Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal

Background: The prevalence of hypertension is increasing in Nepal. Thus, there is a need for a programme to improve primary healthcare. One possibility is to assign prevention, diagnosis, and treatment of hypertension to female community health volunteers (FCHVs). Objective: To assess literacy and m...

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Main Authors: Dinesh Neupane, Craig S. Mclachlan, Rupesh Gautam, Shiva Raj Mishra, Michael Thorlund, Mette Schlütter, Per Kallestrup
Format: Article
Language:English
Published: Taylor & Francis Group 2015-12-01
Series:Global Health Action
Subjects:
Online Access:http://www.globalhealthaction.net/index.php/gha/article/view/28254/pdf_204
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author Dinesh Neupane
Craig S. Mclachlan
Rupesh Gautam
Shiva Raj Mishra
Michael Thorlund
Mette Schlütter
Per Kallestrup
author_facet Dinesh Neupane
Craig S. Mclachlan
Rupesh Gautam
Shiva Raj Mishra
Michael Thorlund
Mette Schlütter
Per Kallestrup
author_sort Dinesh Neupane
collection DOAJ
description Background: The prevalence of hypertension is increasing in Nepal. Thus, there is a need for a programme to improve primary healthcare. One possibility is to assign prevention, diagnosis, and treatment of hypertension to female community health volunteers (FCHVs). Objective: To assess literacy and motivation to be involved in a hypertension prevention and control programme in Nepal among FCHVs. Design: Five focus group discussions (FGDs) were conducted with a total of 69 FCHVs in Lekhnath municipality, Kaski district, Nepal. Seven themes were developed on the basis of data collection: 1) knowledge about hypertension; 2) risk factors of hypertension; 3) prevention and control of hypertension; 4) access to treatment for hypertension in the community; 5) learning about blood pressure measurement; 6) ability to raise blood pressure awareness in the community; 7) possible challenges for their future involvement. Data were analysed using the thematic analysis approach. Results: FCHVs have some knowledge about diagnosis, risk factors, and complications of hypertension. General unanimity was observed in the understanding that hypertension and risk factors needed to be addressed. The willingness of FCHVs to contribute to prevention, control, and management was strong, and they were confident that with some basic training they could obtain skills in hypertension management. Conclusions: Despite limited knowledge about hypertension, FCHVs expressed willingness and readiness to be trained in hypertension management. This study supports the possibility of involving FCHVs in prevention and control of hypertension in Nepal.
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spelling doaj.art-3d4dc6da62fa4399bdf87a0a306ca92b2022-12-22T03:09:11ZengTaylor & Francis GroupGlobal Health Action1654-98802015-12-01801810.3402/gha.v8.2825428254Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from NepalDinesh Neupane0Craig S. Mclachlan1Rupesh Gautam2Shiva Raj Mishra3Michael Thorlund4Mette Schlütter5Per Kallestrup6 Center for Global Health, Department of Public Health, Aarhus University, Aarhus, Denmark Rural Clinical School, University of New South Wales, Sydney, Australia Unit for Health Promotion Research, University of Southern Denmark, Esbjerg, Denmark Nepal Development Society, Chitwan, Nepal Faculty of Social Sciences, Aalborg University, Aalborg, Denmark Department of Culture and Society, Aarhus University, Aarhus, Denmark Center for Global Health, Department of Public Health, Aarhus University, Aarhus, DenmarkBackground: The prevalence of hypertension is increasing in Nepal. Thus, there is a need for a programme to improve primary healthcare. One possibility is to assign prevention, diagnosis, and treatment of hypertension to female community health volunteers (FCHVs). Objective: To assess literacy and motivation to be involved in a hypertension prevention and control programme in Nepal among FCHVs. Design: Five focus group discussions (FGDs) were conducted with a total of 69 FCHVs in Lekhnath municipality, Kaski district, Nepal. Seven themes were developed on the basis of data collection: 1) knowledge about hypertension; 2) risk factors of hypertension; 3) prevention and control of hypertension; 4) access to treatment for hypertension in the community; 5) learning about blood pressure measurement; 6) ability to raise blood pressure awareness in the community; 7) possible challenges for their future involvement. Data were analysed using the thematic analysis approach. Results: FCHVs have some knowledge about diagnosis, risk factors, and complications of hypertension. General unanimity was observed in the understanding that hypertension and risk factors needed to be addressed. The willingness of FCHVs to contribute to prevention, control, and management was strong, and they were confident that with some basic training they could obtain skills in hypertension management. Conclusions: Despite limited knowledge about hypertension, FCHVs expressed willingness and readiness to be trained in hypertension management. This study supports the possibility of involving FCHVs in prevention and control of hypertension in Nepal.http://www.globalhealthaction.net/index.php/gha/article/view/28254/pdf_204community health workersfemale community health volunteerfocus group discussionhypertensionpreventionprimary carehealth literacyNepal
spellingShingle Dinesh Neupane
Craig S. Mclachlan
Rupesh Gautam
Shiva Raj Mishra
Michael Thorlund
Mette Schlütter
Per Kallestrup
Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal
Global Health Action
community health workers
female community health volunteer
focus group discussion
hypertension
prevention
primary care
health literacy
Nepal
title Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal
title_full Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal
title_fullStr Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal
title_full_unstemmed Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal
title_short Literacy and motivation for the prevention and control of hypertension among female community health volunteers: a qualitative study from Nepal
title_sort literacy and motivation for the prevention and control of hypertension among female community health volunteers a qualitative study from nepal
topic community health workers
female community health volunteer
focus group discussion
hypertension
prevention
primary care
health literacy
Nepal
url http://www.globalhealthaction.net/index.php/gha/article/view/28254/pdf_204
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