ArticleAfrican journal of primary health care & family medicine2020
Early detection, care and control of hypertension and diabetes in South Africa: A community-based approach.
Article in African journal of primary health care & family medicine, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 27 papers.
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Who cites it
27 citing papers in PubMed, 41 citations in OpenAlex.
- Trial
- Fragmented prevention in rural South Africa: a qualitative study of Biokineticists' perspectives on health system barriers to early detection of non-communicable diseases.Global health action · 2026Article
- Community-Based Hypertension Screening to Prevent Stroke in Underserved Urban Neighborhoods in French Guiana: Protocol for a Quasi-Experimental Study.JMIR research protocols · 2026Article
- Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.BMC public health · 2026Article
- Article
- Prevalence and associations of hypertension detection, treatment and control in Cape Town.BMC public health · 2025Article
- Chronic Diseases of Lifestyle: A Risk Assessment and Health Promotion Framework for a Rural and Urban Primary Health Care Setting in the Free State Province, South Africa.Healthcare (Basel, Switzerland) · 2024Article
- Determinants of sub-optimal glycemic control among patients enrolled in a medicine dispensing programme in KwaZulu-Natal: A cohort study, 2018-2021.African journal of primary health care & family medicine · 2024Article
- Examining the referral of patients with elevated blood pressure to health resources in an under-resourced community in South Africa.BMC public health · 2024Article
- Noncontact remote sensing of abnormal blood pressure using a deep neural network: a novel approach for hypertension screening.Quantitative imaging in medicine and surgery · 2023Article
- Article
- Evaluation of community-based care delivered by primary healthcare providers in management of hypertension in a rural area of West Bengal.Journal of family medicine and primary care · 2023Article
- Protocol: Implementation evaluation of a combination intervention for sustainable blood pressure control in rural KwaZulu-Natal, South Africa (IMPACT BP): A three-arm, unblinded, parallel group individually randomized clinical trial.Contemporary clinical trials · 2023Article
- Prevalence and Psychosocial Correlates of Diabetes Mellitus in South Africa: Results from the South African National Health and Nutrition Examination Survey (SANHANES-1).International journal of environmental research and public health · 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
- Noncommunicable Disease Conditions and HIV in Rural and Urban South Africa: 2005-2015.Ethnicity & disease · 2023Article
- Individual and area-level socioeconomic correlates of hypertension prevalence, awareness, treatment, and control in uMgungundlovu, KwaZulu-Natal, South Africa.BMC public health · 2023Article
- Chronic diseases of lifestyle curriculum: Students' perceptions in primary health care settings.African journal of primary health care & family medicine · 2023Article
- Associations between cohort derived dementia and COVID-19 serological diagnosis among older Black adults in rural South Africa.Frontiers in public health · 2023Article
- Article
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Authors and funding
5 authors at 2 institutions in 3 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundNon-communicable diseases (NCDs) are a major public health concern with raised blood pressure and glucose emerging as leading causes of death and disability.
aimThis community-based demonstration project using community caregivers (CCGs) trained in screening for hypertension and diabetes aimed at improving early detection and linkage to care and management.
settingThe project was conducted in KwaZulu-Natal province.
methodsThe CCGs were trained in NCD-related health education, promotion and screening for hypertension and diabetes using an accredited programme. The CCGs screened community members for hypertension and diabetes using three screening methods: door-to-door visits, community campaigns and workplaces.
resultsTwenty-five CCGs received the accredited NCD training. A total of 10 832 community members were screened for hypertension and 6481 had their blood glucose measured. Of those screened, 29.7% and 4.4%, respectively, had raised blood pressure (≥ 140/90 mmHg) and blood glucose (≥ 11.0 mmol/L) who required referral to a primary healthcare facility. More than one in five (21.0%, n = 1448), of those with no previous hypertension diagnosis, were found to have raised blood pressure at screening, representing newly detected cases. Less than a third (28.5%) of patients referred to the facilities for raised blood pressure actually presented themselves for a facility assessment, of which 71.8% had their hypertension diagnosis confirmed and were advised to continue, adjust or initiate treatment. Similarly, 29.1% of patients referred to the facilities for raised blood glucose presented themselves at the facility, of which 71.4% received a confirmatory diabetes diagnosis.
conclusionCommunity caregivers played an important role in early detection of raised blood pressure and raised blood glucose, and in referring patients to primary care.
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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.