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January 31, 2019African Journal of Primary Health Care & Family MedicineOpen Access

A community-based participatory research intervention utilizing village health workers improved hypertension knowledge, treatment compliance, and increased the number of patients on hypertension registers from 18 to 195.

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Why the study?

Hypertension knowledge has not been adequately translated into community practice, leaving a gap between academics, health workers, and marginalized communities.

Does a community-based participatory research approach improve hypertension awareness, prevention, and treatment in a rural Zimbabwean community?

Population

Community members in Ward 14, Gwanda District, Matebeleland South Province in Zimbabwe

Comparison

Community-based participatory approach using a cooperative inquiry group

Design

Qualitative health services research

Key result

A community-based participatory research intervention utilizing village health workers improved hypertension knowledge, treatment compliance, and increased the number of patients on hypertension registers from 18 to 195.

Authors

PCPugie T. ChimberengwaMNMergan Naidoo

Discussion

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Member takes

Overview

Supports village health worker programs for hypertension in low-resource settings; hypothesis-generating and requires randomized confirmation before practice change.

Structured PICO

Does a community-based participatory research approach improve hypertension awareness, prevention, and treatment in a rural Zimbabwean community?

P
Population
22 cooperative inquiry group members, including patients, village health workers, and community leaders in rural Zimbabwe, participated in an 8-month participatory action research project to improve hypertension care.
I
Intervention
Community-based participatory research approach using a cooperative inquiry group to implement a chronic care management model for hypertension over 6 months, including village health worker training, community hypertension clubs, and peer support.
C
Comparator
Baseline (pre-intervention) status
O
Outcome
Improvement in community knowledge about hypertension, establishment of community hypertension care, pill pickup rate, and treatment compliance.

Empowering village health workers through a community-based participatory research approach successfully improved hypertension screening, awareness, and treatment adherence in a rural setting.

Limitations

  • The participatory action research was implemented in one administrative ward, limiting the generalizability of the findings to other districts or provinces with different settings.

Cite This Study

Chimberengwa et al. (2019) studied Hypertension (n=22). Community-based participatory research (Chronic Care Management model) vs. Baseline (pre-intervention) was evaluated on Improvement in community hypertension knowledge, treatment compliance, and enrollment in care. A community-based participatory research intervention utilizing village health workers improved hypertension knowledge, treatment compliance, and increased the number of patients on hypertension registers from 18 to 195.

synapsesocial.com/papers/6a75c3fdfbccc8f4fd1620dahttps://doi.org/10.4102/phcfm.v11i1.1839
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Knowledge, attitudes and practices of hypertension in a community based cross sectional study done in Ward 14, Gwanda District, Matebeleland South, Zimbabwe2019
  2. 2Knowledge, attitudes and practices related to hypertension among residents of a disadvantaged rural community in southern Zimbabwe2019 · 71 citations
  3. 3Factors affecting diagnosis and management of hypertension in Mazowe District of Mashonaland Central Province in Zimbabwe: 20122014 · 29 citations
  4. 4Hypertension in a rural community in South Africa: what they know, what they think they know and what they recommend2019 · 57 citations
  5. 5Community Perception on Hypertension Management in Malawi: A Qualitative Baseline Study2025