ArticleBulletin of the World Health Organization2007
Can non-physician health-care workers assess and manage cardiovascular risk in primary care?
Article in Bulletin of the World Health Organization, 2007. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 45 papers, 5 of them syntheses that pooled it.
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Who cites it
45 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Community Health Nursing in Iran: A Review of Challenges and Solutions (An Integrative Review).Frontiers in public health · 2022Pooled it
- Task-sharing interventions for improving control of diabetes in low-income and middle-income countries: a systematic review and meta-analysis.The Lancet. Global health · 2021Pooled it
- Assessment of Barriers and Facilitators to the Delivery of Care for Noncommunicable Diseases by Nonphysician Health Workers in Low- and Middle-Income Countries: A Systematic Review and Qualitative Analysis.JAMA network open · 2019Pooled it
- Pooled it
- Task shifting for non-communicable disease management in low and middle income countries--a systematic review.PloS one · 2014Pooled it
- Task shifting of cardiovascular risk assessment and communication by nurses for primary and secondary prevention of cardiovascular diseases in a tertiary health care setting of Northern India.BMC health services research · 2020Trial
- Community Health Workers Improve Linkage to Hypertension Care in Western Kenya.Journal of the American College of Cardiology · 2019Trial
- An implementation science study to enhance cardiovascular disease prevention in Mukono and Buikwe districts in Uganda: a stepped-wedge design.BMC health services research · 2019Trial
- Health insurance coverage with or without a nurse-led task shifting strategy for hypertension control: A pragmatic cluster randomized trial in Ghana.PLoS medicine · 2018Trial
- Training nurses in task-shifting strategies for the management and control of hypertension in Ghana: a mixed-methods study.BMC health services research · 2017Trial
- A cluster-randomized trial of task shifting and blood pressure control in Ghana: study protocol.Implementation science : IS · 2014Trial
- Integrating a Non-Communicable Disease Care Cascade within Ghana's Community-Based Health Planning and Services (CHPS) Program: the COMBINE Pilot Implementation Trial.medRxiv : the preprint server for health sciences · 2026Article
- Community Health Workers Equipped with an mHealth Application Can Accurately Diagnose Hypertension in Rural Guatemala.Global heart · 2025Article
- Perceptions of healthcare workers on linkage between depression and hypertension in northern Ghana: a qualitative study.Global mental health (Cambridge, England) · 2024Article
- Integration of a task strengthening strategy for hypertension management into HIV care in Nigeria: a cluster randomized controlled trial study protocol.Implementation science : IS · 2021Article
- Exploring New Models for Cardiovascular Risk Reduction: The Heart Outcomes Prevention and Evaluation 4 (HOPE 4) Canada Pilot Study.CJC open · 2021Article
- Using Community Health Workers and a Smartphone Application to Improve Diabetes Control in Rural Guatemala.Global health, science and practice · 2020Article
- Testing of a dental student-administered multidisciplinary health promotion program.Journal of family medicine and primary care · 2019Article
- The Sub-Saharan Africa Conference on Stroke (SSACS): An idea whose time has come.Journal of the neurological sciences · 2019Review
- A description of community-based participatory research of hypertension awareness, prevention and treatment in a district of Matabeleland South Province, Zimbabwe.African journal of primary health care & family medicine · 2019Article
Corrections and comments
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Authors and funding
8 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo ascertain the reliability of applying the WHO Cardiovascular Risk Management Package by non-physician health-care workers (NPHWs) in typical primary health-care settings.
methodsBased on an a priori 80% agreement level between the NPHWs and the "expert" physicians (gold standard), 649 paired (matched) applications of the protocol were obtained for analysis using Kappa statistic and multivariate logit regression.
findingsResults indicate over 80% agreement between raters, from moderate to perfect levels of agreement in almost all of the sections in the package. The odds of obtaining a difference between raters and a benchmark are not statistically significant.
conclusionApplying the WHO Cardiovascular Risk Management Package, NPHWs can be retrained to reliably and effectively assess and manage cardiovascular risks in primary health-care settings where there are no attending physicians. The package could be a useful tool for scaling up the management of cardiovascular diseases in primary health care.
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