ArticleGlobalization and health2021
Community health workers' involvement in the prevention and control of non-communicable diseases in Wakiso District, Uganda.
Article in Globalization and health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 29 papers.
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Who cites it
29 citing papers in PubMed, 54 citations in OpenAlex.
- Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.BMC public health · 2026Article
- Understanding what factors influence community health worker involvement in hypertension service delivery in Kenya: applying a community health system lens.Health policy and planning · 2026Article
- Exploring the potential of community health workers in type-2 diabetes and hypertension management in Cambodia.PloS one · 2026Article
- Feasibility of community-based hypertension screening and referral by village health teams in eastern Uganda: A quasi-experimental study.Journal of health, population, and nutrition · 2025Article
- Knowledge and determinants of Mpox and infection prevention and control practices among primary health care workers in Osun State, Nigeria.BMC health services research · 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
- Assessment of the capacity of health facilities in preventing and managing non-communicable diseases in selected regions of Somaliland.BMC health services research · 2025Article
- Assessing the physical activity training needs and preferences of community health workers in South Africa.BMC public health · 2025Article
- Stakeholders' perspectives on the management and prevention of non-communicable diseases in rural Tanzania: SWOC analysis prior to PEN Plus implementation.PLOS global public health · 2025Article
- Community-Based Mycetoma Surveillance in Uganda: Identifying Knowledge Gaps and Training of Community Health Workers to Improve Case Detection.PLoS neglected tropical diseases · 2024Article
- Shifting roles of community health workers in the prevention and management of noncommunicable disease during the COVID-19 pandemic: a scoping review.Health policy and planning · 2024Article
- The role of community health workers in non-communicable diseases in Cape Town, South Africa: descriptive exploratory qualitative study.BMC primary care · 2024Article
- Culturally adapted training for community volunteers to improve their knowledge, attitude and practice regarding non-communicable diseases in Vietnam.BMC public health · 2024Article
- Task-Shifting: Can Community Health Workers Be Part of the Solution to an Inactive Nation?International journal of environmental research and public health · 2023Review
- Principles for task shifting hypertension and diabetes screening and referral: a qualitative study exploring patient, community health worker and healthcare professional perceptions in rural Uganda.BMC public health · 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
- Educational intervention for the main caregiver of primiparous women to promote breastfeeding and the association between prolactin and nutritional parameters.Journal of global health · 2023Observational
- Stakeholder perceptions on scaling-up community-led interventions for prevention and control of non-communicable diseases in Bangladesh: a qualitative study.BMC public health · 2023Article
- Experiences and challenges of using community health worker-led mechanism in supporting HIV disclosure among adults living with HIV in heterosexual relationships in the rural Uganda.AIDS research and therapy · 2023Article
- Health system adaptions to improve care for people living with non-communicable diseases during COVID-19 in low-middle income countries: A scoping review.Journal of global health · 2023Article
Corrections and comments
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Authors and funding
9 authors at 2 institutions in 2 countries.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundCommunity health workers (CHWs) are an important cadre of the global health workforce as they are involved in providing health services at the community level. However, evidence on the role of CHWs in delivering interventions for non-communicable diseases (NCDs) in Uganda is limited. This study, therefore, assessed the involvement of CHWs in the prevention and control of NCDs in Wakiso District, Uganda with a focus on their knowledge, attitudes and practices, as well as community perceptions.
methodsA cross-sectional study using mixed methods was conducted which involved a structured questionnaire among 485 CHWs, and 6 focus group discussions (FGDs) among community members. The study assessed knowledge, perceptions including the importance of the various risk factors, and the current involvement of CHWs in NCDs, including the challenges they faced. Quantitative data were analysed in STATA version 13.0 while thematic analysis was used for the qualitative data.
resultsThe majority of CHWs (75.3%) correctly defined what NCDs are. Among CHWs who knew examples of NCDs (87.4%), the majority mentioned high blood pressure (77.1%), diabetes (73.4%) and cancer (63.0%). Many CHWs said that healthy diet (86.2%), physical activity (77.7%), avoiding smoking/tobacco use (70.9%), and limiting alcohol consumption (63.7%) were very important to prevent NCDs. Although more than half of the CHWs (63.1%) reported being involved in NCDs activities, only 20.9 and 20.6% had participated in community mobilisation and referral of patients respectively. The majority of CHWs (80.1%) who were involved in NCDs prevention and control reported challenges including inadequate knowledge (58.4%), lack of training (37.6%), and negative community perception towards NCDs (35.1%). From the FGDs, community members were concerned that CHWs did not have enough training on NCDs hence lacked enough information. Therefore, the community did not have much confidence in them regarding NCDs, hence rarely consulted them concerning these diseases.
conclusionsDespite CHWs having some knowledge on NCDs and their risk factors, their involvement in the prevention and control of the diseases was low. Through enhanced training and community engagement, CHWs can contribute to the prevention and control of NCDs, including health education and community mobilisation.
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