Cardiovascular Journal of Africa: Vol 31 No 1 (January/February 2020)

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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 31, No 1, January/February 2020 10 AFRICA
Jhpiego; and Population Services Kenya (PSK)] to improve
hypertension education/awareness, screening and primary
healthcare services (Table 1). To increase hypertension awareness
and knowledge among the public and improve referral to
healthcare facilities for hypertension care, the implementing
partners conducted education and screening outreach campaigns
during market days and at local community events [such as
‘barazas’ (community meetings), ‘chamas’ (an informal
co-operative society), roadshows and facility outreach events],
church gatherings, public transportation stations and home visits.
Programme inputs
• Medical expertise
and support to
generate updated
HTN screening
guidelines:
– – Kenyan Ministry of
Health
– – Professional
societies
• Implementing partner
effort/services
• Collaboration with:
– – Health system
stakeholders
– – Medical
community
• AstraZeneca-
subsidised HTN
medication
Programme services
• Develop/update
medical guidelines
• Train and equip
medical providers:
– – Risk factors
– – Screen and
diagnose
– – Treatment
• Build community
awareness
• Integrate HTN
services in primary
care models
• Strengthen medicine
supply chain
Expected outcomes
• Increased provider
knowledge
• Boosted public
knowledge about
HTN:
– – Risk factors
– – Prevention
– – Outcomes
• Increased public
motivation to:
– – Seek screening
– – Seek treatment
• Strengthened supply
chain for HTN
medication
• Increased availability
of HTN services
Expected short-term
outcomes
• Increased screening
rates
• Increased HTN
detection rates
• Improved patient
practices
• Improved patient
access to:
– – High-quality
HTN care/correct
medications
– – Affordable HTN
care and medicine
Expected long-term
outcomes
• Increased
percentage of
patients with HTN
receiving appropriate
treatment
• Increased patient
retention rates
• Increased
percentage of
controlled BP
• Reduced
HTN-related
morbidity and
mortality
Fig. 1. Logic model for the Healthy Heart Africa programme. BP, blood pressure; HTN: hypertension.
Fig. 2. Map of Kenya showing distribution of intervention facilities and matched control facilities.