Effectiveness of community-based interventions for prevention and control of hypertension in sub-Saharan Africa: A systematic review.

Autor:	Mengesha EW; College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Tesfaye TD; College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia., Boltena MT; Armauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia.; Ethiopian-Evidence Based Health Care and Development Centre, A JBI Centre of Excellence, Institute of Health, Jimma University, Jimma, Ethiopia., Birhanu Z; Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia.; Ethiopian-Evidence Based Health Care and Development Centre, A JBI Centre of Excellence, Institute of Health, Jimma University, Jimma, Ethiopia., Sudhakar M; Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia.; Ethiopian-Evidence Based Health Care and Development Centre, A JBI Centre of Excellence, Institute of Health, Jimma University, Jimma, Ethiopia., Hassen K; Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia.; Ethiopian-Evidence Based Health Care and Development Centre, A JBI Centre of Excellence, Institute of Health, Jimma University, Jimma, Ethiopia., Kedir K; Armauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia., Mesfin F; Armauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia., Hailemeskel E; Armauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia., Dereje M; Armauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia., Hailegebrel EA; Armauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia., Howe R; Armauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia., Abebe F; School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.; Ethiopian Health Education and Promotion Professionals Association, Addis Ababa, Ethiopia., Tadesse Y; School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia., Girma E; School of Public Health, College of Health Sciences, Addis Ababa University, Addis Ababa, Ethiopia.; Ethiopian Health Education and Promotion Professionals Association, Addis Ababa, Ethiopia., Wadilo F; Armauer Hansen Research Institute, Ministry of Health, Addis Ababa, Ethiopia., Lake EA; College of Health Sciences and Medicine, Wolayita Sodo University, Sodo, Ethiopia., Guta MT; College of Health Sciences and Medicine, Wolayita Sodo University, Sodo, Ethiopia., Damtew B; College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia., Debebe A; College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia., Tariku Z; College of Medicine and Health Sciences, Dire Dawa University, Dire Dawa, Ethiopia., Amdisa D; Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia., Hiko D; Public Health Faculty, Institute of Health, Jimma University, Jimma, Ethiopia., Worku A; Federal Ministry of Health, Addis Ababa, Ethiopia., G/Michael M; Federal Ministry of Health, Addis Ababa, Ethiopia., Abraha YG; Knowledge Translation Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.; Ethiopian Knowledge Translation Centre for Health, The Ethiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia., Ababulgu SA; Knowledge Translation Directorate, Ethiopian Public Health Institute, Addis Ababa, Ethiopia.; Ethiopian Knowledge Translation Centre for Health, The Ethiopian Public Health Institute (EPHI), Addis Ababa, Ethiopia., Fentahun N; College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Ethiopia.
Jazyk:	angličtina
Zdroj:	PLOS global public health [PLOS Glob Public Health] 2024 Jul 16; Vol. 4 (7), pp. e0003459. Date of Electronic Publication: 2024 Jul 16 (Print Publication: 2024).
DOI:	10.1371/journal.pgph.0003459
Abstrakt:	Hypertension poses a significant public health challenge in sub-Saharan Africa due to various risk factors. Community-based intervention for prevention and control of hypertension is an effective strategy to minimize the negative health outcomes. However, comprehensive systematic review evidence to inform effective community-based interventions for prevention and control of hypertension in low resource settings is lacking. This study aimed to synthesize the effectiveness of community-based interventions on prevention and control of hypertension in sub-Saharan Africa. A comprehensive search for studies was carried out on PubMed, CINAHL, Web of Science Core Collection, Embase, Scopus, and Google scholar databases. The result of the review was reported according to PRISMA guidelines. Studies published in English language were included. Two independent reviewers conducted critical appraisal of included studies and extracted the data using predefined excel sheet. Experimental, quasi experimental, cohort and analytical cross-sectional studies conducted on adults who have received community-based interventions for prevention and controls of hypertension in sub-Saharan Africa were included. In this systematic review, a total of eight studies were included, comprising of two interventional studies, two quasi-experimental studies, three cohort studies, and one comparative cross-sectional study. The interventions included health education, health promotion, home-based screening and diagnosis, as well as referral and treatment of hypertensive patients. The sample sizes ranged from 236 to 13,412 in the intervention group and 346 to 6,398 in the control group. This systematic review shows the effect of community-based interventions on reduction of systolic and diastolic blood pressure. However, the existing evidence is inconsistence and not strong enough to synthesize the effect of community-based interventions for the prevention and control of hypertension in sub-Saharan Africa. Hence, further primary studies need on the effect of community-based interventions for the prevention and control of hypertension in sub-Saharan Africa. Systematic review registration number: PROSPERO CRD42022342823. Competing Interests: The authors have declared that no competing interests exist. (Copyright: This is an open access article, free of all copyright, and may be freely reproduced, distributed, transmitted, modified, built upon, or otherwise used by anyone for any lawful purpose. The work is made available under the Creative Commons CC0 public domain dedication.)
Databáze:	MEDLINE
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