000			03986nam a22003977a 4500
003			OSt
005			20240305193743.0
008			221202b |||||||| |||| 00| 0 eng d
028			_b Phone: +255 28 298 3384
028			_b Fax: +255 28 298 3386
028			_b Email: vc@bugando.ac.tz
028			_b Website: www.bugando.ac.tz
040			_bEnglish _cDLC
041			_aEnglish
100			_aJuma Adinan _946484
222			_a Hypertension Diabetes mellitus Health facilities preparedness Health services Health system
245			_aPreparedness of health facilities in managing hypertension & diabetes mellitus in Kilimanjaro, Tanzania: a cross sectional study
260			_aMwanza, Tanzania: _bBioMed Central & _bCatholic University of Health and Allied Sciences [CUHAS – Bugando] _c31 July 2019
300			_aPages 1-9
490			_aAdinan, J., Manongi, R., Temu, G. et al. Preparedness of health facilities in managing hypertension & diabetes mellitus in Kilimanjaro, Tanzania: a cross sectional study. BMC Health Serv Res 19, 537 (2019). https://doi.org/10.1186/s12913-019-4316-6
520			_aAbstract: Background: Hypertension and Diabetes mellitus are risk factors for cardiovascular diseases that cause 17 million deaths globally. Many of these deaths could have been prevented if hypertensive and diabetic patients had their blood pressure and glucose controlled. Less than 30% of hypertensive and diabetic patients on management have controlled their blood pressure and glucose respectively. This study aimed to determine the preparedness of health facilities in managing hypertensive and diabetic patients in terms of personnel; laboratory services provision, and local use of routinely collected data, and shows differences in preparedness between the levels of facilities. Methods: We conducted a cross-sectional study in Government, faith-based and private health facilities in two districts in Kilimanjaro region in Tanzania from March to July 2017. We collected data through interviews and observations on the preparedness of the facilities for managing hypertension and DM. Results: Forty-three (43) health facilities and 62 healthcare workers (HCW) participated in the survey. Services for hypertension and DM were available in 37 (86%) and 34 (79%) health facilities respectively. Eighteen (53%) and five (15%) facilities had HCW trained on hypertension and DM management respectively within two years preceding the survey. Regular adherence to treatment guideline was reported in 18 (53%) of the health facilities. More than third of health facilities were without basic equipment for managing hypertension and DM. All the recommended laboratory tests were only available in four (15%) hospitals and one health center. Valid first line medicines for both hypertension and DM were available in six (50%) health centers, four (24%) dispensaries and in four (80.0%) hospitals. Health data collection, analysis and local use for planning were reported in all hospitals, nine (75%) health centers and four (24%) dispensaries. Conclusions: Health facilities are not fully prepared to manage hypertension and DM. Health centers and dispensaries are mostly affected levels of health facilities. Government interventions to improve facility factors and collaborative approaches to build capacity to HCW are needed to enable health facilities be responsive to these diseases.
700			_aJim Todd _945114
700			_aJenny Renju _946485
700			_a Rehema Abdillahi Nassir _946486
700			_a Ridhiwani Manyuti _946487
700			_aSweetness Laizer _946488
700			_a Sarah Maongezi _946489
700			_aHaruna Dika _922830
700			_aBahati Wajanga _923033
700			_a Annette Marandu _946490
700			_aNtuli Kapologwe _946491
700			_a Gloria August Temu _946492
700			_aRachel Manongi _946493
856			_uhttps://doi.org/10.1186/s12913-019-4316-6
942			_2ddc _cVM
999			_c19870 _d19870