ArticleRevista panamericana de salud publica = Pan American journal of public health2026
[National implementation of HEARTS in Cuba: Management and innovation in a context of limited resourcesImplementação nacional da iniciativa HEARTS em Cuba: gestão e inovação em um contexto de recursos limitados].
Article in Revista panamericana de salud publica = Pan American journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
1 citing paper in PubMed.
- Review
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
The HEARTS initiative in the Americas, aimed at reducing cardiovascular mortality through the control of hypertension, required significant contextual adaptation for its successful implementation in Cuba. This article analyzes the organizational strategy and key innovations used to adapt the model to the national context, which enabled the program to expand from a single demonstration site (2016) to 451 primary care centers nationwide (2022). EThe process unfolded in three critical phases: (i) the adaptation of the HEARTS technical packages to primary health care in Cuba; ii) its adoption through a logical framework integrated with existing health policies; and iii) its institutionalization through regulatory reforms, the redesign of professional roles, and innovation in pharmaceuticals and local medical technology. A descriptive, cross-sectional study was conducted to evaluate the implementation of HEARTS in Cuba's 451 polyclinics. The results of the HEARTS quality self-assessment in 2025 (nationwide) and in the first half of 2026 (at the demonstration site) are included. Despite severe economic constraints, the institutionalization of HEARTS within Cuba's National Hypertension Program ensured its sustainability through governance restructuring, ongoing training, and data monitoring via the DHIS2 platform. This integration demonstrates that it is possible to implement global health policies through systematic adaptation and to expand coverage based on best practices through international technical cooperation.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.