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Effectiveness of the Hypertension Screening Corner in Enhancing the Cascade of Care at Primary Healthcare Center Level: Evidence from Zambezia, Mozambique Cover

Effectiveness of the Hypertension Screening Corner in Enhancing the Cascade of Care at Primary Healthcare Center Level: Evidence from Zambezia, Mozambique

Open Access
|Jul 2024

Figures & Tables

Figure 1

Flowchart of study inclusion criteria. BP = Blood pressure, PHCC = Primary Health Care Center.

Table 1

Number and frequencies of the socioeconomic status (SES) index group and variable included in SES index estimation distinguished by sex.

FEMALESMALESOVERALL
(n = 275)(n = 154)(n = 430)
SES index (NA = 81)
Low107 (38.9)16 (10.4)123 (29.6)
Medium79 (28.7)27 (17.5)106 (28.6)
High50 (18.2)70 (45.4)120 (27.9)
Education (NA = 1)
Illiterate112 (40.7)22 (14.3)134 (31.2)
Primary school67 (24.4)39 (25.3)107 (24.9)
Middle school54 (19.6)39 (25.3)93 (21.6)
High school29 (10.5)36 (23.4)65 (15.1)
University or higher13 (4.7)18 (11.7)31 (7.2)
Employment (NA = 35)
Subsistence agriculture22 (8.0)22 (17.5)203 (47.2)
Self-occupied175 (63.6)27 (26.0)65 (15.1)
Formal paid work25 (9.1)40 (15.6)80 (18.6)
Unemployed30 (10.9)50 (12.3)44 (10.2)
Household variables
Non-perishable ceiling (NA = 2): yes233 (84.7)144 (93.5)377 (87.7)
Washable floor (NA = 3): yes133 (48.4)90 (58.4)223 (51.9)
Telephone (NA = 1): yes176 (64.0)137 (89.0)313 (72.8)
Television (NA = 2): yes170 (61.8)113 (73.4)283 (65.8)
Electricity (NA = 9): yes244 (88.7)138 (89.6)373 (86.7)
Running water (NA = 1): yes190 (69.1)129 (83.8)319 (74.2)
Toilet (NA = 2)
With a washable floor68 (24.7)27 (17.5)95 (22.1)
With perishable ceiling191 (69.5)124 (80.5)315 (73.2)
None15 (5.5)2 (1.3)17 (3.9)
Means of transport (NA = 16)
None188 (68.4)68 (44.2)256 (59.5)
Motorbike42 (15.3)50 (32.5)92 (21.4)
Moto44 (16.0)39 (25.3)83 (19.3)
Car8 (2.9)9 (5.8)17 (3.9)
Figure 2

Number and percentage of patients meeting the inclusion criteria distinguished according to each step of the hypertension care cascade.

Figure 3

Proportion of participants with hypertension-positive screening who fulfilled each cascade step, stratified by age group, and SES index group. The color scale ranges from red (0.0%) to green (100%).

Table 2

Results of the logistic regression models fitted on the four hypertension care cascade steps (yes/no) as dependent variables and age class, sex, and socioeconomic status (SES) index group as potential determinants. Post-hoc pairwise comparison was carried out through Tukey’s test. AG1 = 25–34 years, AG2 = 35–44 years, AG3 = 45–59 years, AG4 = over 60 years.

OR0.95CIp-VALUE
1 step – Underwent medical consultation
Age groups (years)
AG2 – AG14.431.41–13.880.005
AG3 – AG13.951.41–11.030.003
AG4 – AG13.411.08–10.770.032
AG3 – AG20.890.38–2.110.986
AG4 – AG20.770.27–2.170.915
AG4 – AG30.860.35–2.110.974
Sex(Female)
Male1.560.87–2.230.140
SES index
Middle – Low0.590.26–1.320.270
High – Low0.210.09–0.49<0.001
High – Low0.350.16–0.760.004
2 step – Confirmed diagnosis
Age groups (years)
AG2 – AG12.390.41–14.020.585
AG3 – AG19.341.61–54.240.006
AG4 – AG15.540.84–36.770.092
AG3 – AG23.911.08–14.150.033
AG4 – AG22.320.49–11.080.507
AG4 – AG30.590.13–0.740.816
Sex(Female)
Male1.370.58–3.390.487
SES index
Middle – Low0.280.08–1.020.054
High – Low0.210.05–0.870.027
High – Low0.750.23–2.430.831
3 step – Received a follow-up appointment
Age groups (years)
AG2 – AG10.730.13–4.010.964
AG3 – AG11.640.33–8.220.856
AG4 – AG12.810.47–16.900.449
AG3 – AG22.250.78–6.500.201
AG4 – AG23.840.98–15.030.055
AG4 – AG31.710.50–5.770.670
Sex(Female)
Male0.910.43–1.920.794
SES index
Middle – Low0.560.21–1.470.336
High – Low0.920.30–2.800.981
High – Low1.640.57–4.670.511
4 step – Recalled the appointment
Age groups (years)
AG2 – AG10.000–inf1.000
AG3 – AG10.000–inf1.000
AG4 – AG11.200–inf1.000
AG3 – AG23.000.23–38.690.668
AG4 – AG21.09e80–inf1.000
AG4 – AG33.64e70–inf1.000
Sex(Female)
Male0.330.03–3.260.997
SES index
Middle – Low2.170.10–47.130.824
High – Low4.310.18–100.680.522
High – Low1.980.06–62.150.887
DOI: https://doi.org/10.5334/gh.1339 | Journal eISSN: 2211-8179
Language: English
Submitted on: Dec 28, 2023
Accepted on: Jun 19, 2024
Published on: Jul 10, 2024
Published by: Ubiquity Press
In partnership with: Paradigm Publishing Services
Publication frequency: 1 issue per year

© 2024 Anna Sartorello, Roberto Benoni, Lucy Ramirez, Aldo Mundjane, Frederic Kalombola, Alfredo Ramos, Edgar Meque, Paolo Massaro, Neusa Jessen, Giovanni Putoto, Albertino Damasceno, published by Ubiquity Press
This work is licensed under the Creative Commons Attribution 4.0 License.