Global Health & Population Project on Access to Care for Cardiometabolic Diseases (HPACC)



HPACC Coverage (denoted in blue)
We are a global team of researchers aiming to better understand the
     i) prevalences,
     ii) health system performances,
     iii) associated lifestyle behaviors, and
     iiii) sociodemographic patterns
of cardiometabolic diseases and of diabetes, hypertension, and dyslipidemia in particular.


Data

Our data consists of:
  • >70 individual-level, nationally representative surveys of LMICs.
  • >1.3 million adults
  • The large majority of surveys are WHO's Stepwise Approach to Surveillance of Noncommunicable Disease Risk Factors Surveys  (STEPS)
Inclusion criteria were:
  • Surveys had to be conducted during or after 2008
  • had to come from an upper-middle, lower-middle, or low-income country per World Bank definition during the survey year
  • be nationally representative with a response rate of over 50%
  • have data available at the individual-level
  • include biomarkers for diabetes, hypertension and/or dyslipidemia 


Collaborators

HPACC consists of a global team of researchers:
  • from various institutions in the countries included in the dataset, e.g. universities, ministries of health, etc.
  • from the University of Goettingen, Germany
  • from the Heidelberg Institute of Global Health, Germany
  • from Harvard University, USA
  • from Birmingham University, UK
  • from Stanford University, USA


Publications

2021
Unmet Need for hypercholesterolemia care in 35 low- and middle-income countries: A cross-sectional study of nationally-representative surveys.
PLoS Medicine
Authors: Marcus ME, Ebert C, Geldsetzer P, Theilmann M, Bicaba BW, Andall-Brereton G, Bovet P, Farzadfar F, Gurung MS, Houehanou C, Malekpour MR, Martins JS, Moghaddam SS, Mohammadi E, Norov B, Quesnel-Crooks S, Wong-McClure R, Davies JI, Hlatky MA, Atun R, Bärnighausen TW, Jaacks LM, Manne-Goehler J,  Vollmer S

Estimated impact of increased diagnosis, treatment, and control of diabetes mellitus among LMICs: A microsimulation model.
The Lancet Global Health
Authors: Basu S, Flood D, Geldsetzer P, Theilmann M, Marcus ME, Ebert C, Mayige M, Wong-McClure R, Farzadfar F, Moghaddam SS, Agoudavi K, Norov B, Houehanou C, Andall-Brereton G, Gurung M, Brian G, Bovet P, Martins J, Atun R, Bärnighausen T, Vollmer S, Manne-Goehler J, Davies J

Body mass index and diabetes risk in 57 low- and middle-income countries: a cross-sectional study of nationally-representative individual-level data.
The Lancet
Authors: Teufel F, Seiglie JA, Geldsetzer P, Theilmann M, Marcus ME, Ebert C, Agoudavi K, Andall-Brereton G, Aryal KK, Bicaba BW, Brian G, Bovet P, Dorobantu M, Gathecha G, Gurung MS, Guwatudde D, Msaidié M, Houehanou C, Houinato D, Jorgensen J, Kagaruki GB, Karki KB, Labadarios D, Martins JS, Mayige MT, McClure RW, Mwangi JK, Mwalim O, Norov B, Quesnel-Crooks S, Silver BK, Sturua L, Tsabedze L, Wesseh CS, Stokes A, Essien UR, De Neve J-W, Atun R, Davies JI, Vollmer S, Bärnighausen T, Ali MK, Meigs JB, Wexler DJ, Manne-Goehler J (2021) The Lancet, 398: 238-248

Targeting hypertension screening in low- and middle-income countries: A cross-sectional analysis of 1.2 million adults in 56 countries
Journal of the American Heart Association
Authors: Kirschbaum T, Theilmann M, Sudharsanan N, Manne-Goehler J, Lemp J, De Neve J-W, Marcus ME, Ebert C, Chen S, Aryal KK, Bahendeka SK, Bolormaa N, Damasceno A, Dorobantu M, Farzadfar F, Gurung MS, Guwatudde D, Labadarios D, Moghaddam SS, Webster J, Davies JI, Atun R, Vollmer S, Bärnighausen T, Jaacks LM, Geldsetzer P

The State of Diabetes Treatment Coverage in 55 Low- and Middle-Income Countries: A Cross-Sectional Study of Nationally Representative, Individual-Level Data in 680,102 Adults.
The Lancet Healthy Longevity

Authors: Flood D, Seiglie JA, Dunn M, Tschida S, Theilmann M, Marcus ME, Brian G, Norov B, Mayige MT, Gurung MS, Aryal KK, Labadarios D, Dorobantu M, Silver BK, Bovet P, Jorgensen J, Guwatudde D, Houehanou C, Andall-Brereton G, Quesnel-Crooks S, Sturua L, Farzadfar F, Moghaddam S, Atun R, Vollmer S, Bärnighausen T, Davies JI, Wexler DJ, Geldsetzer P, Rohloff P, Ramírez-Zea M, Heisler M, Manne-Goehler J

Cardiovascular disease risk profile and management practices in 45 low-income and middle-income countries: a cross sectional study of nationally representative individual- level survey data from 600,484 adults.
PLoS Medicine
Authors: Peiris D, Ghosh A, Manne-Goehler J, Jaacks JM, Theilmann M, Marcus ME, Zhumadilov Z, Wesseh CS, Tsabedze L, Supiyev A, Sturua L, Silver BK, Sibai AM, Quesnel-Crooks S, Pelam DA, Norov B, Mwangi JK, Mwalim O, Wong-McClure R, Mayige MT, Martins JS, Lunet N, Labadarios D, Karki KB, Kagaruki GB, Jorgensen JMA, Hwalla NC, Houinato D, Houehanou C, Msaidié M, Guwatudde D, Gurung MS, Gathecha G, Damasceno A, Bicaba BW, Aryal KK, Andall-Brereton G, Agoudavi K, McKenzie B, Webster J, Atun R, Bärnighausen T, Vollmer S, Davies JI, Geldsetzer P
2020

Association between country preparedness indicators and quality clinical care for cardiovascular disease risk factors in 44 lower and middle income countries: A multi-country analysis of survey data.
PLoS Medicine
Authors: Davies JI, Reddiar SK, Hirschhorn LR, Ebert C, Marcus ME, Seiglie JA, Zhumadilov Z, Supiyev A, Sturua L, Silver BK, Sibai AM, Quesnel-Crooks S, Norov B, Mwangi JK, Mwalim O, McClure RW, Mayige MT, Martins JS, Lunet N, Labadarios D, Karki KB, Kagaruki GB, Jorgensen JMA, Hwalla NC, Houinato D, Houehanou C, Msaidie M, Guwatudde D, Gurung MS, Bovet P, Bicaba BW, Aryal KK, Andall-Brereton G, Brian G, Stokes A, Vollmer S, Bärnighausen T, Atun R, Geldsetzer R, Manne-Goehler J, Jaacks LM

Lifetime Prevalence of Cervical Cancer Screening in 55 Low- and Middle-Income Countries.
JAMA
Authors: Lemp J, De Neve JW, Bussmann H, Chen S,Manne-Goehler J, Theilmann M, Marcus ME, Ebert C, Probst C, Tsabedze L, Sturua L, Kibachio JM, Moghaddam S, Martins JS, Houinato D, Houehanou C, Gurung MS, Gathecha G, Farzadfar F, Dryden-Peterson S, Davies JI, Atun R, Vollmer S, Bärnighausen T, Geldsetzer P

Analysis of attained height and diabetes among 554,122 adults across 25 low- and middle-income countries.
Diabetes Care
Authors: Teufel F, Geldsetzer P, Manne-Goehler J, Karlsson O, Koncz V, Deckert A, Theilmann M, Marcus ME, Ebert C, Seiglie J, Agoudavi K, Andall-Brereton G, Gathecha G, Gurung MS, Guwatudde D, Houehanou C, Hwalla N, Kagaruki GB, Karki KB, Labadarios D, Martins JS, Msaidie M, Norov B, Sibai AB, Sturua L, Tsabedze L, Wesseh CS, Davies J, Atun R, Vollmer S, Subramanian SV, Bärnighausen T, Jaacks L, De Neve J-W

Diabetes Prevalence and Its Relationship With Education, Wealth, and BMI in Twenty-Nine Low- and Middle-Income Countries.
Diabetes Care
Authors: Seiglie JA, Marcus ME, Ebert C, Prodromidis N, Geldsetzer P, Theilmann M, Agoudavi K, Andall-Brereton G, Aryal KK, Bicaba BW, Bovet P, Brian G, Dorobantu M, Gathecha G, Singh Gurung M, Guwatudde D, Msaidié M, Houehanou C, Houinato D, Jorgensen JMA, Kagaruki GB, Karki KB, Labadarios D, Martins JS, Mayige MT, McClure RW, Mwangi JK, Mwalim O, Norov B, Quesnel-Crooks S, Silver BK, Sturua L, Tsabedze L, Stanford Wesseh C, Stokes A, Atun R, Davies JI, Vollmer S, Bärnighausen TW,  Jaacks LM, Meigs JB, Wexler DJ, Manne-Goehler J
2019

The state of hypertension care in 44 low- and middle-income countries: a cross-sectional study of individual-level nationally representative data from 1.1 million adults.
The Lancet
Authors: Geldsetzer P, Manne-Goehler J, Marcus ME, Ebert C, Zhumadilov Z, Wesseh CS, Tsabedze L, Supiyev A, Sturua L, Silver BK, Sibai AM, Quesnel-Crooks S, Norov B, Mwangi JK, Mwalim O, McClure RW, Mayige MT, Martins JS, Lunet N, Labadarios D, Karki KB, Kagaruki GB, Jorgensen JMA, Hwalla NC, Houinato D, Houehanou C, Msaidié M, Guwatudde D, Gurung MS, Gathecha G, Dorobantu M, Damasceno A, Bovet P, Bicaba BW, Aryal KA, Andall-Brereton G, Agoudavi K, Stokes A, Davies JI, Bärnighausen T, Atun R, Vollmer S, Jaacks LM

Health system performance for people with diabetes in 28 low- and middle-income countries: A cross-sectional study of nationally representative surveys.
PLoS Medicine
Authors: Manne-Goehler J, Geldsetzer P, Agoudavi K, Andall-Brereton G, Aryal KK, Bicaba BW, Bovet P, Brian G, Dorobantu M, Gathecha G, Gurung MS, Guwatudde D, Msaidie M, Houehanou C, Houinato D, Jorgensen JMA, Kagaruki GB, Karki KB, Labadarios D, Martins JS, Mayige MT, McClure RW, Mwalim O, Mwangi JK, Norov B, Quesnel-Crooks S, Silver BK, Sturua L, Tsabedze L, Wesseh CS, Stokes A, Marcus ME, Ebert C, Davies JI, Vollmer S, Atun R, Bärnighausen T, Jaacks L
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