ArticleBMC health services research2022
Perceived barriers and enablers influencing health extension workers toward home-based hypertension screening in rural northwest Ethiopia: interpretive descriptive study.
Article in BMC health services research, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.
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11 citing papers in PubMed, 1 synthesis or guideline pooled it, 7 citations in OpenAlex.
- Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.BMC public health · 2026Pooled it
- Gaps in awareness, treatment, and control of hypertension in Ethiopia: a care cascade analysis using nationally representative data.Preventive medicine reports · 2026Article
- Community and health workers perspectives on barriers to diabetes and hypertension screening in North Eastern India: a qualitative study.BMC health services research · 2026Article
- Factors affecting the implementation of the Health Extension Workers Programme in Kavango East Region, Namibia.Health SA = SA Gesondheid · 2026Article
- A qualitative socioecological exploration of community health promoters' barriers and facilitators in cardiovascular disease prevention in Kenya.Frontiers in public health · 2026Article
- Implementing community-based interventions for the management of chronic conditions in low- and middle-income countries: A scoping review of qualitative evidence.PLOS global public health · 2025Article
- Challenges in non-communicable disease mitigation among community health workers: A scoping review.Journal of public health in Africa · 2025Review
- Lived experiences of people living with HIV and hypertension or diabetes access to care in Ethiopia: a phenomenological study.BMJ open · 2024Article
- A Study on Communication Practices in Reducing Non-Communicable Diseases in Bahir Dar City, Ethiopia.Risk management and healthcare policy · 2024Article
- Self-care can be an alternative to expand access to universal health care: What policy makers, governments and implementers can consider for South Africa.Frontiers in reproductive health · 2022Article
- Health-Seeking Behavior and Its Determinants Among Hypertensive Patients in Selected Public Hospitals, Addis Ababa Ethiopia.SAGE open nursingArticle
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Authors and funding
8 authors at 1 institution in 1 country.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundHypertension, a major but modifiable risk factor for cardiovascular diseases, is a global health problem including Ethiopia. In a limited infrastructure task sharing of hypertension screening for community health workers is a feasible strategy to improve hypertension management. Recent finding have shown that trained health extension workers (HEWs) can identify high blood pressure, which was effective and feasible. Identifying barriers and enablers for home-based hypertension screening by HEWs is crucial for its implementation. This study aimed to explore barriers and enablers that influence health extension workers' home-based hypertension screening in the community.
methodsThe interpretive descriptive design was implemented. In-depth interviews were conducted during October, 2020. A total of 26 participants including HEWs, supervisors, and heads of district health office were purposively selected. They were asked to describe their perception toward home-based hypertension screening by the HEWs. The interviews were audio-recorded, transcribed verbatim into Amharic, and translated into English. The transcripts were coded and themes were identified. Thematic approach was used for data analysis.
resultsThe participants identified key perceived barriers and enablers of HEWs home-based hypertension screening. The most common barriers were a lack of hypertension training, blood pressure measuring devices, blood pressure guidelines and manuals, skilled HEWs, financial incentives, and poor community awareness of the disease. The most common enablers were support from community leaders, presence of functional development army and community trust for HEWs, presence of routine campaign on vaccination and community based health insurance, and an integrated health system.
conclusionsOur findings have implications for the HEWs' ongoing implementation of home-based hypertension screening. Successful implementation of this strategy requires scaling up of hypertension training programs for health extension workers and their supervisors, provision of standardized protocols, provision of adequate blood pressure measuring equipment, and regular supportive supervision.
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