Health Practitioners‘ Compliance with Hypertension Management Guideline and its Associated Factors in Illubabor and BunoBedelle Zones, South West Ethiopia, 2020
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Date
2020-06
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Addis Ababa University
Abstract
Background: To achieve sustainable development goal and to improve management of noncommunicablediseases the federal democratic republic of Ethiopian ministry of healthdeveloped guidelines on clinical andprogrammatic management of major non communicablediseases in 2016. Compliance to hypertension guideline was very low in developing countries leading to compromised quality of life and premature deaths. The aim of this study was to assesscompliance of health practitioners‘ with the 2016 federal democratic republic of Ethiopian ministry of health hypertension management guideline and health system, health practitioners‘, and patient factors associated their compliance in Illubabor and Buno Bedelle zones.
Objective: To assess health practitioners‘ compliance with hypertension management guideline and its associated factors in Illubabor and Buno Bedelle zones.
Method: A cross-sectional study design from patient medical record data was used to assess for compliance with hypertension management guideline. Medical records of adult Patients treated for hypertension from March 2019 to march 2020wasreviewed. Simple random sampling method was used to select the first study population then systematic sampling was used to select
consecutive study populations. The collected data was checked for its completeness, consistency and accuracy before analysis. Data was coded, entered and cleaned using Epi- data 7 and export to SPSS version 25 for analysis. Multivariate analysis was used to obtain a final model describing the significant independent predictors of guidelines compliance.
Results: overall compliance of health practitioners‘ to hypertension guideline were found to be poor; only 75(19.5%) of patients were managed following the guideline. In multivariate analysis,availability of resource (adjusted odds ratio [AOR] =0.400, 95% CI: =0.203-0.788), supervisionstatus (adjusted odds ratio [AOR] =0.497, 95% CI: =0.308-0.892), training status (adjusted odds
ratio [AOR] =0.250, 95% CI: =0.107-0.584), and appointment status (adjusted odds ratio [AOR]=0.091, 95% CI: =0.024-0.352) had significant positive association with compliance tohypertension management guideline.
Conclusion: poor compliance is primarily due to a lack of recommending lifestylemodifications. The majority of health practitioners‘ complied with the pharmacological antihypertensive treatment protocols for 238 (62.0%)of the patients.
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Keywords
Health practitioners‘, Hypertension, Management Guideline