Mashauri Harold L, Angolile Cornel M, Muro Florida J
Department of Internal Medicine KCMC University Moshi Tanzania.
Department of Epidemiology and Biostatistics, School of Public Health KCMC University Moshi Tanzania.
Health Sci Rep. 2025 Jun 30;8(7):e70978. doi: 10.1002/hsr2.70978. eCollection 2025 Jul.
Globally, non-communicable diseases (NCDs) are the leading cause of preventable morbidity and premature mortality. In sub-Saharan Africa, NCDs will be the leading cause of mortality by 2030. In 2018, WHO reported that NCDs accounted for about 33% of all deaths in Tanzania. Community health workers (CHWs) are among the key stakeholders in prevention and control of NCDs. In developing countries like Tanzania, CHWs play an extensive role in prevention and control of communicable diseases, however, their simultaneous involvement toward NCDs is limited. This study aimed to determine knowledge, attitude, practice, and determinants toward CHWs' involvement in NCDs prevention and control in northern Tanzania.
This was a community-based analytical cross-sectional study in northern Tanzania enrolling 191 CHWs. Frequencies and percentages, , and logistic regression tests were used to summarize categorical variables and determinants of CHWs' involvement toward NCDs prevention and control, respectively, using SPSS.
Majority of participants had good knowledge (92.1%) and favorable attitude (100%). More than half (63.4%) were involved in NCD prevention and control programs of which only 26.7% and 41.4% reported to have involved in NCDs screening and community mobilization programs, respectively. Only 36.1% and 46.1% reported to have access to NCDs screening tools and to have ever attended either formal NCD seminar or training, respectively. Professional training to practice as CHW, frequency of home visits per week, involvement confidence, attendance of formal seminar or training on NCDs, and accessibility of tools for NCDs screening were determinants of CHWs' involvement in NCDs prevention and control.
Despite the vital role of CHWs toward NCDs prevention and control, their engagement in NCDs screening and community mobilization is still low in northern Tanzania. Professional training among in-service and newly enrolled CHWs, encouragement of weekly home visits, and NCDs' capacity-building programs in terms of skills and accessibility of screening tools should be implemented among CHWs to enhance their involvement in NCDs prevention and control.
在全球范围内，非传染性疾病（NCDs）是可预防的发病和过早死亡的主要原因。在撒哈拉以南非洲地区，到2030年非传染性疾病将成为主要死因。2018年，世界卫生组织报告称，非传染性疾病占坦桑尼亚所有死亡人数的约33%。社区卫生工作者（CHWs）是预防和控制非传染性疾病的关键利益相关者之一。在坦桑尼亚这样的发展中国家，社区卫生工作者在预防和控制传染病方面发挥着广泛作用，然而，他们同时参与非传染性疾病防治的程度有限。本研究旨在确定坦桑尼亚北部社区卫生工作者参与非传染性疾病预防和控制的知识、态度、实践及影响因素。
这是一项在坦桑尼亚北部开展的基于社区的分析性横断面研究，纳入了191名社区卫生工作者。使用频率和百分比、卡方检验以及逻辑回归检验，分别使用SPSS软件总结分类变量以及社区卫生工作者参与非传染性疾病预防和控制的影响因素。
大多数参与者具备良好的知识水平（92.1%）和积极的态度（100%）。超过一半（63.4%）的人参与了非传染性疾病预防和控制项目，其中分别只有26.7%和41.4%的人报告参与了非传染性疾病筛查和社区动员项目。分别只有36.1%和46.1%的人报告能够使用非传染性疾病筛查工具以及曾经参加过正式的非传染性疾病研讨会或培训。接受作为社区卫生工作者的专业培训、每周家访的频率、参与的信心、参加非传染性疾病的正式研讨会或培训以及获得非传染性疾病筛查工具的难易程度是社区卫生工作者参与非传染性疾病预防和控制的影响因素。
尽管社区卫生工作者在非传染性疾病预防和控制中发挥着至关重要的作用，但在坦桑尼亚北部，他们参与非传染性疾病筛查和社区动员的程度仍然较低。应在在职和新入职的社区卫生工作者中开展专业培训，鼓励每周进行家访，并在技能和筛查工具可及性方面实施非传染性疾病能力建设项目，以提高他们参与非传染性疾病预防和控制的程度。
