Implementation of the HEARTS Technical Package in Primary Health Care


The Global HEARTS initiative of the World Health Organization (WHO) aims to improve practices in the control of cardiovascular diseases in the primary care level through the use of four technical packages: MPOWER for tobacco control, SHAKE for the reduction of salt consumption, REPLACE for the elimination of trans fat, and HEARTS for the clinical management of hypertension, diabetes and dyslipidemia, with the emphasis on the modification of lifestyle ( HEARTS prioritizes the systematic management of hypertension through effective and low-cost diagnostic and therapeutic interventions.

The course consists of 12 modules, from module III to XI each will be composed of 5 parts: 1) Module introduction and main concepts based on a presentation by a qualified speaker with experience with HEARTS initiative, 2) Learning capsules consisting of short learning videos called "capsules" and other didactic material already done from the previous courses on Secondary prevention of cardiovascular diseases in PHC level and Diagnosis and management of hypertension for primary health care providers, both courses already launched in the VCPH, 3) Clinical exercise, 4) Recommended reading: include the most important references that should be read to complement the learning process of the module, and 5) Evaluation, composed of 5 to 10 multiple choice questions that cover everything related to theoretical, practical and reading material.


This course is intended for primary care physicians, nurses, and others health workers, such as nutritionists, social workers, psychologists and other members of primary care team and health care managers.

Additionally, faculty at health sciences programs, including medicine, nursing, public health, are encouraged to make the course available to their students or to embed it in appropriate courses.


The course will be available on the Virtual Campus for Public Health of PAHO/WHO platform, accessible 24/7, on a self-administered modality to be taken at the participant’s own pace, independently or as part of on-the-job professional development programs.


The course modules will be opened progressively. It is possible that some of the modules described below will not be available during the first few weeks after the launching of the course.

  • MODULE 0 Welcome remarks 
  • MODULE I Course structure and content
  • MODULE II Framework of the HEARTS Global Initiative 
  • MODULE III Healthy-lifestyle counseling
  • MODULE IV Evidence-based treatment protocols
  • MODULE V Access to essential medicines and technology
  • MODULE VI Risk based CVD management
  • MODULE VII Team-based care
  • MODULE VIII Systems for monitoring
  • MODULO IX Implementation
  • MODULE X Implementation and research
  • MODULE XI Cost
  • MODULE XII Course wrap up. Theoretical and practical conclusions