ArticleBMC cardiovascular disorders2026
Bridging the know-do gap: a cross-sectional assessment of hypertension management amongst primary healthcare workers in Northwestern Nigeria.
Article in BMC cardiovascular disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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Abstract
backgroundHypertension is a leading cause of cardiovascular mortality in Nigeria, with a high burden in the Northwest. Effective management at the primary healthcare (PHC) level is critical, yet data on healthcare workers’ capacity in this security-challenged region are limited.
objectivesTo assess the knowledge and practice of hypertension management amongst PHC workers in Gusau, Zamfara State, and identify associated factors.
methodsA cross-sectional study was conducted amongst 320 healthcare workers using a pretested questionnaire. Knowledge and self-reported practice were assessed and categorised as ‘good/adequate’ (score ≥ 75%) or ‘poor/inadequate.’ Data were analysed with SPSS using chi-square tests and multivariable logistic regression (p < 0.05).
resultsRespondents’ mean age was 34.6 ± 7.8 years; 62.8% were male, and 48.4% were Community Health Extension Workers. Overall, 61.9% had good knowledge, but gaps existed in identifying diagnostic thresholds (56.3%) and complications (59.7%). Only 54.7% demonstrated adequate practice, with low follow-up scheduling (48.1%), guideline use (51.6%), and referral (46.9%). Prior training (AOR = 2.6; 95% CI: 1.6–4.3) and > 10 years’ experience (AOR = 1.8; 95% CI: 1.1–3.0) predicted good knowledge. Good knowledge (AOR = 2.1; 95% CI: 1.3–3.5) and on-site guideline availability (AOR = 1.9; 95% CI: 1.2–3.1) predicted adequate practice.
conclusionA significant know-do gap exists in hypertension management. Recurrent in-service training for all PHC cadres—particularly Community Health Extension Workers (CHEWs) and Community Health Officers (CHOs), who constitute the majority of the workforce—alongside accessible point-of-care guidelines, strengthened chronic care systems, and supportive supervision are urgently needed to improve hypertension care in this region.
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