May Measurement Month 2018: an analysis of blood pressure screening results from Sudan

Beheiry, Hind Mamoun; Abdalla, Asma Abdelaal; Fahal, Naiema A; Mohamed, Maha Ismaeil; Ibrahim, Dina; Medani, Safaa; Khalfa, Hana A; Mutalab, Samih Abdel; Atia, Amna; Elsheik, Wigdan A; Khalfa, Rania Abdalla Osman; Mahmoud, Nagla; Beaney, Thomas; Ster, Anca Chis; Ali, Ibtisam; Poulter, Neil

doi:10.1093/eurheartj/suaa045

Cited by 6 publications

(4 citation statements)

References 9 publications

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“…Some previous research [ 21 ] showed an association between no diabetes with undiagnosed HTN, which we found in unadjusted analysis with undiagnosed HTN versus diagnosed HTN. Policy implications are that increased public awareness campaigns, and screening of HTN are needed to reduce undiagnosed HTN in Sudan [ 10 , 31 ]. Health systems through primary healthcare need to be strengthened and universal health coverage to prevent and manage NCDs, including hypertension [ 32 ].…”

Section: Discussionmentioning

confidence: 99%

Undiagnosed hypertension in Sudan: results of the cross-sectional national STEPS survey in 2016

Pengpid¹,

Peltzer²

2022

Pan Afr Med J

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Introduction the rate of hypertension has been increasing in Africa. The study aimed to estimate the prevalence and associated factors of undiagnosed hypertension (HTN) among adults in Sudan. Methods cross-sectional data were analyzed from 7,226 persons (18-69 years, median 37 years, interquartile range 27-49 years, 4557 were females) who participated in the 2016 Sudan STEPS survey, had complete blood pressure measurement and non-pregnant, and responded to a questionnaire, physical measures, and biomedical tests. Logistic regression was used to determine the predictors of undiagnosed HTN. Results the prevalence of undiagnosed HTN was 26.2% (n=2057) (79.2% of total HTN), diagnosed HTN 6.9% (n=690) and total HTN 33.1% (n=2747). In multivariable analysis older age (50-69 years) (adjusted risk ratio-aRR: 2.49, 95% CI: 2.02-3.09; p<0.001), obesity (aRR: 2.51, 95% CI: 1.97-3.21; p<0.001), diabetes (aRR: 1.59, 95% CI: 1.17-2.16; p=0.002) and elevated total cholesterol (aRR: 1.48, 95% CI: 1.19-1.84; p<0.001) were positively associated and health care advice (aRR: 0.79, 95% CI: 0.64-0.98; p=0.036) was negatively associated with undiagnosed HTN versus no HTN. Male sex (adjusted odds ratio-aOR: 2.22, 95% CI: 1.63-3.01; p<0.001) was positively associated, and older age (50-69 years) (aOR: 0.31, 95% CI: 0.21-0.46; p<0.001), married (aOR: 0.45, 95% CI: 0.33-0.62; p<0.001), urban residence (aOR: 0.70, 95% CI: 0.51-0.96; p=0.022), health care advice (aOR: 0.32, 95% CI: 0.22-0.45; p<0.001), ever cholesterol measured (aOR: 0.43, 95% CI: 0.27-0.67; p<0.001), overweight (aOR: 0.63, 95% CI: 0.47-0.85; p=0.003) and heart attack or stroke (aOR: 0.31, 95% CI: 0.17-0.55; p<0.001) were negatively associated with undiagnosed HTN versus diagnosed HTN. Conclusion one in four adults in Sudan had undiagnosed HTN (eight in ten of total HTN) and several associated factors that can help guide interventions were identified.

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Section: Discussionmentioning

confidence: 99%

Undiagnosed hypertension in Sudan: results of the cross-sectional national STEPS survey in 2016

Pengpid¹,

Peltzer²

2022

Pan Afr Med J

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“…Chronically, HTN is implicated in atherosclerosis by damaging the blood vessel walls and possibility of plaque deposition. Alternatively, the high prevalence of HTN in general population in different regions including Sudan [34,35], which is by far overweighing the ACS prevalence, gives false impression that HTN is the predominant IDH risk factor. Although, the above variables are well established risk factors for ACS [36], in the present study the frequency of these factors, except smoking, were not significantly different between the clinical types of ACS, the UA, NSTEMI and STEMI (Table 1).…”

Section: Discussionmentioning

confidence: 99%

Disparity of risk factors and concordance of NLR with Gensini score in acute coronary syndrome in an Afro-Arab multiethnic nation

Giha¹,

Al-Sayed²,

Alamin³

et al. 2022

JCRR

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Background: Acute coronary syndrome (ACS), is ischemic heart disease of varying risk factors and clinical pattern and with immense health burden worldwide. Inflammation is believed to be an etiological factor in ACS, and neutrophil to lymphocyte ratio (NLR), to be a biomarker. Objectives: To describe the clinical pattern and risk factors of ACS in Afro-Arabs of Sudan and to evaluate the NLR as a severity marker. Method: In a total population, cross-sectional study, conducted in Al-Shaab Hospital- Sudan, clinical, laboratory and ECG data were used for ACS grouping into unstable angina (UA), non-ST-segment elevation myocardial infarction (NSTEMI) and STEMI. All patients underwent coronary angiography (CAG) and their Gensini score and NLR were calculated. Results: A total of 130 patients (62.3% men) of a median age of 58.0, 50.0-65.0 yrs., (range 32.0-82.0), were diagnosed with ACS; 44.6% STEMI, 37.7% NSTEMI and 17.7% UA. The median Gensini score was higher in STEMI (42.5, 12.0-71.0) and NSTEMI (40.0, 15.8-60.5) compared with UA (10.0, 5.0-23.0), p 0.002, similarly, was the NLR; 3.5, 1.6-4.6; 2.9, 1.5-3.8 and 0.9, 0.8-1.1, respectively p<0.001. Furthermore, the NLR in concordance with CAG findings p<0.001. Finally, hypertension, diabetes mellitus and dyslipidemia, respectively, were stronger ACS risk factors in women than in men unlike smoking, and family history imposed the least risk. Conclusion: While the ACS clinical pattern was in-line with literature, the risk factors order was different, and it was different between sexes. Importantly, the NLR strongly associated with ACS severity, but failed to distinguish between NSTEMI and STEMI.

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“…Moreover, Sudan stepwise survey 2016 showed that, the national prevalence of raised blood pressure (RBP) was 31.5%. The serious findings was among participants with RBP who are not currently on medication where the highest reported from Darfur (93.2%) and Kordofan (92.0%) regions, while the lowest was reported from Khartoum region (76.5%) (6) Within NHIF context, chronic diseases represent about 18% of the total annual visits. Hypertension and diabetes are the main types of diseases which represent around 40% for each (7) .…”

Section: Chronic Diseasesmentioning

confidence: 96%

Assessing service providers’ satisfaction with the chronic diseases package provided through the National Health Insurance Fund in Sudan

Fakihammed

Hussien

Atbara

et al. 2022

J. Drug Delivery Ther.

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Background: The prevalence and burden of chronic diseases is growing significantly with direct impact on health and financial security of population. In Sudan, there is a continuous effort to improve access for good and integrated health services but still the utilization of these services is low. Therefore, there is an urgent need to assess the availability and integration of benefit package to ensure better and effective coverage of services.Aim: This is a descriptive cross sectional based study aimed to assess the opinion of service providers about the chronic diseases package provided through the national health insurance fund.Methods: Form390 participating, data was collected via closed ended standardized questionnaires. Pre testing was done to ensure quality survey instruments and fieldwork procedures were conducted. A structured questionnaire with closed-ended questions was developed based on literature and previous studies. The questionnaire made up of 30 questions and organized in the following sections: background characteristics, medical characteristics, health professionals’ knowledge and practice related to NHIF ’chronic diseases package and perception about NHIF ‘chronic diseases package.Results: Our results showed that despite the existence of a number of issues, the National Health Insurance Fund is rather accepted amongst our respondents. Issues manifested were in regards to health education and supply issues of drugs. Conclusion: Our study concluded that, there is an obvious weakness in both training of providers and implementation of national protocols for chronic diseases. Moreover, despite the challenges of drug availability, 70% of our participants expressed positivity when questioned about the presentation of the drug package, bearing in mind the importance of reviewing the list to ensure its inclusion of new items. There is a need for training medical providers about chronic diseases with more focusing on health promotion and application of national guidelines. Additionally, integration of chronic diseases services in necessary for achieving universal health coverage. Keywords: national protocols for chronic diseases, national health insurance fund, health promotion

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May Measurement Month 2018: an analysis of blood pressure screening results from Sudan

Cited by 6 publications

References 9 publications

Undiagnosed hypertension in Sudan: results of the cross-sectional national STEPS survey in 2016

Undiagnosed hypertension in Sudan: results of the cross-sectional national STEPS survey in 2016

Disparity of risk factors and concordance of NLR with Gensini score in acute coronary syndrome in an Afro-Arab multiethnic nation

Assessing service providers’ satisfaction with the chronic diseases package provided through the National Health Insurance Fund in Sudan

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