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A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe

BACKGROUND: Hypertension is an important worldwide public health challenge because of its high prevalence and concomitant risks of cardiovascular and kidney diseases. The risk factors for hypertension are well known, and screening, diagnosis and treatment of hypertension have been well researched. H...

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Autores principales: Chimberengwa, Pugie T., Naidoo, Mergan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: AOSIS 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407440/
https://www.ncbi.nlm.nih.gov/pubmed/30843414
http://dx.doi.org/10.4102/phcfm.v11i1.1839
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author Chimberengwa, Pugie T.
Naidoo, Mergan
author_facet Chimberengwa, Pugie T.
Naidoo, Mergan
author_sort Chimberengwa, Pugie T.
collection PubMed
description BACKGROUND: Hypertension is an important worldwide public health challenge because of its high prevalence and concomitant risks of cardiovascular and kidney diseases. The risk factors for hypertension are well known, and screening, diagnosis and treatment of hypertension have been well researched. However, this knowledge has not been translated into community practice as there remains a huge knowledge gap between the academics, health workers and the communities. There is need for community participation in developing and implementation of health interventions among marginalised communities. AIM: The aim of this project was to improve the community’s knowledge about hypertension by positively influencing beliefs and behaviours, leading to improved community hypertension outcomes. SETTING: The study was undertaken in Ward 14, a rural area situated south-west of Gwanda District, Matebeleland South Province in Zimbabwe. METHODS: We conducted a health services research utilising qualitative methods by using a community-based participatory approach using a cooperative inquiry group. RESULTS: There was improvement in knowledge about awareness and primary prevention of hypertension. Community hypertension care was established through competence training of village health workers (VHWs) and more persons living with hypertension were enrolled into care. Pill pickup rate and treatment compliance improved and the community’s confidence in VHWs was restored. Community hypertension screening, treatment registers and health facility referrals were established. CONCLUSION: The community was empowered; the VHW was established as a key link between the community and the formal health delivery. This was a sustainable form of improving community hypertension health outcomes.
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spelling pubmed-64074402019-03-12 A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe Chimberengwa, Pugie T. Naidoo, Mergan Afr J Prim Health Care Fam Med Original Research BACKGROUND: Hypertension is an important worldwide public health challenge because of its high prevalence and concomitant risks of cardiovascular and kidney diseases. The risk factors for hypertension are well known, and screening, diagnosis and treatment of hypertension have been well researched. However, this knowledge has not been translated into community practice as there remains a huge knowledge gap between the academics, health workers and the communities. There is need for community participation in developing and implementation of health interventions among marginalised communities. AIM: The aim of this project was to improve the community’s knowledge about hypertension by positively influencing beliefs and behaviours, leading to improved community hypertension outcomes. SETTING: The study was undertaken in Ward 14, a rural area situated south-west of Gwanda District, Matebeleland South Province in Zimbabwe. METHODS: We conducted a health services research utilising qualitative methods by using a community-based participatory approach using a cooperative inquiry group. RESULTS: There was improvement in knowledge about awareness and primary prevention of hypertension. Community hypertension care was established through competence training of village health workers (VHWs) and more persons living with hypertension were enrolled into care. Pill pickup rate and treatment compliance improved and the community’s confidence in VHWs was restored. Community hypertension screening, treatment registers and health facility referrals were established. CONCLUSION: The community was empowered; the VHW was established as a key link between the community and the formal health delivery. This was a sustainable form of improving community hypertension health outcomes. AOSIS 2019-01-31 /pmc/articles/PMC6407440/ /pubmed/30843414 http://dx.doi.org/10.4102/phcfm.v11i1.1839 Text en © 2019. The Authors https://creativecommons.org/licenses/by/4.0/ Licensee: AOSIS. This work is licensed under the Creative Commons Attribution License.
spellingShingle Original Research
Chimberengwa, Pugie T.
Naidoo, Mergan
A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe
title A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe
title_full A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe
title_fullStr A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe
title_full_unstemmed A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe
title_short A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe
title_sort description of community-based participatory research of hypertension awareness, prevention and treatment in a district of matabeleland south province, zimbabwe
topic Original Research
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6407440/
https://www.ncbi.nlm.nih.gov/pubmed/30843414
http://dx.doi.org/10.4102/phcfm.v11i1.1839
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