LBPS 03-06 Increasing Uptake of Hypertension Services Among Males and Elderly in an Urban Informal Settlement in Kenya

Mbau, Lilian; Onditi, J.; Kuria, Ngendo; Namusonge, Tecla; Mungai, Margaret

doi:10.1097/01.hjh.0000501440.50281.78

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“…The much smaller number of patients at the weekend clinic was disappointing but it did seem to provide some access for men, who were more represented there. Despite the small number of uptakers, and resources permitting, continuing this clinic might be justified .…”

Section: Discussionmentioning

confidence: 99%

“…Implications for policy and practice are that hypertension screening coverage in Kenya is still very low. The use of the three models of care can increase awareness levels, screening and treatment coverage . Among those on treatment, these models have the potential to improve compliance with clinic visits and self‐reported adherence to medication.…”

Section: Discussionmentioning

confidence: 99%

“…The programme is based in three locations: the health facility, walkway clinics (drop‐in centres on main roads) and weekend clinics. A previous study found that overall enrolment was significantly higher using three types of locations than a single facility‐based location . Although enrolment in the clinics was improved with this novel approach, it is not known whether it produced better clinic attendance or adherence to medication.…”

Section: Introductionmentioning

confidence: 92%

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Compliance with follow‐up and adherence to medication in hypertensive patients in an urban informal settlement in Kenya: comparison of three models of care

Kuria

Reid

Owiti

et al. 2018

Tropical Med Int Health

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Abstractobjective To determine and compare, among three models of care, compliance with scheduled clinic appointments and adherence to antihypertensive medication of patients in an informal settlement of Kibera, Kenya.methods Routinely collected patient data were used from three health facilities, six walkway clinics and one weekend/church clinic. Patients were eligible if they had received hypertension care for more than 6 months. Compliance with clinic appointments and self-reported adherence to medication were determined from clinic records and compared using the chi-square test. Univariate and multivariate logistic regression models estimated the odds of overall adherence to medication.results A total of 785 patients received hypertension treatment eligible for analysis, of whom twothirds were women. Between them, there were 5879 clinic visits with an overall compliance with appointments of 63%. Compliance was high in the health facilities and walkway clinics, but men were more likely to attend the weekend/church clinics. Self-reported adherence to medication by those complying with scheduled clinic visits was 94%. Patients in the walkway clinics were two times more likely to adhere to antihypertensive medication than patients at the health facility (OR 1.97, 95% CI 1.25-3.10).conclusion Walkway clinics outperformed health facilities and weekend clinics. The use of multiple sites for the management of hypertensive patients led to good compliance with scheduled clinic visits and very good self-reported adherence to medication in a low-resource setting.keywords hypertension, models of care, walkway clinics, weekend clinics, medical management, operational research

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 92%

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