In a significant move to address the Caribbean’s most pressing health crisis, Antigua and Barbuda has launched an intensive training program in collaboration with the Pan American Health Organization (PAHO). The four-day HEARTS sensitization workshop brought together a diverse team of healthcare professionals—from dentists and physicians to domestic aids and security guards—from ten Phase 1 implementation clinics. This initiative forms a critical component of the broader Better Care for Non-Communicable Diseases (NCDs) Initiative, specifically targeting hypertension control through a unified, team-based care approach.
Cardiovascular diseases represent the primary cause of mortality and disability throughout the Caribbean region, with Antigua and Barbuda being no exception. The HEARTS program aims to revolutionize hypertension management by training entire clinic teams in standardized protocols and best practices. Under the guidance of PAHO experts including Dr. Gloria Giraldo and Dr. Taraleen Malcolm, participants gained comprehensive understanding of the HEARTS framework and the crucial importance of measuring hypertension control drivers.
The training featured innovative hands-on learning methodologies, with role-playing exercises emerging as particularly impactful. These sessions demonstrated proper blood pressure measurement techniques—a skill especially valuable for staff who don’t routinely perform this task. Through humorous yet instructive scenarios, trainers highlighted how easily poor habits can infiltrate patient interactions, leading to moments of revelation among participants. One nurse acknowledged: ‘Thank you for this, because I usually forget to ask the patient to empty their bladder before taking their blood pressure.’
Moving forward, the next several months will focus on establishing robust monitoring systems across all participating healthcare centers. Staff will engage in continuous education through PAHO’s Virtual Campus of Public Health, while patient progress will be systematically tracked using hypertension control metrics. Dr. Amalia Del Riego, PAHO/WHO Representative for Barbados and the Eastern Caribbean Countries, praised this initiative as ‘a critical step’ that empowers healthcare teams through practical skills development while advancing quality improvement in primary healthcare delivery.
