Management of Hypertension by Primary Health Care Providers in Khartoum, Sudan

Abstract

Background: Primary health care is the level where promotive, preventive, curative services are provided at the same place. It is thus the level in which modifiable risk factors for hypertension can be addressed together with treatment of known hypertensive patients. Objectives: This study addressed the quality of management of hypertension in Public Primary Health Care Facilities in East-Nile locality, Khartoum State, Sudan. Methodology: A Facility-based cross-sectional study was conducted, in which 26 primary public health centers and 3 rural hospitals were included. All the health care providers-119-in the public health facilities available during the data collection period, using 2 well-structured questionnaires were used. An ethical approval was obtained from the Sudan Medical Specialization Board (SMSB), and verbal consent was obtained from each health care provider prior to the interview. The collected data were analyzed using the Statistical Package for Social Science (SPSS) version 15. Results: The majority of care providers, (71.4% of the physicians, and 93.5% of other care providers) were not trained on hypertension management. The study revealed marked gaps in the knowledge domain of the other health care providers, such as the standard management of hypertension, the proper measurement of blood pressure; lifestyle modification and serious complications of hypertension. Conclusions: There is a need for strengthening the management of hypertension at primary care level through training and regular supervision.

Association between Healthy Lifestyle and Management of Hypertension; A Descriptive Study undertaking Sudanese Adult

“…A significant amount of data is required to study the given issue in other regions. The number of patients related to the given problem are expected to increase in the coming years (Wagialla & Elnimeiri et al, 2016). Gutierrez, Alloubani, and Alzaatreh (2018) provided important information regarding risk factors of coronary heart disease among 159 male university students.…”

“…As provided, hypertension has already affected 125 million of people specifically in the region of Eastern Mediterranean. Approximately, 97% of physicians agreed with idea of controlling the problem, by providing preventive measures and related problems that further complicate the problem (Wagialla & Elnimeiri 2016). However, risk factors, such as; family history of hypertension, obesity, smoking, stress, diabetes etc.…”