ArticleGlobal heart2019
Dissemination and Implementation Program in Hypertension in Rwanda: Report on Initial Training and Evaluation.
Article in Global heart, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers.
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Who cites it
11 citing papers in PubMed.
- Piloting a Novel eHealth Technology for the Control and Management of Elevated Blood Pressure in Rwanda (HeartCare@Home Project): Protocol for a 2-Phase Crossover Study.JMIR research protocols · 2025Article
- Prevalence of undiagnosed hypertension and associated factors in Ndera sector, Gasabo district of Rwanda: a cross-sectional study.BMC public health · 2024Article
- Association between Periodontitis and Hypertension among Adult Population in Rwanda.Journal of clinical medicine · 2024Article
- Factors Associated with Adherence to Medication among Hypertensive Patients in a District Hospital, Northern Province, Rwanda.Rwanda journal of medicine and health sciences · 2024Article
- Training in eight low-and middle-income countries: lessons learned from a pilot study using the WHO-TDR dissemination and implementation massive open online course.Frontiers in health services · 2023Article
- Global implementation research capacity building to address cardiovascular disease: An assessment of efforts in eight countries.PLOS global public health · 2023Article
- Building a 'Virtual Library': continuing a global collaboration to strengthen research capacity within Nepal and other low- and middle-income countries.Global health action · 2022Article
- High rates of undiagnosed and uncontrolled hypertension upon a screening campaign in rural Rwanda: a cross-sectional study.BMC cardiovascular disorders · 2022Article
- The WHO-TDR Dissemination and Implementation Massive Open Online Course (MOOC): Evaluation and Lessons Learned from Eight Low-and Middle-Income Countries.Research square · 2022Article
- Sustaining capacity building and evidence-based NCD intervention implementation: Perspectives from the GRIT consortium.Frontiers in health services · 2022Article
- The TDR MOOC training in implementation research: evaluation of feasibility and lessons learned in Rwanda.Pilot and feasibility studies · 2020Article
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Authors and funding
18 authors.
Funding
Abstract
backgroundCardiovascular disease (CVD) is the leading cause of morbidity and mortality worldwide and in low- and middle-income countries, and hypertension (HTN) is a major risk factor for CVD. Although effective evidence-based interventions for control of HTN in high-income countries exist, implementation of these in low- and middle-income countries has been challenging due to limited capacity and infrastructure for late-phase translational research. In Rwanda, the 2015 STEPS NCD (STEPwise Approach to Surveillance of Noncommunicable Diseases) risk survey reported an overall prevalence of HTN of 15% (95% confidence interval [CI]: 13.8 to 16.3) for those ages 15 to 64 years; prevalence increased with increasing age to 39% (95% CI: 35.7 to 43.1) for those ages 55 to 64 years; CVD was the third most common cause of mortality (7%). Suboptimal infrastructure and capacity in Rwanda hinders research and community knowledge for HTN control.
objectivesTo address the issue of suboptimal capacity to implement evidence-based interventions in HTN, this project was designed with the following objectives: 1) to develop a regional needs assessment of infrastructure for dissemination and implementation (D & I) strategies for HTN-CVD control; 2) to develop HTN-CVD research capacity through creation of countrywide resources such as core research facilities and training in the fields of HTN-CVD, D & I, and biostatistics; and 3) to engage and train multiple stakeholders in D & I and HTN-CVD evidence-based interventions.
methodsA weeklong training program in HTN-CVD, biostatistics, and D & I was conducted in Rwanda in August 2018, and pre- and post-D & I training competency questionnaires were administered.
resultsQuestionnaire results show a statistically significant increase in D & I knowledge and skills as a result of training (full scale pre- to post-test scores: 2.12 ± 0.78 vs. 3.94 ± 0.42; p < 0.0001).
conclusionsUsing principles of community engagement and train-the-trainer methods, we will continue to adapt guidelines and treatments for HTN-CVD developed in high-income countries to the context of Rwanda with the goal of establishing a sustainable platform to address the burden of disease from HTN-CVD.
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