Key result
Only ~29% of patients achieve BP targets, driven by clinician knowledge deficits.
Why the study?
Hypertension management in rural, resource-poor settings is difficult, and detailed understanding of patient, clinician, and logistic barriers could enable strategies to improve blood pressure control.
Cross-Sectional (n=112)
Yes
Despite high self-reported adherence and affordable medication availability, blood pressure control in rural Rwanda is poor, driven in part by significant clinician knowledge gaps regarding guideline-directed therapy.
Clinician knowledge gaps may underlie poor hypertension control despite adherence; hypothesis-generating for targeted education in similar low-resource settings.
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Sibomana et al. (2019) conducted a cross-sectional in Hypertension (n=112). Patient, clinician, and logistic factors was evaluated on Blood pressure control according to JNC-8 guidelines. Overall blood pressure control was poor, with only 29.2% of patients achieving target goals, and clinician-based factors such as knowledge deficits were identified as major barriers rather than patient adherence or medication availability.
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