ArticlePloS one2015
A Narrative Synthesis of the Health Systems Factors Influencing Optimal Hypertension Control in Sub-Saharan Africa.
Article in PloS one, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 3 of them syntheses that pooled it.
What it found
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The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
22 citing papers in PubMed, 3 syntheses or guidelines pooled it, 32 citations in OpenAlex.
- Pooled 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
- The impact of interventions for the primary prevention of hypertension in Sub-Saharan Africa: A systematic review and meta-analysis.PloS one · 2019Pooled it
- 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
- Mapping healthcare service utilisation for diabetes and hypertension in Tanzania mainland: bayesian spatial modeling.Frontiers in health services · 2026Article
- Left ventricular hypertrophy among adults in a population-based cohort in Haiti.Scientific reports · 2025Article
- Facilitators and barriers to use of clinical practice guidelines among physicians in Nigeria: a cross-sectional study.BMJ open · 2025Article
- Stakeholder perspectives on barriers and facilitators to hypertension control in urban Haiti: a qualitative study to inform a community-based hypertension management intervention.BMC public health · 2025Article
- Exploring patient-, provider-, and health facility-level determinants of blood pressure among patients with hypertension: A multicenter study in Ghana.PLOS global public health · 2024Article
- Design Research to Embed mHealth into a Community-Led Blood Pressure Management System in Uganda: Protocol for a Mixed Methods Study.JMIR research protocols · 2023Article
- Trends in output of hypertension management and associated factors in primary care facilities: a latent trajectory analysis in China from 2009 to 2017.BMC primary care · 2023Article
- Barriers and Facilitators in Access to Diabetes, Hypertension, and Dyslipidemia Medicines: A Scoping Review.Public health reviews · 2022Article
- Stakeholder perspectives to inform adaptation of a hypertension treatment program in primary healthcare centers in the Federal Capital Territory, Nigeria: a qualitative study.Implementation science communications · 2021Article
- Patient and healthcare provider perspectives on adherence with antihypertensive medications: an exploratory qualitative study in Tanzania.BMC health services research · 2021Article
- Relationship between chronic diseases and sleep duration among older adults in Ghana.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2020Article
- Hypertension control in sub-Saharan Africa: Clinical inertia is another elephant in the room.Journal of clinical hypertension (Greenwich, Conn.) · 2020Article
- Managing hypertension in rural Uganda: Realities and strategies 10 years of experience at a district hospital chronic disease clinic.PloS one · 2020Article
- The Burden of Hypertension and Diabetes in an Emergency Department in Northern Tanzania.Ethnicity & disease · 2019Article
- Pharmacy-based hypertension care employing mHealth in Lagos, Nigeria - a mixed methods feasibility study.BMC health services research · 2018Article
- Low uptake of hypertension care after community hypertension screening events in Lagos, Nigeria.Global health action · 2018Article
Corrections and comments
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Authors and funding
5 authors at 5 institutions in 2 countries.
Funding
Abstract
introductionIn sub-Saharan Africa (SSA), an estimated 74.7 million individuals are hypertensive. Reducing the growing burden of hypertension in sub-Saharan Africa will require a variety of strategies one of which is identifying the extent to which actions originating at the health systems level improves optimal management and control. METHODS AND
resultsWe conducted a narrative synthesis of available papers examining health systems factors influencing optimal hypertension in SSA. Eligible studies included those that analyzed the impact of health systems on hypertension awareness, treatment, control and medication adherence. Twenty-five articles met the inclusion criteria and the narrative synthesis identified the following themes: 1) how physical resources influence mechanisms supportive of optimal hypertension control; 2) the role of human resources with enabling and/or inhibiting hypertension control goals; 3) the availability and/or use of intellectual resources; 4) how health systems financing facilitate and/or compromise access to products necessary for optimal hypertension control.
conclusionThe findings highlight the need for further research on the health systems factors that influence management and control of hypertension in the region.
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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.