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A qualitative study of current hypertension care coordination and feasibility of involving Female Community Health Volunteers (FCHVs) in hypertension management in Kavre district, Nepal

dc.contributor.advisor Yan, Lijing L
dc.contributor.author Tan, Jingru
dc.date.accessioned 2019-06-07T19:51:25Z
dc.date.available 2019-12-05T09:17:07Z
dc.date.issued 2019
dc.identifier.uri https://hdl.handle.net/10161/18918
dc.description Master's thesis
dc.description.abstract <p>Background: Hypertension and related complications are major contributors to deaths and disabilities in Nepal. We aim to explore existing work flows, needs and challenges to hypertension care coordination and assess feasibility of establishing a FCHV-based hypertension management program in Kavre, Nepal.</p><p>Design: We conducted 23 in depth-interviews and one focus group discussion that consists of nine patients with hypertension, six health workers, four health officials, and 12 FCHVs in two village development committees of Kavre district, Nepal. Applied thematic analysis was performed using NVivo 12.</p><p>Results: Health literacy related to hypertension was low. Delay in treatment initiation and lost to follow up were common patterns despite comply with antihypertensive medication. Underutilization of primary healthcare institutions, communication gap and lack of grass-roots level educational campaigns were identified as major health system-related barriers. Community pharmacies, monthly health camps and increasing governmental attention to NCDs were favorable for hypertension management. This study also showed FCHVs have the potential to promote hypertension educational, screening and referral in their catchments, with adequate training and proper motivation.</p><p>Conclusions: Barriers and facilitators identified in this study have implications for future hypertension management intervention design. We recommend grassroot level hypertension education and screening across the Nepal. FCHVs have the potential to take on these responsibilities, once they are empowered with appropriate training and motivated by proper incentives. </p><p>Keywords: hypertension management, barriers, facilitators, community health workers, female community health volunteers, Nepal, qualitative research</p>
dc.subject Health sciences
dc.subject barriers
dc.subject facilitators
dc.subject female community health volunteers
dc.subject hypertension management
dc.subject Nepal
dc.subject qualitative research
dc.title A qualitative study of current hypertension care coordination and feasibility of involving Female Community Health Volunteers (FCHVs) in hypertension management in Kavre district, Nepal
dc.type Master's thesis
dc.department DKU- Global Health Master of Science Program
duke.embargo.months 6


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