Access
Prevention & care
Know your risk. Act early. Recover well.
Stroke and hypertension are largely preventable. Even when a stroke happens, the outcome depends on how fast a person reaches care. Below is practical guidance for you, your household and your community.
Hypertension prevention
Small habits, big protection.
Most first strokes are avoidable. The single biggest lever is keeping your blood pressure in a healthy range.
- 01Check your blood pressure regularly
Aim for at least once a year if you have never been told it is high, and as often as your clinician advises if it has ever been raised. Community screening days at churches, workplaces and county events count.
- 02Cut salt, keep moving
Cook at home where you can. Reduce salt and processed foods, eat more fruit and vegetables, and aim for at least 30 minutes of activity most days — walking counts.
- 03Take medicines as prescribed
If you have been prescribed blood-pressure or diabetes medicines, take them every day even when you feel well. Stopping when you feel fine is one of the most common causes of stroke we see.
- 04Limit alcohol, avoid tobacco
Alcohol raises blood pressure. Tobacco damages blood vessels. Reducing or stopping either lowers your stroke risk within months.
- 05Manage stress and sleep
Chronic stress and poor sleep push blood pressure up. Prayer, community, rest and honest conversation about what is heavy on you are health interventions, not extras.
Recognise a stroke
Think F.A.S.T. Act faster.
If any one of these signs appears suddenly, seek emergency medical help immediately. Note the time the symptoms began — treatment is far more effective within the first few hours.
Ask them to smile. Does one side droop?
Can they raise both arms? Does one drift down?
Is their speech slurred or hard to understand?
Call for help now. Note the exact time symptoms began.
After a stroke
Recovery is a journey worth staying with.
Many survivors regain significant function with the right rehabilitation, adaptive equipment and family support. Progress is often slow and uneven — that is normal, not failure.
- AStart rehabilitation as early as it is safe
Physiotherapy, speech therapy and occupational therapy are most effective in the first months, but useful gains continue for years.
- BSupport the caregiver too
Caregivers carry an invisible load. Peer groups, respite and simple practical training reduce burn-out and improve the survivor’s outcome.
- CPrevent a second stroke
Blood-pressure control, prescribed medicines, healthy weight and no tobacco. The risk of a second stroke is highest in the first year — and largely preventable.
Members’ voices
What our members say needs to happen.
Priorities SaHA members raise most often when we listen. Add yours by writing to us — the list is meant to change.
Screening
Free blood-pressure checks at every county-level clinic
Rehabilitation
Physiotherapy covered by NHIF / SHIF in every county
Caregivers
Recognition, training and respite for family caregivers
Integration
NCD services built into primary health care (PHC)
Coalition insights — Nairobi, 2026
Themes from the Coalition for Access to NCD Medicines & Products annual meeting.
SaHA joined member organisations, country representatives and partners at the Coalition’s 2026 annual meeting in Nairobi. These are the priorities that emerged for the year ahead, in our own words.
- 1Country leadership and ownership
Countries reported real progress against their HLM4 commitments and shared results from supply-chain and financing reviews. The theme was consistent: political will and country ownership have to sit at the centre if progress is to hold. NCDs must become a budget line, and people should know their NCD status the way they know other basic health facts about themselves.
- 2Financing and supply chains are one problem
Money and medicines cannot be planned separately. Financing has to reach the last mile as actual product on the shelf. Data gaps, long procurement lead times and thin workforces keep tripping this up.
- 3Regional collaboration
Africa CDC, ECSA-HC and the EAC are moving on pooled procurement, regulatory harmonisation and local manufacturing. The Africa CDC’s African Pooled Procurement Mechanism (APPM) is expected to play a shaping role for the market and for continental supply security.
- 4Integration into primary health care (PHC)
Standalone NCD programmes fragment care. Building NCD services into PHC prevents, diagnoses and treats hypertension, diabetes and stroke earlier and cheaper. Uganda and Tanzania were highlighted for integrating NCD care into broader platforms; HIV and malaria programmes carry service-delivery and supply-chain lessons worth borrowing.
Measure of success is not based on commitments — it is when people living with NCDs are able to live with dignity.— Jane Muthoni, Kenya Defeat Diabetes Association (shared at the Coalition annual meeting, Nairobi 2026)
The point of policy is what a survivor can actually get, close to home, on a regular Tuesday. SaHA carries that measure into every partnership.
Attribution: the themes above are paraphrased from the Coalition for Access to NCD Medicines & Products’ 2026 annual meeting materials. SaHA participated as a Kenyan partner. The Coalition’s own reports remain the primary source.
Do one thing today
Check your blood pressure this week.
Ask at your nearest clinic or pharmacy. Write the numbers down. If the top number is 140 or above, or the bottom number is 90 or above, ask what to do next — and please do not wait.
Health information on this page is educational and does not replace professional medical advice. If you or someone with you shows sudden signs of stroke, seek emergency medical help immediately.