Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut

African Journal of Primary Health Care & Family Medicine


 
 
Field Value
 
Title Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut
 
Creator Morris-Paxton, Angela A. Rheeder, Paul Ewing, Rose-Marie G. Woods, Dillon
 
Subject Rural health; primary care Non communicable diseases; Community health workers
Description Background: Non-communicable diseases, mainly cardiovascular diseases, diabetes, cancer and chronic respiratory diseases, are responsible for approximately 63% of all deaths occurring worldwide in any given year. The majority of these deaths have occurred in low- and middle-income countries (LMICs). The latest World Health Organization (WHO) report shows that the increase in diabetes is also most pronounced in the LMICs. The South African Labour and Development Research Unit estimated a 9% prevalence within the adult population in 2016. In the Eastern Cape Province, hypertensive heart disease has become the second most common cause of death, followed by diabetes, the third most common cause of death.Aim and setting: The aim of this study was to report on the follow-up of patients in the community with known hypertension or diabetes or who were deemed at-risk (as identified during a prior community-wide survey).Methods: Data were collected via a household primary health screening, monitoring and follow-up process, which included taking anthropometric measurements, blood pressure (BP) and blood glucose and referring to clinics for further testing and treatment where necessary.Results: Of the 1885 participants followed up by the community health outreach workers, 1702 were known to be hypertensive and 183 were deemed at-risk [of these, only 24 (13.2%) had normal or high normal systolic BP readings]. There were 341 participants with diabetes and 34 at-risk of diabetes [of these, 28 (82%) had levels of 11 mmol/l or higher at follow-up]. There was a significant improvement in BP and glucose control over repeated visits.Conclusion: In this rural area of the Eastern Cape, South Africa, the follow-up of patients with hypertension or diabetes as well as those individuals at-risk adds value to hypertension and glucose control.
 
Publisher AOSIS
 
Contributor Lilly NCD Partnership
Date 2018-04-11
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Cross sectional study
Format text/html application/epub+zip application/xml application/pdf
Identifier 10.4102/phcfm.v10i1.1610
 
Source African Journal of Primary Health Care & Family Medicine; Vol 10, No 1 (2018); 8 pages 2071-2936 2071-2928
 
Language eng
 
Relation https://phcfm.org/index.php/phcfm/article/view/1610/2444 https://phcfm.org/index.php/phcfm/article/view/1610/2443 https://phcfm.org/index.php/phcfm/article/view/1610/2445 https://phcfm.org/index.php/phcfm/article/view/1610/2423
 
Coverage South Africa, Eastern Cape 2013-2016 Rural participants
Rights Copyright (c) 2018 Angela A. Morris-Paxton, Paul Rheeder, Rose-Marie G. Ewing, Dillon Woods https://creativecommons.org/licenses/by/4.0