Availability, functionality and access of blood pressure machines at the points of care in public primary care facilities in Tororo district, Uganda

South African Family Practice

Field Value
Title Availability, functionality and access of blood pressure machines at the points of care in public primary care facilities in Tororo district, Uganda
Creator Besigye, Innocent K. Okuuny, Vicent Armstrong-Hough, Mari Katahoire, Anne R. Sewankambo, Nelson K. Mash, Robert Katamba, Achilles
Subject Family Medicine, Primary Care hypertension; primary care; primary healthcare; health facilities; blood pressure machine
Description Background: Early diagnosis of hypertension prevents a significant number of complications and premature deaths. In resource-variable settings, diagnosis may be limited by inadequate access to blood pressure (BP) machines. We sought to understand the availability, functionality and access of BP machines at the points of care within primary care facilities in Tororo district, Uganda.Methods: This was an explanatory sequential mixed-methods study combining a structured facility checklist and key informant interviews with primary care providers. The checklist was used to collect data on availability and functionality of BP machines within their organisational arrangements. Key informant interviews explored health providers’ access to BP machines.Results: The majority of health facilities reported at least one working BP machine. However, Health providers described limited access to machines because they are not located at each point of care. Health providers reported borrowing amongst themselves within their respective units or from other units within the facility. Some health providers purchase and bring their own BP machines to the health facilities or attempted to restore the functionality of broken ones. They are motivated to search the clinic for BP machines for some patients but not others based on their perception of the patient’s risk for hypertension.Conclusion: Access to BP machines at the point of care was limited. This makes hypertension screening selective based on health providers’ perception of the patients’ risk for hypertension. Training in proper BP machine use and regular maintenance will minimise frequent breakdowns.
Publisher AOSIS
Contributor This work was funded by the NURTURE Fellowship program at the Makerere University College of Health Sciences. This fellowship programme is funded by Grant Number D43TW010132 supported by Office Of The Director, National Institutes Of Health (OD), National
Date 2021-01-11
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Mixed Methods
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v63i1.5118
Source South African Family Practice; Vol 63, No 1 (2021): Part 1; 6 pages 2078-6204 2078-6190
Language eng
Relation info:eu-repo/grantAgreement/EC/FP7/010132 https://safpj.co.za/index.php/safpj/article/view/5118/6558 https://safpj.co.za/index.php/safpj/article/view/5118/6557 https://safpj.co.za/index.php/safpj/article/view/5118/6559 https://safpj.co.za/index.php/safpj/article/view/5118/6556
Coverage Uganda, East Africa and Africa Not applicable Primary care providers in a district
Rights info:eu-repo/semantics/openAccess Copyright (c) 2021 Innocent K. Besigye, Vicent Okuuny, Mari Armstrong-Hough, Anne R. Katahoire, Nelson K. Sewankambo, Bob Mash, Achilles Katamba https://creativecommons.org/licenses/by/4.0