Rôle modérateur du système de santé dans l’interaction entre vulnérabilité économique et hypertension

Andriamananjara Gérald Pruvot and Blanche Nirina Richard
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Andriamananjara Gérald Pruvot: University of Antanarivo, Madagascar
Blanche Nirina Richard: University of Antanarivo, Madagascar

Les Cahiers du CEDIMES, 2025, vol. 20, issue 3, 120-135

Abstract: Hypertension (HTA) poses a significant public health challenge globally, particularly in low-income countries where its prevalence continues to rise. Gheorghe et al. (2018) highlight that this condition has become a critical issue in these regions, leading to substantial economic repercussions for households, health systems, and society as a whole. Despite extensive research on HTA, economic evaluations of the condition remain inadequate, especially regarding the capacity of health systems to fund effective interventions. This study focuses on the alarming increase of hypertension in Madagascar and its implications for public health, emphasizing how economic inequalities exacerbate the situation by limiting access to care for vulnerable populations. It underscores the moderating role of public health expenditures, which can mitigate the adverse effects of precarious economic conditions on HTA prevalence. The article advocates for appropriate resource allocation to enhance access to care and recommends an integrated approach that considers both health expenditures and economic inequalities. Finally, it stresses the necessity for increased investments in the health sector and targeted policy interventions while highlighting the importance of high-quality research to better understand the dynamics between health and economics, ultimately informing effective and sustainable health policies.

Date: 2025
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DOI: 10.69611/cahiers20-3-09

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