ArticleAfrican journal of primary health care & family medicine2018
Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut.
Article in African journal of primary health care & family medicine, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 17 papers, 2 of them syntheses that pooled it.
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17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 36 citations in OpenAlex.
- Implementation strategies for evidence-based management of type 2 diabetes at primary healthcare facilities in low- and middle-income countries and related barriers and facilitators: a scoping review.Implementation science communications · 2026Pooled it
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- Enhancing Public Knowledge of Risk Factors and Warning Signs for Stroke and Heart Attack Through Home-Based Community Health Worker Interventions: A Cluster Randomized Trial.International journal of general medicine · 2025Article
- Training of medical coordinators for noncommunicable diseases based on Japanese experience.Journal of rural medicine : JRM · 2025Article
- "You go an extra mile": a qualitative study of community health worker perspectives in a health promotion intervention in urban South Africa.BMC health services research · 2024Article
- Glycemic control and associated factors among type 2 diabetes mellitus patients: a cross-sectional study of Azar cohort population.BMC endocrine disorders · 2023Article
- Task shifting roles, interventions and outcomes for kidney and cardiovascular health service delivery among African populations: a scoping review.BMC health services research · 2023Article
- Article
- Peer support and social networking interventions in diabetes self-management in Kenya and Uganda: A scoping review.PloS one · 2022Article
- Gut permeability is associated with hypertension and measures of obesity but not with Endothelial Dysfunction in South African youth.African health sciences · 2021Article
- Heavy Disease Burden of High Systolic Blood Pressure During 1990-2019: Highlighting Regional, Sex, and Age Specific Strategies in Blood Pressure Control.Frontiers in cardiovascular medicine · 2021Article
- Factors associated with glycemic control among South African adult residents of Mkhondo municipality living with diabetes mellitus.Medicine · 2020Article
- Innovative Implementation Strategies for Hypertension Control in Low- and Middle-Income Countries: a Narrative Review.Current hypertension reports · 2020Review
- Observational stepped-wedge analysis of a community health worker-led intervention for diabetes and hypertension in rural Mexico.BMJ open · 2020Observational
- Review of Ongoing Activities and Challenges to Improve the Care of Patients With Type 2 Diabetes Across Africa and the Implications for the Future.Frontiers in pharmacology · 2020Review
- Article
Corrections and comments
- Erratum issued
Authors and funding
4 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-communicable diseases, mainly cardiovascular diseases, diabetes, cancer and chronic respiratory diseases, are responsible for approximately 63% of all deaths occurring worldwide in any given year. The majority of these deaths have occurred in low- and middle-income countries (LMICs). The latest World Health Organization (WHO) report shows that the increase in diabetes is also most pronounced in the LMICs. The South African Labour and Development Research Unit estimated a 9% prevalence within the adult population in 2016. In the Eastern Cape Province, hypertensive heart disease has become the second most common cause of death, followed by diabetes, the third most common cause of death.Aim and setting: The aim of this study was to report on the follow-up of patients in the community with known hypertension or diabetes or who were deemed at-risk (as identified during a prior community-wide survey).
methodsData were collected via a household primary health screening, monitoring and follow-up process, which included taking anthropometric measurements, blood pressure (BP) and blood glucose and referring to clinics for further testing and treatment where necessary.
resultsOf the 1885 participants followed up by the community health outreach workers, 1702 were known to be hypertensive and 183 were deemed at-risk [of these, only 24 (13.2%) had normal or high normal systolic BP readings]. There were 341 participants with diabetes and 34 at-risk of diabetes [of these, 28 (82%) had levels of 11 mmol/l or higher at follow-up]. There was a significant improvement in BP and glucose control over repeated visits.
conclusionIn this rural area of the Eastern Cape, South Africa, the follow-up of patients with hypertension or diabetes as well as those individuals at-risk adds value to hypertension and glucose control.
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