ArticleBMC health services research2019
Preparedness of health facilities in managing hypertension & diabetes mellitus in Kilimanjaro, Tanzania: a cross sectional study.
Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers, 2 of them syntheses that pooled it.
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Who cites it
22 citing papers in PubMed, 2 syntheses or guidelines pooled it, 37 citations in OpenAlex.
- Diabetes mellitus service preparedness and availability: a systematic review and meta-analysis.Frontiers in endocrinology · 2024Pooled it
- Health system readiness for non-communicable diseases at the primary care level: a systematic review.BMJ open · 2022Pooled it
- Influence of "Hospital-Community-Family" Integrated Management on Blood Pressure, Quality of Life, Anxiety and Depression in Hypertensive Patients.Computational and mathematical methods in medicine · 2022Trial
- Addressing priority gaps in access and quality of NCD services in primary care settings in Rural Kenya: a participatory approach to intervention development.BMC primary care · 2026Article
- How prepared are urban primary care facilities to manage hypertension and type 2 diabetes in Dhaka, Bangladesh? A cross-sectional descriptive study of government urban dispensaries and NGO clinics.BMC primary care · 2026Article
- Adherence to National Standard Treatment Guidelines in the management of hypertension and associated factors among healthcare providers at public district hospitals in Dar es Salaam, Tanzania.PLOS global public health · 2026Article
- Assessing the capacity of primary healthcare facilities and healthcare workers in managing diabetes and hypertension in Kisumu county, Kenya.BMC health services research · 2025Article
- Article
- Evaluating diabetes care in primary healthcare centers in Abuja, Nigeria: a cross-sectional formative assessment.BMC primary care · 2024Article
- Article
- Evaluation of Primary Healthcare Centers' Service Availability and Readiness for Implementing Diabetes Care in Abuja, Nigeria: A Cross-Sectional, Formative Assessment.Research square · 2024Article
- The capacity of primary healthcare facilities in Bangladesh to prevent and control non-communicable diseases.BMC primary care · 2023Article
- Health systems interventions for hypertension management and associated outcomes in Sub-Saharan Africa: A systematic review.PLOS global public health · 2023Article
- Correlates of Blood Pressure Awareness, Treatment, and Control Among Adults 50 Years or Older by HIV Status in Northwestern Tanzania.Current hypertension reports · 2022Review
- Where can Tanzania health system integrate clinical management of patients with dual tuberculosis and diabetes mellitus? A cross-sectional survey at varying levels of health facilities.Public health in practice (Oxford, England) · 2022Article
- The capacity of primary health care centers in Jordan to manage hypertension: areas for improvement.Journal of human hypertension · 2022Article
- Informal Support Networks of Tanzanians With Chronic Diseases: Predictors of Support Provision and Treatment Adherence.International journal of public health · 2022Article
- Factors associated with the availability and affordability of essential cardiovascular disease medicines in low- and middle-income countries: A systematic review.PLOS global public health · 2022Article
- Article
- Patterns of comorbidity and multimorbidity among middle-aged and elderly women in peri-urban Tanzania.Journal of multimorbidity and comorbidity · 2022Article
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Authors and funding
13 authors at 4 institutions in 2 countries.
Funding
Abstract
backgroundHypertension and Diabetes mellitus are risk factors for cardiovascular diseases that cause 17 million deaths globally. Many of these deaths could have been prevented if hypertensive and diabetic patients had their blood pressure and glucose controlled. Less than 30% of hypertensive and diabetic patients on management have controlled their blood pressure and glucose respectively. This study aimed to determine the preparedness of health facilities in managing hypertensive and diabetic patients in terms of personnel; laboratory services provision, and local use of routinely collected data, and shows differences in preparedness between the levels of facilities.
methodsWe conducted a cross-sectional study in Government, faith-based and private health facilities in two districts in Kilimanjaro region in Tanzania from March to July 2017. We collected data through interviews and observations on the preparedness of the facilities for managing hypertension and DM.
resultsForty-three (43) health facilities and 62 healthcare workers (HCW) participated in the survey. Services for hypertension and DM were available in 37 (86%) and 34 (79%) health facilities respectively. Eighteen (53%) and five (15%) facilities had HCW trained on hypertension and DM management respectively within two years preceding the survey. Regular adherence to treatment guideline was reported in 18 (53%) of the health facilities. More than third of health facilities were without basic equipment for managing hypertension and DM. All the recommended laboratory tests were only available in four (15%) hospitals and one health center. Valid first line medicines for both hypertension and DM were available in six (50%) health centers, four (24%) dispensaries and in four (80.0%) hospitals. Health data collection, analysis and local use for planning were reported in all hospitals, nine (75%) health centers and four (24%) dispensaries.
conclusionsHealth facilities are not fully prepared to manage hypertension and DM. Health centers and dispensaries are mostly affected levels of health facilities. Government interventions to improve facility factors and collaborative approaches to build capacity to HCW are needed to enable health facilities be responsive to these diseases.
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