NCD LEARNING PATHWAY • 01

❤️ Cardiovascular Health, Stroke & Hypertension

Your heart and blood vessels are part of a remarkable system that keeps oxygen and nutrients moving throughout your body. But healthy hearts are not created by individual choices alone.

Where we live, what food is available, the air we breathe, opportunities to be active, education, income, healthcare and public policies can all influence cardiovascular health.

GLOBAL SNAPSHOT 19.8 million

estimated cardiovascular disease deaths globally in 2022.

WHO, 2025
YOUR LEARNING JOURNEY

Explore → Learn → Think → Connect → Reflect → Act

Move from understanding your own health to understanding the conditions that shape health for families, communities, countries and the world.

01

Explore

Discover the heart, blood vessels, blood pressure and stroke.

02

Learn

Build evidence-based knowledge about cardiovascular health.

03

Think

Question why cardiovascular risks are not distributed equally.

04

Connect

Move from yourself to family, community, country and world.

05

Reflect

Consider both personal choices and the conditions around us.

06

Act

Identify constructive actions that young people can support.

01 • WHY IS THIS IMPORTANT?

Heart health is a global health issue

Cardiovascular diseases (CVDs) are diseases affecting the heart and blood vessels. They include conditions such as coronary heart disease, cerebrovascular disease and other disorders of the circulatory system.

They remain the leading cause of death globally. WHO estimates that about 19.8 million people died from cardiovascular diseases in 2022. More than three quarters of these deaths occurred in low- and middle-income countries.

Heart attacks and strokes are especially important because they can occur suddenly, while the conditions that increase their risk may develop silently over many years.

19.8M CVD deaths in 2022
85% of CVD deaths were due to heart attack and stroke
>75% of CVD deaths occur in low- and middle-income countries
02 • PERSONAL HINTS

Start with questions about your own world

💭

What keeps your heart healthy?

Think about sleep, movement, food, stress, friendships and the environments in which you spend your time.

🏠

What influences your family?

Are healthy foods affordable and available? Does your family have safe places to be active?

🏙️

What does your community provide?

Are there parks, sidewalks, recreation spaces and accessible healthcare services?

🌍

Who shapes the bigger picture?

Governments, schools, businesses, health systems and international organizations all influence cardiovascular health.

03 • EXPLORE

Meet the cardiovascular system

❤️

The heart

A muscular organ that pumps blood through the body, delivering oxygen and nutrients and helping remove waste products.

🩸

Blood vessels

Arteries carry blood away from the heart, while veins return blood toward the heart. Tiny vessels called capillaries connect the two.

〰️

Blood pressure

Blood pressure is the force of blood against the walls of blood vessels. Persistently high blood pressure is called hypertension.

🧠

Stroke

A stroke occurs when blood flow to part of the brain is interrupted or when a blood vessel in the brain bleeds.

04 • LEARN

What science tells us

Hypertension: a risk that can remain invisible

Hypertension means that blood pressure is persistently too high. Many people with hypertension do not feel any symptoms, which is why blood pressure measurement is important.

WHO estimated that 1.4 billion adults aged 30–79 years worldwide had hypertension in 2024. About 44% were estimated to be unaware that they had the condition.

Important idea: You cannot reliably know whether someone has hypertension simply by looking at them or asking how they feel. Blood pressure needs to be measured.

Risk factors are not all individual choices

Cardiovascular risk can be influenced by tobacco exposure, physical inactivity, unhealthy diets, high salt intake, harmful alcohol use, high blood pressure, diabetes, abnormal blood lipids, obesity and air pollution.

But these risks do not exist in a vacuum. The food available in a neighbourhood, the price of healthy foods, transportation systems, opportunities for physical activity, working conditions, housing, education, income and access to healthcare can all shape exposure and opportunity.

05 • THINK

Look beyond the individual

There is no single "type" of person who develops cardiovascular disease. Ask what conditions shape people's choices and opportunities.

01

Food environment

If healthier foods cost more or are difficult to find, how much freedom does a person really have to choose them?

02

Physical environment

How might safe sidewalks, parks, public transport and recreation spaces influence physical activity?

03

Air quality

If air pollution increases cardiovascular risk, can individual behaviour alone solve the problem?

04

Healthcare access

What happens when a person can reach a clinic but cannot afford medicines or obtain follow-up care?

06 • CONNECT

From self to world

SELF

My health

Learn how sleep, movement, nutrition, stress, tobacco exposure and other factors can influence cardiovascular health.

→
FAMILY & PEERS

Our environment

Talk about healthy routines, support one another and notice how family resources and circumstances influence health.

→
COMMUNITY

Healthy places

Think about parks, schools, food environments, clean air, transportation and accessible health services.

→
COUNTRY

Healthy systems

Governments can regulate tobacco, improve food environments, strengthen primary healthcare and support affordable medicines.

→
WORLD

Global action

International organizations help countries share evidence, develop standards, finance programs and monitor progress.

07 • SOCIAL DETERMINANTS OF HEALTH

Health is shaped by the conditions around us

Social determinants of health are the conditions in which people are born, grow, learn, work, live and age.

💰 Income & economic security

Income can affect food choices, housing, transportation, recreation, healthcare access and the ability to manage chronic conditions.

📚 Education & health literacy

Education can influence access to health information, understanding of risk and the ability to navigate health systems.

🏘️ Housing & neighbourhoods

Safe housing, walkable communities, green spaces and clean air can create healthier conditions.

🏥 Healthcare access

Prevention depends on affordable, available and acceptable primary healthcare, medicines, diagnostic services and follow-up.

🌫️ Environmental conditions

Air pollution and other environmental exposures can contribute to cardiovascular risk.

⚖️ Equity

A healthy society does not simply ask everyone to make the same choices. It works to ensure that everyone has meaningful opportunities to be healthy.

08 • SUSTAINABLE DEVELOPMENT GOALS

Cardiovascular health connects to development

SDG 3

Good Health & Well-being

Preventing and controlling NCDs is central to achieving healthier lives and reducing premature mortality.

SDG 10

Reduced Inequalities

Socioeconomic inequalities can produce unequal cardiovascular risks and unequal access to prevention and treatment.

SDG 11

Sustainable Cities & Communities

Safe, walkable and healthy communities can support physical activity and reduce harmful environmental exposures.

SDG 13

Climate Action

Climate and environmental conditions can influence cardiovascular health, making climate action part of health protection.

SDG 2

Zero Hunger

Food security and access to nutritious foods are important foundations for lifelong health.

SDG 16

Strong Institutions

Effective institutions, regulation, surveillance and accountability help create healthier environments.

09 • GLOBAL HEALTH LEADERSHIP & EVIDENCE

Who helps the world respond?

Global health is a team effort. Different organizations have different responsibilities.

WHO

Develops global guidance, standards, surveillance systems and technical tools for cardiovascular disease and NCD prevention.

WHO HEARTS

Supports countries in strengthening cardiovascular disease prevention and hypertension control through primary healthcare.

UNDP

Supports policy and development approaches that address broader determinants and governance of NCDs.

World Bank

Generates evidence and supports health-system and development investments relevant to NCD prevention and universal health coverage.

IHME

Produces global and national estimates that help researchers and decision-makers understand disease burden and trends.

National & Local Health Authorities

Translate evidence into policies, prevention programs, primary care, regulation and services within communities.

📅
10 • GLOBAL EVIDENCE DATE

Living evidence for a living platform

GHE treats health knowledge as something that must be reviewed and updated as evidence changes.

Global evidence WHO, 2025
GHE last reviewed August 2026
Next scheduled review August 2027
11 • REFLECT

Think deeper

Personal reflection

Equity reflection

Imagine two young people living in different communities. One has access to safe parks, affordable nutritious food and nearby healthcare. The other lives in an area with polluted air, limited recreation space and fewer healthcare resources.

Would it be fair to judge their health only by the choices they make?

12 • ACT

From knowledge to constructive action

Young people can contribute to healthier communities without being expected to solve structural problems on their own.

🌱

For yourself

Learn about healthy habits, ask questions and develop a balanced understanding of cardiovascular health.

🤝

With others

Share reliable health information and encourage supportive, non-judgmental conversations about health.

🏫

At school

Explore how your school can support movement, healthy food, wellbeing and health literacy.

🌍

As a global citizen

Ask how policies, environments and inequalities influence cardiovascular health—and use evidence to support better solutions.

I can make healthy choices for myself, and I can help create healthier conditions for others.
QUICK CHECK

Before you take the challenge...

Remember

CVDs affect the heart and blood vessels.

Remember

Hypertension can exist without noticeable symptoms.

Think

Health is influenced by social and environmental conditions.

Connect

Healthy communities require supportive policies and systems.

GHE KNOWLEDGE CHALLENGE

❤️ Cardiovascular Health Quiz

10 questions covering knowledge, interpretation, application, social determinants, SDGs and health-system thinking.

1. What is cardiovascular disease?
2. Why can hypertension be difficult to recognize?
3. Which two events account for most CVD deaths?
4. Which example best illustrates a social determinant of cardiovascular health?
5. Why is saying "people should simply make healthier choices" incomplete?
6. Which SDG is most directly connected with preventing cardiovascular disease?
7. A neighbourhood has no safe walking routes and very few recreation spaces. What is the best interpretation?
8. Which organization develops global evidence and guidance for cardiovascular disease prevention and control?
9. Which statement best demonstrates health-system thinking?
10. Which statement best represents the GHE approach to cardiovascular health?