Kintampo Health Research Centre, Kintampo, Ghana.
College for Public Health and Social Justice, Department of Behavioral Science and Health Education, Saint Louis University, St. Louis, Missouri, USA.
Glob Heart. 2019 Jun;14(2):129-134. doi: 10.1016/j.gheart.2019.05.008.
Assessing the practice capacity for hypertension management and control within community-based health planning and services system is an important step toward implementing evidence-based interventions to reduce uncontrolled hypertension at the community level.
To assess the capacity and readiness of community health workers to implement a task-strengthening strategy for hypertension control (TASSH) at the community level.
This was a cross-sectional study guided by the Consolidated Framework for Implementation Research conducted among community health workers in 6 contiguous districts within the Brong-Ahafo Region of Ghana. Study variables were described using frequency tables.
A total of 179 community health officers (CHOs) were interviewed. The majority of respondents knew lifestyle-related messages to be provided to their clients such as heart-healthy diets (91.6%, n = 164), physical activity (90.5%, n = 162), and low sodium intake (88.3%, n = 158), but not about other lifestyle-modifying messages such as caffeine reduction (46.4%, n = 83). The majority (79%) of the respondents did not know the names of the first-line hypertension medications. Fifty-one percent of respondents did not know about the blood pressure threshold for initiation of blood pressure management. About 90% of respondents had not been trained on hypertension management. More than 80% are however motivated to implement the TASSH intervention.
The majority of CHOs in this study were aware of lifestyle modifications such as diet modifications and increase in physical activity. However, their knowledge was limited in the blood pressure threshold for initiating treatment and in the knowledge of first-line hypertension medication, irrespective of the number of years practiced. Training on hypertension is also low. However, CHOs are motivated to control hypertension at the community level. Community-level interventions such as TASSH can leverage on their motivation to demonstrate an impact on hypertension control.
评估社区卫生规划和服务系统中高血压管理和控制的实践能力，是在社区层面实施基于证据的干预措施，以减少高血压失控的重要步骤。
评估社区卫生工作者在社区层面实施强化高血压控制任务策略（TASSH）的能力和准备情况。
这是一项横断面研究，以实施研究综合框架为指导，在加纳布隆-阿哈福地区的 6 个毗邻区进行社区卫生工作者调查。使用频率表描述研究变量。
共访谈了 179 名社区卫生官员（CHO）。大多数受访者知道要向其客户提供与生活方式相关的信息，如健康饮食（91.6%，n=164）、身体活动（90.5%，n=162）和低钠摄入（88.3%，n=158），但不知道其他生活方式改变信息，如减少咖啡因（46.4%，n=83）。大多数（79%）受访者不知道一线高血压药物的名称。51%的受访者不知道启动血压管理的血压阈值。约 90%的受访者没有接受过高血压管理培训。然而，超过 80%的受访者有动力实施 TASSH 干预措施。
本研究中的大多数 CHO 都意识到生活方式的改变，如饮食改变和增加身体活动。然而，他们的知识在启动治疗的血压阈值和一线高血压药物知识方面存在局限性，而不论从业年限长短。高血压培训也很少。然而，CHO 有动力在社区层面控制高血压。社区层面的干预措施，如 TASSH，可以利用他们的积极性，对高血压控制产生影响。
