ArticleCurationis2018
The roles, training and knowledge of community health workers about diabetes and hypertension in Khayelitsha, Cape Town.
Article in Curationis, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers.
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Who cites it
23 citing papers in PubMed, 40 citations in OpenAlex.
- Trial
- Training Community Health Workers for Diabetes Management in Low- and Middle-Income Countries: Systematic Review.JMIR diabetes · 2026Review
- Exploring the potential of community health workers in type-2 diabetes and hypertension management in Cambodia.PloS one · 2026Article
- Factors contributing to uncontrolled hypertension in Ekurhuleni District, South Africa: the community health workers' perspectives. A qualitative analysis.Primary health care research & development · 2025Article
- Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross-Sectional Study.Health science reports · 2025Article
- Undesirable Levels of Practice Behaviours and Associated Knowledge amongst Community Health Workers in Rural South India Responsible for Type 2 Diabetes Screening and Management.International journal of environmental research and public health · 2024Article
- Perspectives of community and facility stakeholders on community health workers in rural Malawi.African journal of primary health care & family medicine · 2024Article
- A situational analysis of human resource and non-communicable diseases management for community health workers in Chengdu, China: a cross-sectional study.BMC health services research · 2023Article
- An Evaluation of Community Health Workers' Knowledge, Attitude and Personal Lifestyle Behaviour in Non-Communicable Disease Health Promotion and Their Association with Self-Efficacy and NCD-Risk Perception.International journal of environmental research and public health · 2023Article
- Lung cancer awareness training experiences of community health workers in KwaZulu-Natal, South Africa.African journal of primary health care & family medicine · 2022Article
- Article
- Association between comorbidity and health-related quality of life in a hypertensive population: a hospital-based study in Bangladesh.BMC public health · 2022Article
- The burden of diabetic emergencies on the resuscitation area of a district-level public hospital in Cape Town.African journal of emergency medicine : Revue africaine de la medecine d'urgence · 2021Article
- Assessment of risk factors for Non-Communicable diseases among a cohort of community health workers in Western Cape, South Africa.Malawi medical journal : the journal of Medical Association of Malawi · 2021Article
- Knowledge of primary healthcare workers regarding the prevention and control of non-communicable diseases in Osun State, Nigeria: A rural-urban comparison.African journal of primary health care & family medicine · 2021Article
- Community health workers' involvement in the prevention and control of non-communicable diseases in Wakiso District, Uganda.Globalization and health · 2021Article
- Management of diabetes mellitus at the household level using community health strategy in Embu County, Kenya.The Pan African medical journal · 2021Article
- What Is the Impact of a Context-Specific Training Program for Home-Based Carers? An Evaluation Study.International journal of environmental research and public health · 2020Article
- Integrating the prevention of mother-to-child transmission of HIV into primary healthcare services after AIDS denialism in South Africa: perspectives of experts and health care workers - a qualitative study.BMC health services research · 2020Article
- Exploration of Community Health Workers' views about in their role and support in Primary Health Care in Northern Cape, South Africa.Journal of community health · 2020Article
Corrections and comments
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Authors and funding
3 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundThe current roles and capacity of community health workers (CHWs) in the management and control of non-communicable diseases (NCDs) remain poorly understood.
objectivesTo assess CHWs' current roles, training and knowledge about diabetes and hypertension in Khayelitsha, Cape Town.
methodsA cross-sectional study of 150 CHWs from two non-governmental organisations contracted to provide NCD care as part of a comprehensive package of services was conducted. An interviewer-administered closed-ended questionnaire was used to determine the roles, training, in-service support, knowledge and presence of NCDs. Descriptive analyses of these domains and multivariate analyses of the factors associated with CHWs' knowledge of hypertension and diabetes were conducted.
resultsThe vast majority (96%) of CHWs were female, with a mean age of 35 years; 88% had some secondary schooling and 53% had been employed as CHWs for 4 years or more. Nearly half (47%) reported having an NCD. CHWs' roles in NCDs included the delivery of medication, providing advice and physical assessment. Only 52% of CHWs reported some formal NCD-related training, while less than half of the trained CHWs (n = 35; 44%) had received follow-up refresher training. CHWs' knowledge of diabetes and hypertension was poor. In the multivariate analyses, higher knowledge scores were associated with having an NCD and frequency of supervisory contact (≥1 per month).
conclusionsThe roles performed by CHWs are broad, varied and essential for diabetes and hypertension management. However, basic knowledge about diabetes and hypertension remains poor while training is unstandardised and haphazard. These need to be improved if community-based NCD management is to be successful. The potential of peer education as a complementary mechanism to formal training needs as well as support and supervision in the workplace requires further exploration.
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Registered trials
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