We found a match
Your institution may have access to this item. Find your institution then sign in to continue.
- Title
Acceptability and feasibility of home-based hypertension and physical activity screening by community health workers in an under-resourced community in South Africa.
- Authors
Stoutenberg, Mark; Crouch, Simone H.; McNulty, Lia K.; Kolkenbeck-Ruh, Andrea; Torres, Georgia; Gradidge, Philippe J. L.; Ly, Andy; Ware, Lisa J.
- Abstract
Background: Low–middle-income countries (LMICs) face increasing burdens from non-communicable disease (NCDs) requiring primary care task shifting to community health workers (CHWs). This study explored community members' perceptions of NCD-focused, CHW-led home visits in a historically disadvantaged township of South Africa. Methods: Trained CHWs visited community member homes, performing blood pressure and physical activity (PA) screenings, followed by brief counselling and a satisfaction survey. Semi-structured interviews were conducted within 3 days of the visit to learn about their experiences. Results: CHWs visited 173 households, with 153 adult community members consenting to participate (88.4%). Participants reported that it was easy to understand CHW-delivered information (97%), their questions were answered well (100%), and they would request home service again (93%). Twenty-eight follow-up interviews revealed four main themes: 1) acceptance of CHW visits, 2) openness to counselling, 3) satisfaction with screening and a basic understanding of the results, and 4) receptiveness to the PA advice. Conclusion: Community members viewed CHW-led home visits as an acceptable and feasible method for providing NCD-focused healthcare services in an under-resourced community. Expanding primary care reach through CHWs offers more accessible and individualized care, reducing barriers for individuals in under-resourced communities to access support for NCD risk reduction.
- Subjects
SOUTH Africa; HOME care services; HEALTH services accessibility; RISK assessment; RESEARCH funding; T-test (Statistics); HYPERTENSION; PILOT projects; INTERVIEWING; MEDICAL care; QUESTIONNAIRES; COMMUNITIES; DESCRIPTIVE statistics; MANN Whitney U Test; CHI-squared test; NON-communicable diseases; SURVEYS; THEMATIC analysis; EXPERIENCE; RESEARCH; RESEARCH methodology; INFORMED consent (Medical law); HEALTH behavior; MEDICAL screening; RESOURCE-limited settings; BLOOD pressure; COUNSELING; PATIENT satisfaction; ACCESS to primary care; INDIVIDUALIZED medicine; HEALTH promotion; COMPARATIVE studies; DATA analysis software; PHYSICAL activity; PATIENTS' attitudes; DISEASE risk factors
- Publication
Journal of Public Health (09431853), 2024, Vol 32, Issue 6, p1011
- ISSN
0943-1853
- Publication type
Article
- DOI
10.1007/s10389-023-01873-w