Acceptability of patient-centered hypertension education delivered by community health workers among people living with HIV/AIDS in rural Uganda.
Acceptability of patient-centered hypertension education delivered by community health workers among people living with HIV/AIDS in rural Uganda.
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乌干达农村地区艾滋病毒/艾滋病感染者中社区卫生工作者提供的以患者为中心的高血压教育的可接受性
DOI：
10.1186/s12889-021-11411-6
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发表时间：
2021-07-07
影响因子：
4.5
通讯作者：
Siddharthan T
中科院分区：
文献类型：
--
作者：
Batte C;Mukisa J;Rykiel N;Mukunya D;Checkley W;Knauf F;Kalyesubula R;Siddharthan T
The prevalence of hypertension is increasing among people living with HIV/AIDS (PLWHA) in low- and middle-income countries (LMICs). However, knowledge of the complications and management of hypertension among PLWHA in Uganda remains low. We explored the acceptability of implementing hypertension (HTN) specific health education by community health workers (CHWs) among PLWHA in rural Uganda. We conducted a qualitative study consisting of 22 in-depth interviews (14 PLWHA/HTN and 8 CHWs), 3 focus group discussions (FGDs), 2 with PLWHA/HTN and 1 with CHWs from Nakaseke district, Uganda. Participants were interviewed after a single session interaction with the CHW. Data were transcribed from luganda (local language) into English and analyzed using thematic analysis. We used Sekhon’s model of acceptability of health Interventions to explore participants’ perceptions. Participants believed CHWs utilized easy-to-understand, colloquial, non-technical language during education delivery, had a pre-existing rapport with the CHWs that aided faster communication, and had more time to explain illness than medical doctors had. Participants found the educational material (PocketDoktor™) to be simple and easy to understand, and perceived that the education would lead to improved health outcomes. Participants stated their health was a priority and sought further disease-specific information. We also found that CHWs were highly motivated to carry out the patient-centered education. While delivering the education, CHWs experienced difficulties in keeping up with the technical details regarding hypertension in the PocketDoktor™, financial stress and patient questions beyond their self-perceived skill level and experience. PLWHA/HTN had challenges accessing the health facility where the intervention was delivered and preferred a household setting. Hypertension patient-centered education delivered by CHWs using the PocketDoktor™ was acceptable to PLWHA and hypertension in Nakaseke area in rural, Uganda. There is need for further studies to determine the cost implications of delivering this intervention among PLWHA across LMIC settings. The online version contains supplementary material available at 10.1186/s12889-021-11411-6.
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影响因子：
8.1
作者：
Kalyesubula R;Kayongo A;Semitala FC;Muhanguzi A;Katantazi N;Ayers D;Forrest JI;Mills EJ
通讯作者：
Mills EJ
影响因子：
4.7
作者：
Lebni, Javad Yoosefi;Abbas, Jaffar;Ziapour, Arash
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Ziapour, Arash
影响因子：
11.8
作者：
Lichtenstein, Kenneth A.;Armon, Carl;Brooks, John T.
通讯作者：
Brooks, John T.
影响因子：
3.7
作者：
Guwatudde, David;Mutungi, Gerald;Bahendeka, Silver K.
通讯作者：
Bahendeka, Silver K.
影响因子：
3.2
作者：
Jacobs, Bart;Ir, Por;Van Damme, Wim
通讯作者：
Van Damme, Wim