CARDIOVASCULAR JOURNAL OF AFRICA • Kenya Cardiac Society July 2023 15 AFRICA few numbers of nurses to patient’s ratio, and heavy workload in the ward. The most reasons why medication errors are not reported was absence of incident report book for medication error, lack of protocol and guideline for medication error and fear of the staff from being fired after reporting drug error. Conclusion Since many medication errors are not reported by nurses, nursing leader must show positive response to nurses who are reporting medication error in order to improve patient safety. It is also very important to increase the number of qualified staffs in each working shift since heavy workload, fatigue and inadequate staff in each working shift are the most effective factor causing medication error, however incident report and protocol for medication error has to be initiated in the institute. Submission ID: 18 PREVALENCE AND FACTORS ASSOCIATED WITH IDEAL CARDIOVASCULAR HEALTH IN KENYA: A CROSS-SECTIONAL STUDY USING DATA FROM THE 2015 KENYA STEPWISE SURVEY JAMES ODHIAMBO OGUTA1,2, ELVIS WAMBIYA1,2, CATHERINE AKOTH2, PETER KIBE2, PETER OTIENO2,3, LILIAN MBAU4, YVETTE KISAKA5, ELIZABETH ONYANGO5, GRACE MBUTHIA6, JEMIMA KAMANO7, PENNY BREEZE1, AND PETE DODD1 1. SCHOOL OF HEALTH AND RELATED RESEARCH, UNIVERSITY OF SHEFFIELD. SHEFFIELD, S1 4DA, UNITED KINGDOM 2. AFRICAN NETWORK OF RESEARCH SCIENTISTS, NAIROBI, KENYA 3. AFRICAN POPULATION AND HEALTH RESEARCH CENTER P.O. BOX: 10787-00100, NAIROBI, KENYA. 4. KENYA CARDIAC SOCIETY, NAIROBI, KENYA 5. NON-COMMUNICABLE DISEASES DIVISION, MINISTRY OF HEALTH, AFYA HOUSE, CATHEDRAL ROAD, NAIROBI, KENYA 6. SCHOOL OF NURSING, COLLEGE OF HEALTH SCIENCES, JOMO KENYATTA UNIVERSITY OF AGRICULTURE AND TECHNOLOGY, P.O. BOX 62000- 0200 NAIROBI, KENYA 7. DEPARTMENT OF MEDICINE, SCHOOL OF MEDICINE, COLLEGE OF HEALTH SCIENCES, MOI UNIVERSITY, ELDORET, KENYA Background Cardiovascular diseases (CVDs) are the leading causes of noncommunicable disease (NCD) deaths in Kenya. The high burden of CVDs is attributed to increase in risky behaviours predisposing to cardiometabolic risk factors. Ideal cardiovascular health (ICH), coined by the American Heart Association (AHA) in 2010, is defined by four ideal health behaviours (physical activity, healthy diet, nonsmoking and body mass index (BMI) of below 25km/m2) and three cardiometabolic health factors (blood pressure <120/<80mmHg, fasting blood glucose <100mg/dL and total cholesterol <200mg/ dL). This study aimed at establishing the prevalence of ICH in Kenya and their associated factors. Methods Secondary analyses of data from the Kenya STEPwise survey for non-communicable diseases (NCD) risk factors 2015 were performed for this study. The study sample included 3427 adults aged 20-70 years. ICH was defined by the cut-offs proposed by AHA based on history of CVD, health behaviours (smoking, physical activity, diet, BMI) and health factors (blood pressure, glucose, and cholesterol levels). Multivariable binary logistic regression analysis was performed using STATA 17 software. Results About 3.9% had 0-2 (poor) ICH metric, 35.8% had 3-4 (intermediate) ICH metrics while 60.3% had 5-7 (ideal) ICH metrics. Only 4.3% had all the seven ICH metrics. The ICH prevalence declined with increasing age, was higher in rural compared to urban areas (67.6% vs 54.9%) and increased with increasing wealth status. The adjusted model showed that males (AOR: 1.6, 95% CI: 1.3-2.0), richer wealth quintiles (AOR: 1.5-2.0), residents of Nyanza region (AOR: 2.1, 95% CI: 1.2-3.7) had increased odds of ICH. There were reduced odds of ICH among higher age groups (AOR: 0.20-0.54), alcohol users (AOR: 0.51, 95% CI: 0.37-0.70), urban (AOR: 0.65, 95% CI: 0.49-0.85) and North-eastern region (AOR: 0.36, 95% CI: 0.18-0.73) residents. Conclusion About 6 in 10 Kenyan adults have ideal cardiovascular health status despite existing disparities by age, sex, residence, wealth, and alcohol use. There is need to design interventions targeting females, residents of urban and arid areas, alcohol users, and poorer households. The findings also call for implementation of policies targeting cardiovascular health promotion among the general population Submission ID: 19 TRAINING THE NEXT GENERATION OF HYPERTENSION RESEARCHERS: THE IMPROVING HYPERTENSION CONTROL IN RURAL AFRICA GLOBAL HEALTH RESEARCH GROUP ANTHONY O. ETYANG, ALEXANDER PERKINS, SYREEN HASSAN, MODOU JOBE, ELIJAH OGOLA, ASSAN JAYE, SAMSON KINYANJUI, MELANIE MORRIS, PABLO PEREL, AND THE IHCORAFRICA GROUP Background There is an urgent need to increase the numbers of health researchers with skills to conduct studies on hypertension and related conditions in sub-Saharan Africa (sSA). IHCoR Africa is a NIHR Global Health Research Group that aims to strengthen research and improve hypertension management in sSA, through a range of training activities. These activities target early, mid-career and senior researchers. Here we describe findings from the initial offerings of training activities targeting early and mid-career researchers. Methods The Introduction to Hypertension Research course is a 4-week online course that we are offering at no cost to early career researchers. The course consists of 3 contact hours each week during which participants watch pre-recorded lectures while also participating in live question and answer sessions with a panel composed of hypertension experts drawn from the IHCoR-Africa group. Mid-career researchers are targeted through an in-person Research Skills Strengthening course held annually at the MRC Gambia Unit. The course provides experiences and skill sets that are required for professional and personal career development in health research. Topics covered include mentorship, leadership styles, grant writing and critical thinking. Figure 1: Training activities conducted by the IHCoR- Africa Global Health Research Group Advanced hypertension researchers will participate in two Kilifi Dialogues meetings where they will present on-going work, share challenges and insights they have gained in the course of their research and also deliberate on potential future projects.
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