Abstract
Hypertension programme of the North Karelia Project. Tuomilehto, J., Puska, P., and Nissinen, A. (Coordinating Centre of the North Karelia Project, University of Kuopio, Kuopio, Finland).
The present article describes the background and principles of a programme for community control of hypertension, which is part of the North Karelia project—a comprehensive community programme for the control of cardiovascular diseases. The hypertension programme also forms part of an international co-operative study by WHO. The programme consists of a community intervention integrated with the service structure. The methods used include health education of the public, education of health service personnel, organization of a service for the spreading of information and also for screening, treatment and follow-up. Every hypertensive person in the community is registered in the hypertension register and checked on annually. The evaluation is made mainly on baseline and terminal survey data from the intervention area and a reference area, the hypertension register, a myocardial infarction register and a stroke register in the intervention area.