دورية أكاديمية
The role of community health workers in the management of hypertension in Nigeria.
| العنوان: | The role of community health workers in the management of hypertension in Nigeria. |
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| المؤلفون: | Oseni TIA; Department of Family Medicine, Edo State University, Uzairue, Nigeria. tijanioseni@aauekpoma.edu.ng.; Department of Family Medicine, Irrua Specialist Teaching Hospital, Irrua, Nigeria. tijanioseni@aauekpoma.edu.ng., Olawumi AL; Department of Family Medicine, Aminu Kano Teaching hospital, Kano, Nigeria., Salam TO; Department of Family Medicine, University College Hospital, Ibadan, Nigeria., Issa A; Children Specialist Hospital, Ilorin, Nigeria., Abiso MA; Department of Family Medicine, University of Maiduguri Teaching Hospital, Maiduguri, Nigeria., Sanusi I; Kwara State Specialist Hospital, Sobi, Nigeria., Ilori T; Family Medicine Unit, Department of Community Medicine, University of Ibadan, Ibadan, Nigeria. |
| المصدر: | BMC primary care [BMC Prim Care] 2024 Jul 20; Vol. 25 (1), pp. 266. Date of Electronic Publication: 2024 Jul 20. |
| نوع المنشور: | Journal Article |
| اللغة: | English |
| بيانات الدورية: | Publisher: BioMed Central Ltd Country of Publication: England NLM ID: 9918300889006676 Publication Model: Electronic Cited Medium: Internet ISSN: 2731-4553 (Electronic) Linking ISSN: 27314553 NLM ISO Abbreviation: BMC Prim Care Subsets: MEDLINE |
| أسماء مطبوعة: | Original Publication: [London] : BioMed Central Ltd., [2022]- |
| مواضيع طبية MeSH: | Hypertension*/therapy , Hypertension*/epidemiology , Hypertension*/diagnosis , Community Health Workers*, Humans ; Nigeria/epidemiology ; Female ; Male ; Adult ; Cross-Sectional Studies ; Middle Aged ; Patient Satisfaction ; Professional Role |
| مستخلص: | Background: Hypertension is the number one risk factor for cardiovascular death worldwide and its prevalence has been on the increase in LMICs including Nigeria. There is an increasing awareness and recognition of the contributions of the community health workers (CHWs) in the healthcare system. This study assessed their current role in the management of hypertension and patient satisfaction with the care received. Methods: A mixed method study (cross-sectional study of 381 CHWs and key informant interview of 14 patients with hypertension selected using multi-stage and purposive sampling respectively) was conducted across five states in different geopolitical zones of Nigeria to assess the role of CHWs in hypertension management and the patients' level of satisfaction with services of CHWs. Chi-square test was used to assess relationship between categorical variables. A p-value ≤ 0.05 was considered statistically significant. Thematic analysis of the text data from the KII was done using Nvivo ® version 12 pro. Results: A total of 381 CHWs completed the study. They were predominantly males (63%) with mean age of 40.96 ± 12.51 years. Only about one-third of the CHWs (31%) could correctly diagnose hypertension while only 15% knew the base-line investigations to be requested. Being female (FE = 9.205, p = 0.008) and resident in northwest geopolitical region (χ 2 = 20.920, p < 0.001) had statistically significant associations with appropriate diagnostic skills for hypertension. Being supervised by doctors was associated with appropriate knowledge of baseline investigations for hypertension (χ 2 = 5.534, p = 0.019). Mostly, hypertensive patients reported positive experiences and satisfaction with the services provided by the CHWs. Conclusions: Community health workers currently have critical contributions in the management of hypertension in Nigeria. Hypertensive patients generally reported satisfactory experience with CHWs managing them. The services rendered by CHWs can be improved upon by adequate supervision and training. (© 2024. The Author(s).) |
| References: | Afr J Prim Health Care Fam Med. 2014 Nov 21;6(1):E1-8. (PMID: 26245419) Front Public Health. 2023 Jan 26;11:1038062. (PMID: 36778542) Health Aff (Millwood). 2015 Sep;34(9):1538-45. (PMID: 26355056) Ann Fam Med. 2018 May;16(3):240-245. (PMID: 29760028) Am J Prev Cardiol. 2021 Oct 13;8:100280. (PMID: 34729545) High Blood Press Cardiovasc Prev. 2013 Jun;20(2):77-80. (PMID: 23653174) Glob Heart. 2020 Jul 10;15(1):47. (PMID: 32923341) J Hum Hypertens. 2024 Apr;38(4):365-370. (PMID: 35332218) Hawaii J Med Public Health. 2019 Jun;78(6 Suppl 1):15-22. (PMID: 31285963) PLoS One. 2014 Aug 14;9(8):e103754. (PMID: 25121789) BMC Public Health. 2014 Mar 10;14:240. (PMID: 24606986) Glob Heart. 2017 Sep;12(3):233-243.e6. (PMID: 27993594) Ann Med Health Sci Res. 2015 Jan-Feb;5(1):20-5. (PMID: 25745571) N Engl J Med. 2020 Feb 20;382(8):717-726. (PMID: 32074419) J Hypertens. 2015 Feb;33(2):230-42. (PMID: 25380154) BMC Health Serv Res. 2022 Mar 22;22(1):375. (PMID: 35317798) Cardiol Ther. 2017 Jun;6(1):53-67. (PMID: 28035630) Lancet Glob Health. 2018 Dec;6(12):e1397-e1404. (PMID: 30430994) |
| فهرسة مساهمة: | Keywords: Community Health workers; Hypertension management; Hypertensive patients; Nigeria; Non-communicable diseases; Primary healthcare centre |
| تواريخ الأحداث: | Date Created: 20240720 Date Completed: 20240720 Latest Revision: 20240725 |
| رمز التحديث: | 20240726 |
| مُعرف محوري في PubMed: | PMC11265034 |
| DOI: | 10.1186/s12875-024-02521-2 |
| PMID: | 39033268 |
| قاعدة البيانات: | MEDLINE |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 2731-4553 |
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| DOI: | 10.1186/s12875-024-02521-2 |