A narrative synthesis of the health systems factors influencing optimal hypertension control in Sub-Saharan Africa

Juliet Iwelunmor, Jacob Plange-Rhule, Collins O. Airhihenbuwa, Chizoba Ezepue, Olugbenga Ogedegbe

Research output: Contribution to journalArticle

Abstract

Introduction: In sub-Saharan Africa (SSA), an estimated 74.7 million individuals are hypertensive. Reducing the growing burden of hypertension in sub-Saharan Africa will require a variety of strategies one of which is identifying the extent to which actions originating at the health systems level improves optimal management and control. Methods and Results: We conducted a narrative synthesis of available papers examining health systems factors influencing optimal hypertension in SSA. Eligible studies included those that analyzed the impact of health systems on hypertension awareness, treatment, control and medication adherence. Twenty-five articles met the inclusion criteria and the narrative synthesis identified the following themes: 1) how physical resources influence mechanisms supportive of optimal hypertension control; 2) the role of human resources with enabling and/or inhibiting hypertension control goals; 3) the availability and/or use of intellectual resources; 4) how health systems financing facilitate and/or compromise access to products necessary for optimal hypertension control. Conclusion: The findings highlight the need for further research on the health systems factors that influence management and control of hypertension in the region.

Original languageEnglish (US)
Article numbere0130193
JournalPLoS One
Volume10
Issue number7
DOIs
StatePublished - Jul 15 2015

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Africa South of the Sahara
Sub-Saharan Africa
hypertension
Health
Hypertension
synthesis
Healthcare Financing
Medication Adherence
funding
human resources
Health Status
Availability
Personnel
Research

ASJC Scopus subject areas

  • Agricultural and Biological Sciences(all)
  • Biochemistry, Genetics and Molecular Biology(all)
  • Medicine(all)

Cite this

A narrative synthesis of the health systems factors influencing optimal hypertension control in Sub-Saharan Africa. / Iwelunmor, Juliet; Plange-Rhule, Jacob; Airhihenbuwa, Collins O.; Ezepue, Chizoba; Ogedegbe, Olugbenga.

In: PLoS One, Vol. 10, No. 7, e0130193, 15.07.2015.

Research output: Contribution to journalArticle

Iwelunmor, Juliet ; Plange-Rhule, Jacob ; Airhihenbuwa, Collins O. ; Ezepue, Chizoba ; Ogedegbe, Olugbenga. / A narrative synthesis of the health systems factors influencing optimal hypertension control in Sub-Saharan Africa. In: PLoS One. 2015 ; Vol. 10, No. 7.
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