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Healthy Heart Africa: a prospective evaluation of programme outcomes on individuals\u27 hypertension awareness, screening, diagnosis and treatment in rural Kenya at 12 months

By Gerald Yonga, Francis O. Okello, Jane L. Herr, Ashling Mulvaney and Elijah N. Ogola

Abstract

Objective: To evaluate the impact of Healthy Heart Africa (HHA), a comprehensive hypertension intervention programme, on hypertension awareness, knowledge, screening and diagnosis among rural communities in Kenya. Methods: Individuals from rural households near intervention and matched control healthcare facilities were randomly surveyed at baseline and the end point (after 12 months). A difference-in-differences analysis estimated the impact of HHA. Results: This analysis included 838 individuals (intervention, n = 432; control, n = 406) at baseline and 698 (n = 364 and n = 334, respectively) at the end point. At baseline, both groups had high hypertension awareness (\u3e 80%) but poor knowledge. After 12 months, healthcare providers were the primary information source for the intervention group only (p \u3c 0.05). At the end point, respondents\u27 knowledge of hypertension risk factors, consequences and management trended higher among the intervention versus the control group. Hypertension screening/diagnosis and patient recall of provider recommendations remained unchanged in both groups. Conclusions: HHA improved hypertension knowledge but screening and diagnosis remained unchanged after 12 months

Topics: Healthy Heart Africa (HHA); Kenya; awareness; hypertension; rural., Internal Medicine
Publisher: 'Clinics Cardive Publishing'
Year: 2019
DOI identifier: 10.5830/cvja-2019-037
OAI identifier: oai:ecommons.aku.edu:eastafrica_fhs_mc_intern_med-1154
Provided by: eCommons@AKU
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