Early detection, care and control of hypertension and diabetes in South Africa: A community-based approach

African Journal of Primary Health Care & Family Medicine
Sanele MadelaPriscilla Reddy

Abstract

Non-communicable diseases (NCDs) are a major public health concern with raised blood pressure and glucose emerging as leading causes of death and disability. This community-based demonstration project using community caregivers (CCGs) trained in screening for hypertension and diabetes aimed at improving early detection and linkage to care and management. The project was conducted in KwaZulu-Natal province. The CCGs were trained in NCD-related health education, promotion and screening for hypertension and diabetes using an accredited programme. The CCGs screened community members for hypertension and diabetes using three screening methods: door-to-door visits, community campaigns and workplaces. Twenty-five CCGs received the accredited NCD training. A total of 10 832 community members were screened for hypertension and 6481 had their blood glucose measured. Of those screened, 29.7% and 4.4%, respectively, had raised blood pressure (≥ 140/90 mmHg) and blood glucose (≥ 11.0 mmol/L) who required referral to a primary healthcare facility. More than one in five (21.0%, n = 1448), of those with no previous hypertension diagnosis, were found to have raised blood pressure at screening, representing newly detected cases. Less than a thir...Continue Reading

References

Feb 1, 2011·QJM : Monthly Journal of the Association of Physicians·C PriceG V Gill
Nov 25, 2014·Journal of Health Care for the Poor and Underserved·Ozayr Haroon MahomedMelvyn Freeman
Jan 21, 2015·American Journal of Public Health·Margaret E KrukFelicia M Knaul
May 4, 2016·South African Medical Journal = Suid-Afrikaanse Tydskrif Vir Geneeskunde·Beatrice NojilanaRob E Dorrington
Apr 26, 2017·Journal of Hypertension·Thiago Veiga JardimThomas A Gaziano

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Citations

May 30, 2021·Health Policy and Planning·Aviva TugendhaftNicola Christofides

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