The burden of hypertension in KwaZulu-Natal Province, South Africa: A 6-year perspective

Pillay, Selvan; Pillay, Deenan; Pillay, Robin

doi:10.7196/samj.2021.v111i2.15056

Cited by 7 publications

(7 citation statements)

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“…Eighteen percent (7/39) of the included studies [42, 49, 55, 56, 62, 65, 68] explored the impact of health facility type and capacity on hypertension care and outcomes. The studies highlighted the significant yet inconsistent differences in hypertension outcomes associated with receiving care at either community health post (closer to the community - offering one or very few primary healthcare services), community health center (serving a slightly bigger size of the community - offers the whole package of primary care services), general referral hospital, or specialized clinics.…”

Section: Resultsmentioning

confidence: 99%

“…Nineteen cross-sectional studies were conducted in Ethiopia (n=3) [50][51][52], Nigeria (n=2) [53,54], Botswana (n=1) [55], Democratic Republic of Congo (n=1) [56], Swaziland now called Eswatini (n=2) [57,58], Namibia (1) [59], South Africa (n=3) [60][61][62], Ghana (n=4) [63][64][65][66] , Kenya (n=2) [67,68]. We additionally identified one quality improvement report from Botswana [69].…”

Section: Country and Design Of Included Studiesmentioning

confidence: 99%

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Health System Determinants of Hypertension Care and Outcomes in Sub-Saharan Africa: A Systematic Review

Byiringiro

Ogungbe

Commodore‐Mensah

et al. 2022

Preprint

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BackgroundHypertension is a significant global health problem, particularly in Sub-Saharan Africa (SSA). Despite the effectiveness of medications and lifestyle interventions in reducing blood pressure, shortfalls across health systems continue to impede progress in achieving optimal hypertension control rates. The current review explores health system factors contributing to hypertension outcomes in SSA.MethodsThe World Health Organization health systems framework guided the literature search and discussion of findings. We searched PubMed, CINAHL, and Embase databases for studies published between January 2010 and June 2022 and followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. We assessed studies for risk of bias using the tools from Joanna Briggs Institute.ResultsThirty-nine studies clustered in 10 SSA countries met inclusion criteria. Health system determinants included human resource factors such as providers’ knowledge and adherence to hypertension treatment guidelines (n=21) and task sharing and shifting strategies (n=10). The second health system factors explored in service delivery were the health facility type and capacity (n=7) and hypertension service accessibility by cost, place, and time of services (n=15). A quarter of the included studies explored supply chain management for access to essential equipment and medicines. An additional set of studies addressed quality improvement strategies involving cross-integration of services (n=7) and various strategies of gauging the systems for better hypertension outcomes (n=8).ConclusionA combination of multiple rather than solo system interventions may yield significant improvements in blood pressure outcomes. Health information management and leadership involvement were less explored. Additional research on health system determinants of hypertension is needed to drive global improvements in hypertension outcomes. Future research would benefit from more rigorous implementation type interventional studies comprehensively assessing health system factors that contribute to better hypertension outcomes.

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Section: Resultsmentioning

confidence: 99%

Section: Country and Design Of Included Studiesmentioning

confidence: 99%

Health System Determinants of Hypertension Care and Outcomes in Sub-Saharan Africa: A Systematic Review

Byiringiro

Ogungbe

Commodore‐Mensah

et al. 2022

Preprint

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“…Regardless of HIV status, antenatal and paediatric care, PHC visits are more frequent among women than men (Randera-Rees et al, 2021 ). HIV and hypertension which are highly prevalent in KwaZulu-Natal were the most prevalent conditions reported, although not necessarily in combination (Conan et al, 2022 ; Pillay, Pillay, & Pillay, 2021 ), and HIV was afforded greater attention by the healthcare system as it was a priority condition. Of the three groups we compared (depression undiagnosed, depression diagnosed but not referred for treatment, and depression diagnosed and referred for treatment), both diagnosed groups had higher PHQ-9 scores at baseline, which suggests that nurse clinicians were more likely to detect depression with increased symptom severity.…”

Section: Discussionmentioning

confidence: 99%

Management of Depression in Chronic Care Patients Using a Task-Sharing Approach in a Real-World Primary Health Care Setting in South Africa: Outcomes of a Cohort Study

Kathree

Bachmann

Bhana

et al. 2023

Community Ment Health J

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Depressive symptoms are common in South African primary care patients with chronic medical conditions, but are usually unrecognised and untreated. This study evaluated an integrated, task-sharing collaborative approach to management of depression comorbid with chronic diseases in primary health care (PHC) patients in a real-world setting. Existing HIV clinic counsellors provided a manualised depression counselling intervention with stepped-up referral pathways to PHC doctors for initiation of anti-depressant medication and/ or referral to specialist mental health services. Using a comparative group cohort design, adult PHC patients in 10 PHC facilities were screened with the Patient Health Questionnaire-9 with those scoring above the validated cut-off enrolled. PHC nurses independently assessed, diagnosed and referred patients. Referral for treatment was independently associated with substantial improvements in depression symptoms three months later. The study confirms the viability of task-shared stepped-up collaborative care for depression treatment using co-located counselling in underserved real-world PHC settings.

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“…Besides, the risk of TB transmission is high within the first21 days of infant life [ 34 ]. Infants of TB-infected women are at high risk of low birth weight, prematurity, and being small for gestational age [ 31 , 35 , 36 ].…”

Section: Discussionmentioning

confidence: 99%

Analysis of prevalence of adverse events connected with anti-tuberculosis drugs during pregnancy: A meta-analysis

Wu,

Li,

Wan

et al. 2023

Heliyon

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The burden of hypertension in KwaZulu-Natal Province, South Africa: A 6-year perspective

Cited by 7 publications

References 0 publications

Health System Determinants of Hypertension Care and Outcomes in Sub-Saharan Africa: A Systematic Review

Health System Determinants of Hypertension Care and Outcomes in Sub-Saharan Africa: A Systematic Review

Management of Depression in Chronic Care Patients Using a Task-Sharing Approach in a Real-World Primary Health Care Setting in South Africa: Outcomes of a Cohort Study

Analysis of prevalence of adverse events connected with anti-tuberculosis drugs during pregnancy: A meta-analysis

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