A community survey of cardiovascular risk factors in an urban population in Botswana exploring potential for telemedicine

作者: M. Joubert , J. , Nkomazana , O. , Mompati

DOI: 10.1016/J.EURTEL.2014.07.001

关键词:

摘要: Summary Background This paper reports the findings of a pilot study undertaken in Gaborone, Botswana to investigate feasibility using screening address hypertension. An international research team, consisting members University Melbourne, Australia, and Institut de neurologie tropicale, Limoges, France, collaborated with researchers from Botswana, develop study. Methods Sampling inhabitants was carried out consecutive households central location local Bontleng Health Clinic. Eligible participants were 18 years over, present during data collection, able participate short questionnaire physical examination. A total 92 participants consented enrolled Results The team received with enthusiasm there mutual respect by all involved Our confirmed that prevalence hypertension an urban population around 30%, figure is comparable other sub-Saharan Africa. significant clinical correlates our for obesity high salt intake. Only 37% participants had been exposed any education regarding raised blood pressure, cardiac disease or stroke. Conclusion While no single intervention has shown be effective models care need multidimensional based on integration expertise. Long-term follow-up, training, quality assurance support health workers essential. positive social evaluation component indicate proposed model integrated benefit can strong bonds already available community. recommends would piloted randomized control trial where group receive Telemedicine-supported receiving as usual.

参考文章(23)
G Rose, J Stamler, None, The INTERSALT study: background, methods and main results. INTERSALT Co-operative Research Group. Journal of Human Hypertension. ,vol. 3, pp. 283- 288 ,(1989)
Adewole A Adebiyi, Okechukwu S Ogah, Akinyemi Aje, Dike B Ojji, Adedeji K Adebayo, Olulola O Oladapo, Ayodele O Falase, Echocardiographic partition values and prevalence of left ventricular hypertrophy in hypertensive Nigerians. BMC Medical Imaging. ,vol. 6, pp. 10- 10 ,(2006) , 10.1186/1471-2342-6-10
S Stewart de Ramirez, D A Enquobahrie, G Nyadzi, D Mjungu, F Magombo, M Ramirez, S Ehrlich Sachs, W Willett, Prevalence and correlates of hypertension: a cross-sectional study among rural populations in sub-Saharan Africa. Journal of Human Hypertension. ,vol. 24, pp. 786- 795 ,(2010) , 10.1038/JHH.2010.14
Lionel H. Opie, Yackoob K. Seedat, Hypertension in Sub-Saharan African Populations Circulation. ,vol. 112, pp. 3562- 3568 ,(2005) , 10.1161/CIRCULATIONAHA.105.539569
Antoine Geissbuhler, Cheick Oumar Bagayoko, Ousmane Ly, The RAFT network: 5 years of distance continuing medical education and tele-consultations over the Internet in French-speaking Africa. International Journal of Medical Informatics. ,vol. 76, pp. 351- 356 ,(2007) , 10.1016/J.IJMEDINF.2007.01.012
DanS Wamala, Kaddu Augustine, A meta-analysis of telemedicine success in Africa Journal of Pathology Informatics. ,vol. 4, pp. 6- 6 ,(2013) , 10.4103/2153-3539.112686
Robert Beaglehole, JoAnne Epping-Jordan, Vikram Patel, Mickey Chopra, Shah Ebrahim, Michael Kidd, Andy Haines, Improving the prevention and management of chronic disease in low-income and middle-income countries: a priority for primary health care The Lancet. ,vol. 372, pp. 940- 949 ,(2008) , 10.1016/S0140-6736(08)61404-X
N Unwin, F Mugusi, T Aspray, D Whiting, R Edwards, JC Mbanya, E Sobgnwi, S Rashid, KGMM Alberti, Tackling the emerging pandemic of non-communicable diseases in sub-Saharan Africa: The essential NCD health intervention project Public Health. ,vol. 113, pp. 141- 146 ,(1999) , 10.1038/SJ.PH.1900549
Marc Twagirumukiza, Dirk De Bacquer, Jan G Kips, Guy de Backer, Robert Vander Stichele, Luc M Van Bortel, Current and projected prevalence of arterial hypertension in sub-Saharan Africa by sex, age and habitat: an estimate from population studies. Journal of Hypertension. ,vol. 29, pp. 1243- 1252 ,(2011) , 10.1097/HJH.0B013E328346995D