wow-inequalities/02-data/intermediate/wos_sample/70d619733892caeb1d966f932ff6a7ee-mendis-s-and-abegun/info.yaml

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abstract: 'Objective Assess capacity of health-care facilities in a low-resource
setting to implement the absolute risk approach for assessment of
cardiovascular risk in hypertensive patients and effective management of
hypertension
Design and setting A descriptive cross-sectional study in Egbeda and
Oluyole local government areas of Oyo State in Nigeria in 56 randomly
selected primary- (n = 42) and secondary-level (n = 2) health-care and
private health-care (n = 12) facilities.
Participants One thousand consecutive, known hypertensives attending the
selected facilities for follow-up, and health-care providers working in
the above randomly selected facilities, were interviewed.
Results About two-thirds of hypertensives utilized primary-care centers
both for diagnosis and for follow-up. Laboratory and other
investigations to exclude secondary hypertension or to assess target
organ damage were not available in the majority of facilities,
particularly in primary care. A considerable knowledge and awareness gap
related to hypertension and its complications was found, both among
patients and health-care providers. Blood pressure control rates were
poor {[}28\% with systolic blood pressure (SBP) < 140 mmHg and diastolic
blood pressure (DBP) < 90 mmHg] and drug prescription patterns were not
evidence based and cost effective. The majority of patients (73\%) in
this low socio-economic group (mean monthly income US\$73) had to pay
fully, out of their own pocket, for consultations and medications.
Conclusions If the absolute risk approach for assessment of risk and
effective management of hypertension is to be implemented in
low-resource settings, appropriate policy measures need to be taken to
improve the competency of health-care providers, to provide basic
laboratory facilities and to develop affordable financing mechanisms.
(C) 2004 Lippincott Williams Wilkins.'
affiliation: 'Mendis, S (Corresponding Author), WHO, Bur 4034, 20 Ave Appia, CH-1211
Geneva, Switzerland.
WHO, Bur 4034, CH-1211 Geneva, Switzerland.'
author: Mendis, S and Abegunde, D and Oladapo, O and Celletti, F and Nordet, P
author-email: mendiss@who.int
author_list:
- family: Mendis
given: S
- family: Abegunde
given: D
- family: Oladapo
given: O
- family: Celletti
given: F
- family: Nordet
given: P
da: '2023-09-28'
doi: 10.1097/00004872-200401000-00013
eissn: 1473-5598
files: []
issn: 0263-6352
journal: JOURNAL OF HYPERTENSION
keywords: hypertension; cardiovascular risk; absolute risk; low-resource settings
keywords-plus: 'GENERAL-PRACTICE; BLOOD-PRESSURE; NATIONAL-SURVEY; HEALTH; POPULATION;
CARE'
language: English
month: JAN
number: '1'
number-of-cited-references: '23'
orcid-numbers: mendis, shanthi/0000-0002-8959-5738
pages: 59-64
papis_id: 41f7e6ac92213a09ff69a62fecab4d65
ref: Mendis2004barriersmanagement
researcherid-numbers: 'Mendis, Shanthi/GLT-0465-2022
'
times-cited: '56'
title: Barriers to management of cardiovascular risk in a low-resource setting using
hypertension as an entry point
2023-10-01 08:15:07 +00:00
type: article
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unique-id: WOS:000222672400012
usage-count-last-180-days: '0'
usage-count-since-2013: '3'
volume: '22'
web-of-science-categories: Peripheral Vascular Disease
year: '2004'