Di Cesare M, Bixby H, Gaziano T, Hadeed L, Kabudula C, McGhie DV, et al. World Heart Report 2023: Confronting the World’s Number One Killer. Geneva, Switzerland: World Heart Federation; 2023.

World Heart Federation. Women & CVD. https://world-heart-federation.org/what-we-do/women-cvd/?petition=close.

World Health Organization. Global status report on noncommunicable diseases 2010. 2011. https://iris.who.int/handle/10665/44579.

World Health Organization. Hypertension. 2023. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1.

Ataklte F, Erqou S, Kaptoge S, Taye B, Echouffo-Tcheugui JB, Kengne AP. Burden of undiagnosed hypertension in sub-Saharan Africa: a systematic review and meta-analysis. Hypertension. 2015;65:291–8.

Article  CAS  PubMed  Google Scholar 

Mohamed SF, Uthman OA, Mutua MK, Asiki G, Abba MS, Gill P. Prevalence of uncontrolled hypertension in people with comorbidities in sub-Saharan Africa: a systematic review and meta-analysis. BMJ Open. 2021;11:e045880.

Article  PubMed  PubMed Central  Google Scholar 

Zhou B, Bentham J, Di Cesare M, Bixby H, Danaei G, Cowan MJ, et al. Worldwide trends in blood pressure from 1975 to 2015: a pooled analysis of 1479 population-based measurement studies with 19·1 million participants. Lancet. 2017;389:37–55.

Article  Google Scholar 

Di Cesare M, Perel P, Taylor S, Kabudula C, Bixby H, Gaziano TA, et al. The heart of the world. Glob Heart. 2024;19:11.

Article  PubMed  PubMed Central  Google Scholar 

Alkema L, Chou D, Hogan D, Zhang S, Moller AB, Gemmill A, et al. Global, regional, and national levels and trends in maternal mortality between 1990 and 2015, with scenario-based projections to 2030: a systematic analysis by the UN Maternal Mortality Estimation Inter-Agency Group. Lancet. 2016;387:462–74.

Article  PubMed  Google Scholar 

Hahka TM, Slotkowski RA, Akbar A, VanOrmer MC, Sembajwe LF, Ssekandi AM, et al. Hypertension related co-morbidities and complications in women of Sub-Saharan Africa: a brief review. Circ Res. 2024;134:459–73.

Article  CAS  PubMed  Google Scholar 

Geldsetzer P, Manne-Goehler J, Marcus ME, Ebert C, Zhumadilov Z, Wesseh CS, et al. The state of hypertension care in 44 low-income and middle-income countries: a cross-sectional study of nationally representative individual-level data from 1·1 million adults. Lancet. 2019;394:652–62.

Article  PubMed  Google Scholar 

US Preventive Services Task Force, Krist AH, Davidson KW, Mangione CM, Cabana M, Caughey AB, et al. Screening for hypertension in adults: US Preventive Services Task Force reaffirmation recommendation statement. JAMA. 2021;325:1650.

Article  Google Scholar 

Mills KT, Bundy JD, Kelly TN, Reed JE, Kearney PM, Reynolds K, et al. Global disparities of hypertension prevalence and control: a systematic analysis of population-based studies from 90 countries. Circulation. 2016;134:441–50.

Article  PubMed  PubMed Central  Google Scholar 

Jobe M, Mactaggart I, Hydara A, Kim MJ, Bell S, Badjie O, et al. Evaluating the hypertension care cascade in middle-aged and older adults in The Gambia: findings from a nationwide survey. eClinicalMedicine. 2023;64:102226.

Article  PubMed  PubMed Central  Google Scholar 

Koller R, Agyemang C. Prevalence of cardiovascular disease risk factors in the Gambia: a systematic review. Glob Heart. 2020;15:42.

Article  PubMed  PubMed Central  Google Scholar 

Dev R, Favour-Ofili D, Raparelli V, Behlouli H, Azizi Z, Kublickiene K, et al. Sex and gender influence on cardiovascular health in Sub-Saharan Africa: findings from Ghana, Gambia, Mali, Guinea, and Botswana. Glob Heart. 2022;17:63.

Article  PubMed  PubMed Central  Google Scholar 

Leening MJG, Ikram MA. Primary prevention of cardiovascular disease: the past, present, and future of blood pressure- and cholesterol-lowering treatments. PLoS Med. 2018;15:e1002539.

Article  PubMed  PubMed Central  Google Scholar 

World Health Organization. Social determinants of health. https://www.who.int/health-topics/social-determinants-of-health#tab=tab_1.

Cham B, Scholes S, Ng Fat L, Badjie O, Mindell JS. Burden of hypertension in The Gambia: evidence from a national World Health Organization (WHO) STEP survey. Int J Epidemiol. 2018;47:860–71.

Article  PubMed  Google Scholar 

Cham B, Scholes S, Groce NE, Badjie O, Mindell JS. High level of co-occurrence of risk factors for non-communicable diseases among Gambian adults: a national population-based health examination survey. Prev Med. 2020;141:106300.

Article  PubMed  Google Scholar 

Nguyen T, Barefield A, Nguyen GT. Social determinants of health associated with the use of screenings for hypertension, hypercholesterolemia, and hyperglycemia among American adults. Med Sci. 2021;9:19.

Google Scholar 

Dorgbetor CI, Dickson KS, Kwabena Ameyaw E, Setorwu Adde K. Prevalence and associated factors of hypertension among women in Southern Ghana: evidence from 2014 GDHS. Int J Hypertens. 2022;2022:1–10.

Osamor P, Grady C. Women’s autonomy in health care decision-making in developing countries: a synthesis of the literature. Int J Womens Health. 2016;191–202.

National multi-sectoral strategy and costed action plan for noncommunicable disease prevention and control in the Gambia. The Gambia: Ministry of Health; 2022.

Gambia Bureau of Statistics - GBoS, ICF. The Gambia Demographic and Health Survey 2019-20. Banjul, The Gambia: GBoS/ICF; 2021. https://www.dhsprogram.com/pubs/pdf/FR369/FR369.pdf.

Croft TN, Allen CK, Zachary BW, Arnold F, Assaf S, Balian S, et al. Guide to DHS Statistics DHS-8. Rockville, Maryland, USA: ICF; 2023.

de Marvao A, Alexander D, Bucciarelli‐Ducci C, Price S. Heart disease in women: a narrative review. Anaesthesia. 2021;76:118–30.

Article  PubMed  Google Scholar 

Dhungana RR, Pedisic Z, Dhimal M, Bista B, de Courten M. Hypertension screening, awareness, treatment, and control: a study of their prevalence and associated factors in a nationally representative sample from Nepal. Glob Health Action. 2022;15:2000092.

Article  PubMed  PubMed Central  Google Scholar 

Oyando R, Barasa E, Ataguba JE. Socioeconomic inequity in the screening and treatment of hypertension in Kenya: evidence from a national survey. Front Health Serv. 2022;2:786098.

Article  PubMed  PubMed Central  Google Scholar 

Diallo BA, Hassan S, Kagwanja N, Oyando R, Badjie J, Mumba N, et al. Managing hypertension in rural Gambia and Kenya: protocol for a qualitative study exploring the experiences of patients, health care workers, and decision-makers. NIHR Open Res. 2024;4:5.

Article  Google Scholar 

Hennig BJ, Unger SA, Dondeh BL, Hassan J, Hawkesworth S, Jarjou L, et al. Cohort profile: the Kiang West Longitudinal Population Study (KWLPS)-a platform for integrated research and health care provision in rural Gambia. Int J Epidemiol. 2017;46:e13.

PubMed  Google Scholar 

US Preventive Services Task Force, Barry MJ, Nicholson WK, Silverstein M, Cabana MD, Chelmow D, et al. Screening for hypertensive disorders of pregnancy: US Preventive Services Task Force final recommendation statement. JAMA. 2023;330:1074.

Article  Google Scholar 

Idris IB, Hamis AA, Bukhori ABM, Hoong DCC, Yusop H, Shaharuddin MAA, et al. Women’s autonomy in healthcare decision making: a systematic review. BMC Womens Health. 2023;23:643.

Article  PubMed  PubMed Central  Google Scholar 

Myatra SN, Tripathy S, Einav S. Global health inequality and women – beyond maternal health. Anaesthesia. 2021;76:6–9.

Article  PubMed  Google Scholar 

Tessema ZT, Worku MG, Tesema GA, Alamneh TS, Teshale AB, Yeshaw Y, et al. Determinants of accessing healthcare in Sub-Saharan Africa: a mixed-effect analysis of recent Demographic and Health Surveys from 36 countries. BMJ Open. 2022;12:e054397.

Article  PubMed  PubMed Central  Google Scholar 

Peersman W, Pasteels I, Cambier D, De Maeseneer J, Willems S. Validity of self-reported utilization of physician services: a population study. Eur J Public Health. 2014;24:91–7.

Article  PubMed  Google Scholar 

Najafi F, Pasdar Y, Shakiba E, Hamzeh B, Darbandi M, Moradinazar M, et al. Validity of self-reported hypertension and factors related to discordance between self-reported and objectively measured hypertension: evidence from a cohort study in Iran. J Prev Med Public Health Yebang Uihakhoe Chi. 2019;52:131–9.

Article  PubMed  Google Scholar 

Upadhyay UD, Karasek D. Women’s empowerment and ideal family size: an examination of DHS empowerment measures in Sub-Saharan Africa. Int Perspect Sex Reprod Health. 2012;38:78–89.

Article  PubMed  Google Scholar 

Abreha SK, Zereyesus YA. Women’s empowerment and infant and child health status in Sub-Saharan Africa: a systematic review. Matern Child Health J. 2021;25:95–106.

Article  PubMed  Google Scholar 

World Health Organization. A global brief on hypertension: silent killer, global public health crisis: World Health Day 2013. World Health Organization; 2013.