sciences [q-bio]/Human health and pathology ,Hypertension control ,Epidemiology ,business.industry ,MEDLINE ,developing countries ,030204 cardiovascular system & hematology ,Article ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Environmental health ,cardiology ,Hypertension ,Humans ,Medicine ,030212 general & internal medicine ,Cardiology and Cardiovascular Medicine ,business ,Africa South of the Sahara ,Antihypertensive Agents ,ComputingMilieux_MISCELLANEOUS ,[SDV.MHEP]Life Sciences [q-bio]/Human health and pathology ,antihypertensive medications - Abstract
International audience
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- 2020
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7. Abstract P137: Socioeconomic Status And Hypertension Control In Sub-saharan Africa: The Multination Eight Study
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Liliane Mfeukeu Kuate, Charles Kouam Kouam, Martin Dèdonougbo Houenassi, Yves N’da Kouakou N’goran, Anastase Dzudie, Pierre-François Plouin, Ibrahim Ali Toure, Kumar Narayanan, Jean Bruno Mipinda, Ibrahima Bara Diop, Abdallahi Sidy Ali, Beatriz Ferreira, Zouwera Sesso, Diane Macquart de Terline, Xavier Jouven, Jean Philippe Empana, Kouadio Euloge Kramoh, Marie Antignac, Suzy Gisèle Kimbally-Kaki, Marie Cécile Perier, Emmanuel Limbole, Méo Stéphane Ikama, Adama Kane, Carol Nhavoto, and Dadhi M. Balde
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Blood pressure ,Sub saharan ,Hypertension control ,business.industry ,Physiology (medical) ,Environmental health ,Medicine ,Social determinants of health ,Cardiology and Cardiovascular Medicine ,business ,Socioeconomic status - Abstract
Introduction: Systemic hypertension is a rapidly growing epidemic in Sub-Saharan Africa. Adequacy of blood pressure(BP) control and the factors influencing it, especially the role of socio-economic status(SES) have not been well studied in this part of the world. Hypothesis: We therefore aimed to quantify the association of SES both at the individual and at the country level with BP control in Sub-Saharan Africa. Methods: We conducted a cross-sectional survey in urban clinics of twelve countries, both low-income and middle-income, in Sub-Saharan Africa. Data were collected on demographics, treatment and standardized BP measures were made among the hypertensive patients attending the clinics. BP control was defined as BP Results: A total of 2198 hypertensive patients (58.4±11.8years; 39.9% male) were included, of whom 1017(46.3%) were from low-income and 1181(53.7%) from middle-income countries. Individual wealth level was low, mid and high in 376(17.6%), 1053(49.2%) and 713(33.3%) patients respectively. Uncontrolled hypertension was present in 1692 patients(77.4%) including 1044(47.7%) with ≥grade 2 hypertension. The proportion of uncontrolled hypertension progressively increased with decreasing level of patient individual wealth, respectively 72.8%, 79.3% and 81.8%(p for trend Conclusions: Low individual wealth was significantly associated with poor hypertension control, especially in low-income countries. Strategies for hypertension control in Sub-Saharan Africa should especially focus on people in the lowest individual wealth groups who also reside in low-income countries.
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- 2018
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8. Socioeconomic Status and Hypertension Control in Sub-Saharan Africa: The Multination EIGHT Study (Evaluation of Hypertension in Sub-Saharan Africa)
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Samuel Kingue, Beatriz Ferreira, Roland N'Guetta, Marie Antignac, Ibrahim Ali Toure, Méo Stéphane Ikama, Charles Kouam Kouam, Marie Cécile Perier, Martin Dèdonougbo Houenassi, Suzy Gisèle Kimbally-Kaki, Diane Macquart de Terline, Zouwera Sesso, Pierre-François Plouin, Carol Nhavoto, Adama Kane, Dadhi M. Balde, Dominique Hounsou, Liliane Mfeukeu Kuate, Xavier Jouven, Jean Bruno Mipinda, Anastase Dzudie, Emmanuel Limbole, Jean Philippe Empana, Abdallahi Sidy Ali, Kouadio Euloge Kramoh, Ibrahima Bara Diop, and Kumar Narayanan
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Male ,Sub saharan ,Developing country ,030204 cardiovascular system & hematology ,Odds ,03 medical and health sciences ,0302 clinical medicine ,Risk Factors ,Internal Medicine ,Prevalence ,Medicine ,Humans ,030212 general & internal medicine ,Socioeconomic status ,Developing Countries ,Poverty ,Africa South of the Sahara ,Aged ,Hypertension control ,business.industry ,Urban Health ,Blood Pressure Determination ,Middle income ,Odds ratio ,Middle Aged ,Blood pressure ,Cross-Sectional Studies ,Socioeconomic Factors ,Hypertension ,Female ,business ,Demography - Abstract
Systemic hypertension is a rapidly growing epidemic in Africa. The role of socioeconomic status on blood pressure control has not been well studied in this part of the world. We, therefore, aimed to quantify the association of socioeconomic status both at the individual and at the country level with blood pressure control in Sub-Saharan Africa. We conducted a cross-sectional survey in urban clinics of 12 countries, both low income and middle income, in Sub-Saharan Africa. Standardized blood pressure measures were made among the hypertensive patients attending the clinics. Blood pressure control was defined as blood pressure P for trend, P for trend, 0.03) and not in middle-income countries ( P for trend, 0.26). In low-income countries, the odds of uncontrolled hypertension increased 1.37-fold (odds ratio, 1.37 [0.99–1.90]) and 1.88-fold (odds ratio, 1.88 [1.10–3.21]) in patients with middle and low individual wealth as compared with high individual wealth. Similarly, the grade of hypertension increased progressively with decreasing level of individual patient wealth ( P for trend
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- 2017
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