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A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa

INTRODUCTION: In sub-Saharan Africa (SSA), an estimated 74.7 million individuals are hypertensive. Reducing the growing burden of hypertension in sub-Saharan Africa will require a variety of strategies one of which is identifying the extent to which actions originating at the health systems level im...

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Autores principales: Iwelunmor, Juliet, Plange-Rhule, Jacob, Airhihenbuwa, Collins O., Ezepue, Chizoba, Ogedegbe, Olugbenga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Public Library of Science 2015
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4503432/
https://www.ncbi.nlm.nih.gov/pubmed/26176223
http://dx.doi.org/10.1371/journal.pone.0130193
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author Iwelunmor, Juliet
Plange-Rhule, Jacob
Airhihenbuwa, Collins O.
Ezepue, Chizoba
Ogedegbe, Olugbenga
author_facet Iwelunmor, Juliet
Plange-Rhule, Jacob
Airhihenbuwa, Collins O.
Ezepue, Chizoba
Ogedegbe, Olugbenga
author_sort Iwelunmor, Juliet
collection PubMed
description INTRODUCTION: In sub-Saharan Africa (SSA), an estimated 74.7 million individuals are hypertensive. Reducing the growing burden of hypertension in sub-Saharan Africa will require a variety of strategies one of which is identifying the extent to which actions originating at the health systems level improves optimal management and control. METHODS AND RESULTS: We conducted a narrative synthesis of available papers examining health systems factors influencing optimal hypertension in SSA. Eligible studies included those that analyzed the impact of health systems on hypertension awareness, treatment, control and medication adherence. Twenty-five articles met the inclusion criteria and the narrative synthesis identified the following themes: 1) how physical resources influence mechanisms supportive of optimal hypertension control; 2) the role of human resources with enabling and/or inhibiting hypertension control goals; 3) the availability and/or use of intellectual resources; 4) how health systems financing facilitate and/or compromise access to products necessary for optimal hypertension control. CONCLUSION: The findings highlight the need for further research on the health systems factors that influence management and control of hypertension in the region.
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spelling pubmed-45034322015-07-17 A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa Iwelunmor, Juliet Plange-Rhule, Jacob Airhihenbuwa, Collins O. Ezepue, Chizoba Ogedegbe, Olugbenga PLoS One Research Article INTRODUCTION: In sub-Saharan Africa (SSA), an estimated 74.7 million individuals are hypertensive. Reducing the growing burden of hypertension in sub-Saharan Africa will require a variety of strategies one of which is identifying the extent to which actions originating at the health systems level improves optimal management and control. METHODS AND RESULTS: We conducted a narrative synthesis of available papers examining health systems factors influencing optimal hypertension in SSA. Eligible studies included those that analyzed the impact of health systems on hypertension awareness, treatment, control and medication adherence. Twenty-five articles met the inclusion criteria and the narrative synthesis identified the following themes: 1) how physical resources influence mechanisms supportive of optimal hypertension control; 2) the role of human resources with enabling and/or inhibiting hypertension control goals; 3) the availability and/or use of intellectual resources; 4) how health systems financing facilitate and/or compromise access to products necessary for optimal hypertension control. CONCLUSION: The findings highlight the need for further research on the health systems factors that influence management and control of hypertension in the region. Public Library of Science 2015-07-15 /pmc/articles/PMC4503432/ /pubmed/26176223 http://dx.doi.org/10.1371/journal.pone.0130193 Text en © 2015 Iwelunmor et al http://creativecommons.org/licenses/by/4.0/ This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are properly credited.
spellingShingle Research Article
Iwelunmor, Juliet
Plange-Rhule, Jacob
Airhihenbuwa, Collins O.
Ezepue, Chizoba
Ogedegbe, Olugbenga
A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa
title A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa
title_full A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa
title_fullStr A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa
title_full_unstemmed A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa
title_short A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa
title_sort narrative synthesis of the health systems factors influencing optimal hypertension control in sub-saharan africa
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4503432/
https://www.ncbi.nlm.nih.gov/pubmed/26176223
http://dx.doi.org/10.1371/journal.pone.0130193
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