The project was an awareness, screening, and early detection program for hypertension implemented through Village Health Teams (VHTs). It aimed to empower VHTs of Bugembe town council, Jinja city, Eastern Uganda, with knowledge and skills to screen for and educate the community about hypertension. The project trained 12 VHTs on basic hypertension concepts and blood pressure measurement skills, who then conducted over 5,200 blood pressure screenings, with many individuals receiving their first-ever measurement. They were also able to identify previously undiagnosed hypertension cases and increase referrals and clinic visits for hypertensive services. This resulted in increased awareness of hypertension within the community, early detection of hypertension, enabling timely treatment and management, and improved access to hypertensive care for community members.
Over a four-month period, community health workers screened 5,215 individuals, with 54.2% (2,827) experiencing their first blood pressure measurement. Alarmingly, 22.4% (1,167) exhibited elevated blood pressure, of whom 76.4% (892) were unaware. These individuals were referred to Bugembe Health Centre IV, contributing to a patient base increase from 285 to around 435 in the NCD clinic. Baseline surveys using the Acceptability of Intervention Measure (AIM) gauged community intervention acceptability, with 93.8% overall acceptance among 388 randomly sampled members.
Specifically, 94.3% welcomed, 93.3% liked, 93.0% approved, and 94.3% found the intervention appealing. However, challenges arose as only 50% of referred hypertensive individuals sought care at the facility. Long waiting times and medication shortages discouraged patients, leading some to private facilities or ignoring referrals due to symptom absence. The intervention showcased high acceptance but faced barriers in translating referrals into actual care, highlighting the need to address healthcare access issues to enhance the initiative's impact.
Project team