ArticleBMC health services research2015
Assessment of hypertension management in primary health care settings in Kinshasa, Democratic Republic of Congo.
Article in BMC health services research, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 8 papers.
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Who cites it
8 citing papers in PubMed.
- Hypertension and Elevated Pulse Pressure Responsive to Biomass Pollutants Exposures in Young Workers From the Democratic Republic of Congo: A Cross-Sectional Analysis.Journal of the American Heart Association · 2025Article
- A Readiness Level Assessment of Healthcare Facilities in the Democratic Republic of Congo for the Management of Cardiovascular Disease and Diabetes.Journal of clinical medicine · 2025Article
- Comorbidities and the management of hypertensive heart disease in a low-resource setting: a cross-sectional study.Annals of medicine and surgery (2012) · 2025Article
- Factors associated to hypertension knowledge and control in Kimpese, Democratic Republic of the Congo.African journal of primary health care & family medicine · 2025Article
- Quality of Care for Patients with Hypertension in selected Health Centres in Rwamagana District, Rwanda.Rwanda journal of medicine and health sciences · 2023Article
- Assessment of care provision for hypertension at the emergency Department of an Urban Hospital in Mozambique.BMC health services research · 2019Article
- Prevalence and determinants of hypertension among students of the University of Kinshasa, Democratic Republic of Congo: a cross-sectional study.African health sciences · 2019Article
- Risk strata and quality of care for the elderly in Primary Health Care.Revista latino-americana de enfermagem · 2019Article
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Authors and funding
6 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension-related complications have become more diagnosed at secondary and tertiary care levels, in the Democratic Republic of the Congo (DRC), probably indicative of poor management of hypertensive patients at primary health care level. This study aimed to assess the management of hypertension in primary health care settings by using guidelines of the International Forum for Prevention and Control of HTN in Africa (IFHA).
methodsA multi-center cross-sectional study was carried out in primary health care settings. A total of 102 nurses were surveyed using a structured interview. Mean and proportion comparisons were performed using the t Student test and the Chi-square test respectively. The Kinshasa Primary Health Care network facilities were compared with non-Kinshasa Primary Health Care network facilities.
resultsFrom the 102 nurses surveyed; 52.9% were female with a mean age of 41.1, (SD = 10) years, merely 9.5% benefited from in-job training on cardiovascular diseases or their risk factors, and 51.7% had guidelines on the management of hypertension. Less than a quarter of the nurses knew the cut-off values of hypertension, diabetes and obesity. Merely 14.7% knew the therapeutic goals for uncomplicated hypertension. Several of the indicators for immediate referral recommended by IFHA were unmentioned. The content of patient education was lacking, avoiding stress being the best advice provided to hypertensive patients. The antihypertensive most used were unlikely to be recommended by the IFHA.
conclusionsThis study showed a considerable gap of knowledge and practices in the management of hypertensive patients at primary health care facilities in Kinshasa pertaining to the IFHA guidelines. We think that task-shifting for management of hypertension is feasible if appropriate guidelines are provided and nurses trained.
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