Pay for performance and the management of hypertension

With the global epidemiological transition from communicable to non-communicable diseases, hypertension has become a major risk factor for burden of disease in many high, middle, and low income countries.[1] While no absolute cut point exists for high blood pressure, persistent systolic blood pressure readings of > 140 and/or diastolic blood pressure readings of > 90 are commonly defined as hypertension.[2] Hypertension is a risk factor for cardiovascular disease and its management is advocated to reduce burden to both individuals and health systems.