ArticleBMJ open2023
Assessment of hypertension service availability in some primary health centres in Nigeria: a mixed-methods study.
Article in BMJ open, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.
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Who cites it
9 citing papers in PubMed.
- Self-Care Practice in the Management of Hypertension Among Adults in Africa: Findings From a Scoping Review.Health science reports · 2026Article
- Understanding the role of 'software' in health system capacity for non-communicable disease response: hypertension care in rural Coastal Kenya.Health policy and planning · 2026Article
- Institutional capacity for non-communicable disease care in Ghana's primary health care system: a multi-method study.BMC primary care · 2026Article
- Capacity and site readiness for hypertension control program implementation in Nigeria: A nationwide cross-sectional study.PloS one · 2026Article
- Assessing the capacity of primary healthcare facilities and healthcare workers in managing diabetes and hypertension in Kisumu county, Kenya.BMC health services research · 2025Article
- Evaluation of Hypertension Care Services in 93 Ethiopian Public Healthcare Facilities From 2019 to 2023: A Quasi-Experimental Study.Health science reports · 2025Article
- Article
- Discrete choice modelling of hypertension patients' preferences for attributes of a public medical facility in Ibadan, Nigeria.BMC health services research · 2025Article
- Article
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Authors and funding
15 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveStrengthening primary health centre (PHC) systems is a potentially effective strategy to reduce the burden of non-communicable diseases in Nigeria, a low/middle-income country with limited resources. The aim of this study was to assess hypertension service availability in some PHCs in Nigeria and seek recommendations that could facilitate improved services from PHC workers.
designExplanatory sequential mixed-methods study. SETTINGS: PHCs in the six geopolitical zones and Federal Capital City of Nigeria.
participantsEighteen PHC workers and 305 PHC facilities.
methodHypertension service availability and readiness were assessed in PHCs across Nigeria using a pro forma adapted from the WHO Service Readiness and Assessment tool. Eighteen workers in the PHCs were subsequently interviewed for in-depth exploration of hypertension service availability and readiness.
findingsAmong the 305 health facilities assessed, 96 (31.5%) were in urban, 94 (30.8%) in semiurban and 115 (37.7%) in rural local government areas. Majority of the health facilities (43.0%) were manned by community extension workers. Only 1.6% and 19.7% of the health facilities had physicians and pharmacy technicians, respectively. About 22.3% of the providers had training in hypertension in the last 1 year. All the PHCs lacked adequate supply of essential antihypertensive medications. The identified deficiencies were less common in the urban PHCs compared with others. Qualitative analysis showed that the personnel, essential facilities and medicines required to provide hypertension services in the PHCs were inadequate. Suggested recommendations to successfully provide these services were provision of performance-based incentives; adequate staffing and training; supportive supervision of staff; provision of adequate equipment and essential medicines for hypertension management; provision of conducive environment for clients; and community engagement and participation.
conclusionMajority of the PHCs are currently not adequately equipped to provide hypertension services. Addressing identified gaps and using suggestions provided will guarantee successful provision of effective services.
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