Service Availability and Readiness of Primary Care Health Facilities Offering Hypertension Diagnosis Services in Wakiso District, Uganda, 2019

Nanono, Jackline; Neupane, Dinesh; Ssekamatte, Tonny; Ahumuza, Emmanuel; Kasujja, Francis Xavier; Rutebemberwa, Elizeus

doi:10.5888/pcd20.220236

Cited by 7 publications

(5 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Compared with the results of from other countries, the regional service readiness was both lower and higher than that in other countries. A study from Uganda demonstrated a higher level of service readiness for hypertension management (86%), but with weaknesses in capacity of health staffs and lack of functional equipment [ 19 ]. While another study from Ethiopia reported lower levels of service readiness for Hypertension management at primary health care units (29%), influenced by insufficient equipment for screening and diagnostic, insufficient essential medicines, and lack of basic training and guideline for non-communicable diseases [ 20 ].…”

Section: Discussionmentioning

confidence: 99%

Assessment of availability, readiness, and challenges for scaling-up hypertension management services at primary healthcare facilities, Central Highland region, Vietnam, 2020

Hoang,

Nguyen,

Pham

et al. 2023

BMC Prim. Care

View full text Add to dashboard Cite

Introduction Vietnam aims for 95% of commune health stations (CHSs) to have functional hypertension management programs by 2025. However, limited resources may impede the Central Highland region health system from achieving this goal. We assessed the availability and readiness of hypertension management services at CHSs in the Central Highland region and identified challenges to facilitate evidence-based planning. Methods We used a mixed-methods cross-sectional design to assess hypertension management services using WHO’s service availability and readiness assessment (SARA) tools in all 579 CHSs in the region, combined with twenty in-depth interviews of hypertension program focal points at communal, district, and provincial levels in all four provinces. We descriptively analyzed quantitative data and thematically analyzed qualitative data. Results Hypertension management services were available at 65% of CHSs, and the readiness of the services was 62%. The urban areas had higher availability and readiness indices in most domains (basic amenities, basic equipment, and essential medicines) compared to rural areas, except for staff and training. The qualitative results showed a lack of trained staff and ambiguity in national hypertension treatment guidelines, insufficient essential medicines supply mechanism, and low priority and funding limitations for the hypertension program. Conclusion The overall availability and readiness for hypertension diagnosis and management service at CHSs in the Central Highland region were low, reflecting inadequate capacity of the primary healthcare facilities. Some measures to strengthen hypertension programs in the region might include increased financial support, ensuring a sufficient supply of basic medicines, and providing more specific treatment guidelines.

show abstract

Section: Discussionmentioning

confidence: 99%

Assessment of availability, readiness, and challenges for scaling-up hypertension management services at primary healthcare facilities, Central Highland region, Vietnam, 2020

Hoang,

Nguyen,

Pham

et al. 2023

BMC Prim. Care

View full text Add to dashboard Cite

show abstract

“…Kebijakan kesehatan masyarakat harus mengatasi hipertensi karena merupakan penyebab utama beban penyakit. Intervensi harus terjangkau, berkelanjutan dan efektif (5). Oleh karena itu, program vertikal yang hanya berfokus pada hipertensi tidak disarankan.…”

Section: Pendahuluanunclassified

Pengaruh Proactive Personality, Professionalism Dan Organizational Comitment Petugas Puskesmas terhadap Penanganan Hipertensi di Wilayah Kerja Puskesmas Pijorkoling Kota Padangsidimpuan

Intan Yusvita Sari Nasution,

Alprida Harahap,

Haslinah Ahmad

et al. 2024

Media Publ. Promosi Kesehat. Indones

View full text Add to dashboard Cite

utama penyakit jantung dan pembuluh darah. Penanganan yang efektif terhadap hipertensi memerlukan peran yang kuat dari petugas kesehatan, terutama petugas di puskesmas yang berperan langsung dalam memberikan layanan kesehatan primer kepada masyarakat. Tujuan: Penelitian bertujuan untuk menganalisis hubungan antara pengaruh proactive personality, professionalism dan organizational comitment petugas puskesmas terhadap penanganan hipertensi di wilayah kerja Puskesmas Pijorkoling Kota Padangsidimpuan. Metode: Jenis penelitian yang digunakan adalah observasional dengan menggunakan desain cross sectional study. Penelitian dilakukan di wilayah kerja Puskesmas Pijorkoling. Penelitian ini dilaksanakan Januari sampai dengan Februari 2024. Populasi adalah seluruh pegawai Puskesmas Pijorkoling sebanyak 125 orang. Sampel dalam penelitian ini adalah sebagian petugas kesehatan yang bersentuhan langsung dengan penanganan hipertensi sebnayak 41 orang. Teknik pengambilan sampel menggunakan teknik purposive sampling dengan kriteria: petugas kesehatan yang bersentuhan langsung dengan penanganan hipertensi, bekerja di Puskesmas Pijorkoling, dan petugas kesehatan bersedia menjadi subyek penelitian dengan menandatangani lembar persetujuan. Instrumen penelitian adalah kuesioner penelitian yang digunakan untuk pengumpulan data. Data dianalisis secara univariat, bivariat (chi-square), dan multivariat (regresi logistik). Hasil: Hasil penelitian menunjukkan bahwa proactive personality (p=0,001), profesionalism (0,004), organization comitmen (0,002) berpengaruh terhadap penaganan hipertensi. Sedangkan variabel yang paling berpengaruh adalah proactive personality dengan nilai Exp (B)=25,876. Kesimpulan: Penanganan hipertensi pada petugas kesehatan sangat dipengaruhi faktor proactive personality, profesionalism, organizational. Diharapkan agar petugas kesehatan khususnya di Puskesmas Pijorkoling untuk meningkatkan pengetahuan tentang hipertensi dan keaktifan dalam bekerja.

show abstract

“…The study specifically focused on service availability, which is defined as the physical presence of the delivery of services, encompassing the health infrastructure, core health personnel, and service utilization [24,26]. The SARA framework is useful in the identification of the proportion of HCFs offering a particular intervention/service-in this case hepatitis B vaccination services, and whether the HCFs offering HBV services met the minimum standards in terms of equipment, trained staff and guidelines, diagnostic capacity, and medicines to provide an adequate level of service (service readiness) [24,27,28]. The data collection tool was reviewed and evaluated for face and internal validity by experts in viral hepatitis research, based at the Makerere University College of Health Sciences.…”

Section: Study Design and Data Collection Toolsmentioning

confidence: 99%

Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda

Ssekamatte,

Isunju,

Nalugya

et al. 2023

PLOS Glob Public Health

View full text Add to dashboard Cite

Hepatitis B Virus (HBV) infection remains a significant global public health challenge especially in low-and-middle income countries. Although there are significant global and national efforts to control Hepatitis B, equitable distribution and access to prevention services such as testing and vaccination remains a challenge. Efforts to increase access are hindered by inadequate evidence on the availability and distribution of HBV services. This cross-sectional study aimed at generating evidence of the distribution of HBV prevention services in Wakiso District, Uganda. A total of 55 healthcare facilities (HCFs) including 4 hospitals, and 51 primary care facilities were surveyed. Data were collected using an electronic structured questionnaire and analysed using STATA 14.0. A chi-square test was performed to establish the relationship between HCF characteristics and the availability of hepatitis B services. ArcGIS (version 10.1) was used to generate maps to illustrate the distribution of hepatitis B prevention services. We found out that the hepatitis B vaccine was available in only 27.3% (15) of the HCF, and 60% (33) had testing services. Receipt of the hepatitis B vaccine doses in the last 12 months was associated with the level (p = ≤0.001) and location (p = 0.030) of HCF. Availability of the hepatitis B vaccine at the time of the survey was associated with the level (p = 0.002) and location (p = 0.010) of HCF. The availability of hepatitis B testing services was associated with the level (p = 0.031), ownership (p≤0.001) and location (p = 0.010) of HCF. HCFs offering vaccination and testing services were mostly in urban areas, and close to Kampala, Uganda’s capital. Based on this study, hepatitis B prevention services were sub-optimal across all HCF levels, locations, and ownership. There is a need to extend hepatitis B prevention services to rural, public and private-not-for-profit HCFs.

show abstract

Service Availability and Readiness of Primary Care Health Facilities Offering Hypertension Diagnosis Services in Wakiso District, Uganda, 2019

Cited by 7 publications

References 15 publications

Assessment of availability, readiness, and challenges for scaling-up hypertension management services at primary healthcare facilities, Central Highland region, Vietnam, 2020

Assessment of availability, readiness, and challenges for scaling-up hypertension management services at primary healthcare facilities, Central Highland region, Vietnam, 2020

Pengaruh Proactive Personality, Professionalism Dan Organizational Comitment Petugas Puskesmas terhadap Penanganan Hipertensi di Wilayah Kerja Puskesmas Pijorkoling Kota Padangsidimpuan

Distribution of Hepatitis B prevention services in Wakiso District, Central Uganda

Contact Info

Product

Resources

About