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Publication Details
AFRICAN RESEARCH NEXUS
SHINING A SPOTLIGHT ON AFRICAN RESEARCH
immunology and microbiology
Evaluating linkage to care for hypertension after community-based screening in rural Uganda
Tropical Medicine and International Health, Volume 19, No. 4, Year 2014
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Description
Objectives: To determine the frequency and predictors of hypertension linkage to care after implementation of a linkage intervention in rural Uganda. Methods: During a multidisease screening campaign for HIV, diabetes and hypertension in rural Uganda, hypertensive adults received education, appointment to a local health facility and travel voucher. We measured frequency and predictors of linkage to care, defined as visiting any health facility for hypertension management within 6 months. Predictors of linkage to care were calculated using collaborative-targeted maximum likelihood estimation (C-TMLE). Participants not linking were interviewed using a standardised instrument to determine barriers to care. Results: Over 5 days, 2252 adults were screened for hypertension and 214 hypertensive adults received a linkage intervention for further management. Of these, 178 (83%) linked to care within 6 months (median = 22 days). Independent predictors of successful linkage included older age, female gender, higher education, manual employment, tobacco use, alcohol consumption, hypertension family history and referral to local vs. regional health centre. Barriers for patients who did not see care included expensive transport (59%) and feeling well (59%). Conclusions: A community health campaign that offered hypertension screening, education, referral appointment and travel voucher achieved excellent linkage to care (83%). Young adults, men and persons with low levels of formal education were among those least likely to seek care. © 2014 John Wiley & Sons Ltd.
Authors & Co-Authors
Kotwani, Prashant
United States, San Francisco
University of California, San Francisco
Uganda, Kampala
Makerere University
Balzer, Laura B.
United States, Berkeley
University of California, Berkeley
Kwarisiima, Dalsone
Uganda, Kampala
Makerere University
Clark, Tamara D.
United States, San Francisco
University of California, San Francisco
Uganda, Kampala
Makerere University
Kabami, Jane
Uganda, Kampala
Makerere University
Byonanebye, Dathan M.
Uganda, Kampala
Makerere University
Bainomujuni, Bob
Uganda, Kampala
Makerere University
Black, Douglas
United States, San Francisco
University of California, San Francisco
Uganda, Kampala
Makerere University
Chamie, Gabriel
United States, San Francisco
University of California, San Francisco
Uganda, Kampala
Makerere University
Jain, Vivek
United States, San Francisco
University of California, San Francisco
Uganda, Kampala
Makerere University
Thirumurthy, Harsha
United States, Chapel Hill
The University of North Carolina at Chapel Hill
Kamya, Moses Robert K.
Uganda, Kampala
Makerere University
Uganda, Kampala
Makerere University College of Health Sciences
Geng, Elvin H.
United States, San Francisco
University of California, San Francisco
Uganda, Kampala
Makerere University
Petersen, Maya L.
United States, Berkeley
University of California, Berkeley
Havlir, Diane V.
United States, San Francisco
University of California, San Francisco
Uganda, Kampala
Makerere University
Charlebois, Edwin D.
Uganda, Kampala
Makerere University
United States, San Francisco
Ucsf Center for Aids Prevention Studies
Statistics
Citations: 57
Authors: 16
Affiliations: 6
Identifiers
Doi:
10.1111/tmi.12273
ISSN:
13602276
e-ISSN:
13653156
Research Areas
Health System And Policy
Infectious Diseases
Noncommunicable Diseases
Substance Abuse
Study Design
Randomised Control Trial
Study Locations
Uganda
Participants Gender
Male
Female