Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana

Background: Non-communicable diseases (NCDs) remain a global burden and is projected to increase due to aging, rapid urbanization and unhealthy lifestyles. The study was conducted to determine the prevalence of hypertension and diabetes in rural districts in the Ashanti region of Ghana and to determ...

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Main Authors: Mercy N.A. Opare-Addo, Francis A. Osei, Kwame O. Buabeng, Afia F. Marfo, Isaac Nyanor, Evans X. Amuzu, Daniel Ansong, Ellis Owusu-Dabo
Format: Article
Language:English
Published: AOSIS 2020-07-01
Series:African Journal of Primary Health Care & Family Medicine
Subjects:
Online Access:https://phcfm.org/index.php/phcfm/article/view/2114
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author Mercy N.A. Opare-Addo
Francis A. Osei
Kwame O. Buabeng
Afia F. Marfo
Isaac Nyanor
Evans X. Amuzu
Daniel Ansong
Ellis Owusu-Dabo
author_facet Mercy N.A. Opare-Addo
Francis A. Osei
Kwame O. Buabeng
Afia F. Marfo
Isaac Nyanor
Evans X. Amuzu
Daniel Ansong
Ellis Owusu-Dabo
author_sort Mercy N.A. Opare-Addo
collection DOAJ
description Background: Non-communicable diseases (NCDs) remain a global burden and is projected to increase due to aging, rapid urbanization and unhealthy lifestyles. The study was conducted to determine the prevalence of hypertension and diabetes in rural districts in the Ashanti region of Ghana and to determine factors that influence utilization of health care services. Setting: Offinso North, Amansie West, Ahafo Ano South, and Asante Akim South. Methods: A population based prospective cross-sectional study comprising of adults aged 18 years and above was carried out from January 2016 to March 2016. A multistage sampling method was employed to select four rural districts in the Ashanti region of Ghana. A structured questionnaire was used to collect primary data from respondents. Results: A total of 684 participants were recruited in the study. The prevalence of hypertension and diabetes was found to be 16.23% and 5.41% respectively. The prevalence of diabetes and hypertension comorbidity was 1.61%. The public hospital was the most preferred choice of facility (52.56%) for patients with NCDs. Educational level significantly decreased the likelihood of seeking healthcare in OTCMS and Health Centre to Hospitals (RRR = 0.1, 95% CI = 0.011–0.917, p = 0.042) and (RRR = 0.4, 95% CI = 0.198-0.679, p = 0.001) respectively. Conclusion: The prevalence of self -reported hypertension and diabetes observed in this study was relatively lower for hypertension and higher for diabetes as compared to other studies in Ghana. The public hospital is the most preferred choice of health facilities for patients with hypertension and diabetes in the rural districts.
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spelling doaj.art-e5b4e4e14d2a4bd4bfcc62d8eb471d002022-12-21T19:24:28ZengAOSISAfrican Journal of Primary Health Care & Family Medicine2071-29282071-29362020-07-01121e1e810.4102/phcfm.v12i1.2114754Healthcare services utilisation among patients with hypertension and diabetes in rural GhanaMercy N.A. Opare-Addo0Francis A. Osei1Kwame O. Buabeng2Afia F. Marfo3Isaac Nyanor4Evans X. Amuzu5Daniel Ansong6Ellis Owusu-Dabo7Department of Pharmacy Practice, Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, KumasiKumasi Centre for Collaborative Research in Tropical Medicine, College of Health Sciences Kwame, Nkrumah University of Science and Technology, KumasiDepartment of Pharmacy Practice, Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, KumasiDepartment of Pharmacy Practice, Faculty of Pharmacy and Pharmaceutical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, KumasiResearch and Development Unit, Komfo Anokye Teaching Hospital, KumasiResearch and Development Unit, Komfo Anokye Teaching Hospital, KumasiSchool of Medical Sciences, College of Health Sciences, Kwame Nkrumah University of Science and Technology, KumasiKumasi Centre for Collaborative Research in Tropical Medicine, College of Health Sciences Kwame, Nkrumah University of Science and Technology, Kumasi, Ghana; and, School of Public Health, College of Health Sciences, Kwame Nkrumah University of Science and Technology, KumasiBackground: Non-communicable diseases (NCDs) remain a global burden and is projected to increase due to aging, rapid urbanization and unhealthy lifestyles. The study was conducted to determine the prevalence of hypertension and diabetes in rural districts in the Ashanti region of Ghana and to determine factors that influence utilization of health care services. Setting: Offinso North, Amansie West, Ahafo Ano South, and Asante Akim South. Methods: A population based prospective cross-sectional study comprising of adults aged 18 years and above was carried out from January 2016 to March 2016. A multistage sampling method was employed to select four rural districts in the Ashanti region of Ghana. A structured questionnaire was used to collect primary data from respondents. Results: A total of 684 participants were recruited in the study. The prevalence of hypertension and diabetes was found to be 16.23% and 5.41% respectively. The prevalence of diabetes and hypertension comorbidity was 1.61%. The public hospital was the most preferred choice of facility (52.56%) for patients with NCDs. Educational level significantly decreased the likelihood of seeking healthcare in OTCMS and Health Centre to Hospitals (RRR = 0.1, 95% CI = 0.011–0.917, p = 0.042) and (RRR = 0.4, 95% CI = 0.198-0.679, p = 0.001) respectively. Conclusion: The prevalence of self -reported hypertension and diabetes observed in this study was relatively lower for hypertension and higher for diabetes as compared to other studies in Ghana. The public hospital is the most preferred choice of health facilities for patients with hypertension and diabetes in the rural districts.https://phcfm.org/index.php/phcfm/article/view/2114non-communicable diseaseshypertensiondiabetesruralghanahealthcare preferencehealthcare utilisation
spellingShingle Mercy N.A. Opare-Addo
Francis A. Osei
Kwame O. Buabeng
Afia F. Marfo
Isaac Nyanor
Evans X. Amuzu
Daniel Ansong
Ellis Owusu-Dabo
Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana
African Journal of Primary Health Care & Family Medicine
non-communicable diseases
hypertension
diabetes
rural
ghana
healthcare preference
healthcare utilisation
title Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana
title_full Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana
title_fullStr Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana
title_full_unstemmed Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana
title_short Healthcare services utilisation among patients with hypertension and diabetes in rural Ghana
title_sort healthcare services utilisation among patients with hypertension and diabetes in rural ghana
topic non-communicable diseases
hypertension
diabetes
rural
ghana
healthcare preference
healthcare utilisation
url https://phcfm.org/index.php/phcfm/article/view/2114
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