ArticleBMC public health2008
Low utilization of health care services following screening for hypertension in Dar es Salaam (Tanzania): a prospective population-based study.
Article in BMC public health, 2008. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 63 papers, 4 of them syntheses that pooled it.
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Who cites it
63 citing papers in PubMed, 4 syntheses or guidelines pooled it, 117 citations in OpenAlex.
- The Long and Winding Road: A Systematic Literature Review Conceptualising Pathways for Hypertension Care and Control in Low- and Middle-Income Countries.International journal of health policy and management · 2022Pooled it
- A systematic review of primary care models for non-communicable disease interventions in Sub-Saharan Africa.BMC family practice · 2017Pooled it
- Pooled it
- Cost effective interventions for the prevention of cardiovascular disease in low and middle income countries: a systematic review.BMC public health · 2013Pooled it
- A cluster-randomized trial of labelled cash transfers for uptake of care for chronic conditions among middle-aged and older adults in Burkina Faso.Nature human behaviour · 2026Trial
- Training nurses in task-shifting strategies for the management and control of hypertension in Ghana: a mixed-methods study.BMC health services research · 2017Trial
- Trial
- Health Influence and Association Analysis of Inpatient Service Under-Utilization in Older Adults With Multimorbidities: A National Study in China.Health care science · 2026Article
- Determinants, barriers, and facilitators of healthcare access for patients with hypertension in rural Ghana: applying the Andersen-Newman model of healthcare utilization.Global health action · 2025Article
- Cardiovascular risk assessment among undiagnosed hypertensive older adults in India: Evidence from LASI, wave-1.Journal of family medicine and primary care · 2025Article
- Feasibility of community-based hypertension screening and referral by village health teams in eastern Uganda: A quasi-experimental study.Journal of health, population, and nutrition · 2025Article
- Prevalence and correlates of health care utilization for non-communicable diseases in Bangladesh.BMC health services research · 2025Article
- Study on health seeking behaviour and determinants of undiagnosed hypertension in poor households in the Philippines, part of the RESPOND study (SHARP-RESPOND).PLOS global public health · 2025Article
- Accessibility and quality of care for adults with hypertension in rural Burkina Faso: results from a cross-sectional household survey.PLOS global public health · 2025Article
- Review
- Regional disparities in health literacy for chronic diseases: focusing on healthcare resources and local extinction index.Frontiers in public health · 2024Article
- The perceived benefits and effectiveness of patient feedback systems in strengthening patient-provider relationships in Rural Tanzania.BMC health services research · 2023Article
- Understanding traditional healer utilisation for hypertension care using the Andersen model: A qualitative study in Mwanza, Tanzania.Global public health · 2023Article
- Hypertension in an Emergency Department Population in Moshi, Tanzania; A Qualitative Study of Barriers to Hypertension Control.PloS one · 2023Article
- Barriers and Facilitators to Risk Reduction of Cardiovascular Disease in Hypertensive Patients in Nigeria.Annals of global health · 2023Article
3 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
6 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDrug therapy in high-risk individuals has been advocated as an important strategy to reduce cardiovascular disease in low income countries. We determined, in a low-income urban population, the proportion of persons who utilized health services after having been diagnosed as hypertensive and advised to seek health care for further hypertension management.
methodsA population-based survey of 9254 persons aged 25-64 years was conducted in Dar es Salaam. Among the 540 persons with high blood pressure (defined here as BP >or= 160/95 mmHg) at the initial contact, 253 (47%) had high BP on a 4th visit 45 days later. Among them, 208 were untreated and advised to attend health care in a health center of their choice for further management of their hypertension. One year later, 161 were seen again and asked about their use of health services during the interval.
resultsAmong the 161 hypertensive persons advised to seek health care, 34% reported to have attended a formal health care provider during the 12-month interval (63% public facility; 30% private; 7% both). Antihypertensive treatment was taken by 34% at some point of time (suggesting poor uptake of health services) and 3% at the end of the 12-month follow-up (suggesting poor long-term compliance). Health services utilization tended to be associated with older age, previous history of high BP, being overweight and non-smoking, but not with education or wealth. Lack of symptoms and cost of treatment were the reasons reported most often for not attending health care.
conclusionLow utilization of health services after hypertension screening suggests a small impact of a patient-centered screen-and-treat strategy in this low-income population. These findings emphasize the need to identify and address barriers to health care utilization for non-communicable diseases in this setting and, indirectly, the importance of public health measures for primary prevention of these diseases.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.