Title:
Determinants of hypertension and health system responses towards Hypertension in ethiopia
Authors:
Dema, Wondimagegn taye
Year:
2016
PAGE:
ix, 45
Language:
En
Subject:
Health and Nutrition
Keywords:
hypertension, health system policy, sub-Saharan Africa, determinant, and Ethiopia.
Abstract:
Background: Prevalence of hypertension has increased over time in urban areas of Ethiopia with the highest rate of 31.5%. Objective of study: To assess the main determinants and health system response toward hypertension. To assess best practice for hypertension prevention and control in Sub-Saharan Africa countries to recommend possible interventions for hypertension prevention and control in Ethiopia. Methodology: The study carried out a literature search. The study adapted and used the framework for analysis of non-communicable diseases (NCDs) policy for Jamaica by the World Bank. Findings: Modifiable risk factors such as tobacco use, alcohol abuse, overweight and physical inactivity together with poor access and utilization of health services, absences of health insurance schemes and rapid urbanization are the major determinants of hypertension in urban Ethiopia. Conclusion: Despite the fact that in Ethiopia’s health system there are policies, protocols and guidelines for comprehensive hypertension prevention and control, implementation and availability of services is too limited and is not included in the health extension program (HEP). Recommendations: Include prevention of hypertension in HEP and train human resources for hypertension prevention and control with especial focus for health extension workers. Strengthen health promotion and education for risk factors. Introduce new regulations that ban khat, tobacco and alcohol use, promotion and advertisement. Increase tax on unhealthy foods and subsidize the health foods. Work in collaboration with other actors. Introduce social health insurance and community based health insurances. Finally strengthen surveillance and screen program for evidence based decision making and for further researches.
Organization:
KIT - Royal Tropical Institute
,
VU - Vrije Universiteit Amsterdam
Institute:
KIT (Royal Tropical Institue)
Department:
Health
Country:
Ethiopia, Federal Democratic Republic of
Region:
Horn of Africa
Training:
Master of Public Health/International Course in Health Development (MPH/ICHD)
Category:
Research
Right:
© 2016 Dema
Document type:
Thesis/dissertation
File:
WOIF5RZwlT_20170427122225176.pdf