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February 28, 2019International Journal for Equity in HealthOpen Access

Identified challenges including patients' knowledge gaps regarding the preventable aspects of hypertension and diabetes, mistrust in the Ugandan health care system, and skepticism regarding a potential role for VHTs in management.

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Why the study?

Although hypertension and diabetes are projected to rise in sub-Saharan Africa, few studies have examined the barriers to controlling these conditions in rural settings.

Population

24 patients with hypertension and/or diabetes, 11 HCPs, and 12 VHTs in Nakaseke District, Uganda

Design

Qualitative semi-structured interview study

Authors

HCHaeyoon ChangNHNicola L. HawleyRKRobert Kalyesubula

Discussion

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Overview

Identifies novel rural Uganda barriers including systemic mistrust and VHT skepticism; leaves open scalable community integration strategies for NCD control.

Structured PICO

P
Population
24 patients with hypertension and/or diabetes, 11 health care professionals (HCPs), and 12 community health workers (village health team members [VHTs]) in Nakaseke District, Uganda
O
Outcome
Challenges to hypertension and diabetes care

Highlights key barriers to hypertension and diabetes management in rural Uganda, including knowledge gaps, systemic mistrust, and skepticism toward community health workers.

Cite This Study

Chang et al. (2019) studied this question.

synapsesocial.com/papers/6a718ddbaf0c21e939291209https://doi.org/10.1186/s12939-019-0934-1
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