During the 2024–2025 biennium, the Cayman Islands joined the newest cohort of countries and territories implementing HEARTS in the Americas. PAHO supported the efforts of the Cayman Islands in this regard, under the regional flagship initiative Better Care for Noncommunicable Diseases (NCD).  

This milestone built on the successful completion of an NCD survey, which generated nationally relevant evidence on cardiovascular risk factors and highlighted gaps in hypertension and diabetes detection, treatment, and control, helping to inform more targeted interventions. Support included training health professionals in standardized hypertension management, promoting evidence‑based treatment protocols, and integrating diabetes care into primary health care (PHC). PAHO’s support ensured that this implementation was aligned with regional best practices, embedding HEARTS into PHC and advancing the territory’s commitment to universal health coverage and noncommunicable disease prevention. As a result, the Cayman Islands are now better equipped to reduce premature mortality from cardiovascular diseases and diabetes.