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An integrated community-based intervention to improve hypertension control among hypertensive patients in barangay Adaon, Datu Anggal Midtimbang, Maguindanao / Bai Shariffah B. Pandita.

By: Contributor(s): Description: iii, 106 leaves : illustrations (some color)Subject(s): Dissertation note: Graduate School of Public Systems and Development. Health Systems and Development. Batch 5 Thesis (MPM-HSD)--Development Academy of the Philippines. Summary: Hypertension and its complications are emerging health problems in Barangay Adaon, Datu Anggal Midtimbang. Like many other primary health care facilities in the Philippines, the Rural Health Unit has limited capability to manage such conditions The high healthcare cost constitutes a significant financial burden not only to the patient but on the government as well. This qualitative, descriptive study sought to examine the status of hypertension and the currents hypertension control strategies in a low-source, rural community of Barangay Adaon, Datu Anggal Midtimbang. Document analysis from a previous medical screening activity was used to determine hypertension prevalence, level of awareness, and control. Two focus group discussions with a total of 16 respondents were conducted to determine patient factors based on Health Belief Model. Interview and direct observation of the eight rural health staff using interview schedule and checklist, respectively, were used to assess health provider factors. Finally, an integrated community-based hypertension control strategy was developed based on Health Systems Framework. This study reported hypertension prevalence of 18.4%, with greater proportion among males (20%) than females (17.7%), and highest among the 40-59 age group (34%). It also revealed poor hypertension control as evidenced high level of uncontrolled hypertension among previously-diagnosed patients (58%) and the high percentage of those unaware of their condition (54%). A review of the current hypertension control program showed that while RHU has the basic tool to detect and monitor hypertension and an adequate supply of antihypertensive drugs, the health workers were not trained on proper detection, management and control of hypertension. FGDs elucidated that while hypertension is viewed as a serious disease, the perception of stress as a dominant cause of hypertension and belief that symptoms need to be present to be considered susceptible to the complications support the tendency to take medications only when felt needed. Findings of this study showed the need for improved hypertension control program that is tailored to the profile of the community. The integrated community-based hypertension control program developed, entitled "HIP2x hooray! Highblood Itidto ta Program", considered of (1) health human resource capability-building, (2) improvement of health service delivery, (3) electronic masterlisting and recording, (4) taillored, interactive health education and promotion, (5) regulation through development of management protocols, and (6) increased insurance coverage. This study affirms hypertension as a public health concern with considerable underdiagnosis and control that calls for cost-effective measures to halt and reverse its growing morbidity and mortality. Further studies should, however, be done to evaluate the strategies developed herein.
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Pandita, B. S. B. (2015). An integrated community-based intervention to improve hypertension control among hypertensive patients in Barangay Adaon, Datu Anggal Midtimbang, Maguindanao (Unpublished master's thesis). Graduate School of Public and Development Management, Development Academy of the Philippines.

Graduate School of Public Systems and Development. Health Systems and Development. Batch 5 Thesis (MPM-HSD)--Development Academy of the Philippines.

Hypertension and its complications are emerging health problems in Barangay Adaon, Datu Anggal Midtimbang. Like many other primary health care facilities in the Philippines, the Rural Health Unit has limited capability to manage such conditions The high healthcare cost constitutes a significant financial burden not only to the patient but on the government as well. This qualitative, descriptive study sought to examine the status of hypertension and the currents hypertension control strategies in a low-source, rural community of Barangay Adaon, Datu Anggal Midtimbang. Document analysis from a previous medical screening activity was used to determine hypertension prevalence, level of awareness, and control. Two focus group discussions with a total of 16 respondents were conducted to determine patient factors based on Health Belief Model. Interview and direct observation of the eight rural health staff using interview schedule and checklist, respectively, were used to assess health provider factors. Finally, an integrated community-based hypertension control strategy was developed based on Health Systems Framework. This study reported hypertension prevalence of 18.4%, with greater proportion among males (20%) than females (17.7%), and highest among the 40-59 age group (34%). It also revealed poor hypertension control as evidenced high level of uncontrolled hypertension among previously-diagnosed patients (58%) and the high percentage of those unaware of their condition (54%). A review of the current hypertension control program showed that while RHU has the basic tool to detect and monitor hypertension and an adequate supply of antihypertensive drugs, the health workers were not trained on proper detection, management and control of hypertension. FGDs elucidated that while hypertension is viewed as a serious disease, the perception of stress as a dominant cause of hypertension and belief that symptoms need to be present to be considered susceptible to the complications support the tendency to take medications only when felt needed. Findings of this study showed the need for improved hypertension control program that is tailored to the profile of the community. The integrated community-based hypertension control program developed, entitled "HIP2x hooray! Highblood Itidto ta Program", considered of (1) health human resource capability-building, (2) improvement of health service delivery, (3) electronic masterlisting and recording, (4) taillored, interactive health education and promotion, (5) regulation through development of management protocols, and (6) increased insurance coverage. This study affirms hypertension as a public health concern with considerable underdiagnosis and control that calls for cost-effective measures to halt and reverse its growing morbidity and mortality. Further studies should, however, be done to evaluate the strategies developed herein.

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