**4. Primary healthcare facilities**

The Primary Health Care (PHC) facilities as the first health service visited by patients/public with a health concern and serves mainly outpatients [19]. The PHC intends to promote attainment by all people of a level of health that will permit them to live socially and economically productive lives. Accordingly, PHC is essential, scientifically sound, ethical, accessible, equitable, affordable, and accountable to the community [20]. Therefore, it is important that a clear collaboration with communities and family of patients is established for improved health outcomes and curbing of cardiovascular diseases. Healthcare providers at primary healthcare facilities are therefore expected to provide cardiovascular diseases awareness, treatment, and preventative care [20]. Preventative healthcare is cost-effective; therefore, it is necessary for PHC providers to be well-equipped through in-service training with preventative healthcare to minimize the cost of care and improve health outcomes of patients [21]. Moreover, healthcare providers must at each consultation sessions with patients emphasize more on behavioural change in relation to physical activity, healthy eating, and alcohol and tobacco use [22]. These interventions have been found to be costeffective and assist in the management of cardiovascular diseases.
