ArticlePublic health action2019
Outcomes of decentralizing hypertension care from district hospitals to health centers in Rwanda, 2013-2014.
Article in Public health action, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it, 24 citations in OpenAlex.
- Pooled it
- Nurse-led interventions for hypertension management in Sub-Saharan Africa: A scoping review.International journal of nursing studies advances · 2026Review
- Article
- Factors influencing blood pressure control among patients with hypertension in Rwanda: the role of patients and caretakers.BMC public health · 2025Article
- Assessment of Blood Pressure Control Status Among Hypertensive Patients Attending Rwandan District Hospital NCD Clinics: A Retrospective Follow-Up Study.Journal of epidemiology and global health · 2025Article
- Decentralization Matters: Association of Adherence to Treatment and Distance for the Management of Non-Communicable Diseases in Rural Tanzania.International journal of environmental research and public health · 2024Article
- India Hypertension Control Initiative: decentralization of hypertension care to health wellness centres in Punjab and Maharashtra, India, 2018-2022.BMC health services research · 2024Article
- Exploring patient-, provider-, and health facility-level determinants of blood pressure among patients with hypertension: A multicenter study in Ghana.PLOS global public health · 2024Article
- Task shifting roles, interventions and outcomes for kidney and cardiovascular health service delivery among African populations: a scoping review.BMC health services research · 2023Article
- Quality of Care for Patients with Hypertension in selected Health Centres in Rwamagana District, Rwanda.Rwanda journal of medicine and health sciences · 2023Article
- National and subnational survey on diabetes burden and quality of care index in Iran: a systematic analysis of the global burden of disease study 1990-2019.Journal of diabetes and metabolic disorders · 2022Article
- Implementation outcomes of national decentralization of integrated outpatient services for severe non-communicable diseases to district hospitals in Rwanda.Tropical medicine & international health : TM & IH · 2021Article
Corrections and comments
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Authors and funding
10 authors at 5 institutions in 4 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
settingThree district hospitals (DHs) and seven health centers (HCs) in rural Rwanda.
objectiveTo describe follow-up and treatment outcomes in stage 1 and 2 hypertension patients receiving care at HCs closer to home in comparison to patients receiving care at DHs further from home.
designA retrospective descriptive cohort study using routinely collected data involving adult patients aged ⩾18 years in care at chronic non-communicable disease clinics and receiving treatment for hypertension at DH and HC between 1 January 2013 and 30 June 2014.
resultsOf 162 patients included in the analysis, 36.4% were from HCs. Patients at DHs travelled significantly further to receive care (10.4 km vs. 2.9 km for HCs,
conclusionBy removing the distance barrier, decentralizing hypertension management to HCs may improve long-term patient retention and could provide similar hypertension outcomes as DHs.
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