Evaluation of The Program for Early Detection of Hypertension and Type 2 Diabetes Mellitus in Primary Health Care Centers in wassit Governorate.

Abstract

Background: Over the past decade it has been clear that the prevalence of hypertension and type 2 diabetes is increasing rapidly. Only around one half are aware of their condition and other  of them have asymptomatic stage, presence of screening and diagnostic tools this make diseases suitable for early detection will improve the outcome of people with HTN and T2DM , aiming to control of both of them. Objective: To evaluate the program for early detection of HTN& T2DM in PHC centers, and compare between Primary Health Care Centers which applied the program? Subject and methods: This study was a descriptive, cross-sectional study which represents multistage sampling of 22 PHCCs in Wassit governorate, selected randomly from 44 primary health centers distributed in 6 primary health Care Sectors according to ballot technique. Results: The results showed that only (2794) clients represent 25.1% of study samples from 11140 target population within catchment areas of study centers were covered by program for early detection. Total number of +Ve patients (HTN+T2DM) in diagnostic test was (47) from total +Ve patients in screening test (542). 54.5% of study centers have a convenient place for early detection program. Good scores regarding to standard structural staff but shows that poor to acceptable scores regarding presence of doctor. The current study showed that there are clear deficiencies of all information were recording in the file of patient that have been detected by the program, Most of important poor scores for early detection program showed in current study at rural area of PHC centers. Conclusions and Recommendation: In spite of the presence of poor indicators, the early detection program services achievement in wassit governorate was acceptable according to the guideline of Iraqi MOH indicators. There is no application for referral and feedback system regarding program’s patients. The current study showed clear deficiency in total information required in early detection records and patients file and there is clear deficiency in different testing for patients that detection by program (laboratory test, ECG, X-ray). Through effective health education, patients can learn primary and secondary prevention strategies, decrease their risk status and make better lifestyle choices in order to optimize their health and wellbeing.

 

Keywords: Diabetes, Hypertension, Iraq


Article Review Status: Published

Pages: 14-24 (Download PDF)

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