Tropical Medicine and International Health
Volume 19, Issue 10, 2014, Pages 1276-1283

Hypertension and treatment outcomes in Palestine refugees in United Nations Relief and Works Agency primary health care clinics in Jordan (Article)

Khader A. , Farajallah L. , Shahin Y. , Hababeh M. , Abu-Zayed I. , Zachariah R. , Kochi A. , Kapur A. , Harries A.D.* , Shaikh I. , Seita A.
  • a United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan
  • b United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan
  • c United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan
  • d United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan
  • e United Nations Relief and Works Agency, Amman, Jordan
  • f Medical Department, Brussels Operational Center, Medecins Sans Frontieres, Luxembourg
  • g Tokyo University Medical School, Tokyo, Japan
  • h World Diabetes Foundation, Gentofte, Denmark
  • i International Union Against Tuberculosis and Lung Disease, Paris, France, London School of Hygiene and Tropical Medicine, London, United Kingdom
  • j United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan
  • k United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan

Abstract

Objective: In six United Nations Relief and Works Agency (UNRWA) primary health care clinics in Jordan serving Palestine refugees diagnosed with hypertension, to determine the number, characteristics, programme outcomes and measures of disease control for those registered up to 30 June, 2013, and in those who attended clinic in the second quarter of 2013, the prevalence of disease-related complications between those with hypertension only and hypertension combined with diabetes mellitus. Method: Retrospective cohort study with programme and outcome data collected and analysed using E-Health. Results: There were 18 881 patients registered with hypertension with females (64%) and persons aged ≥40 years (87%) predominating. At baseline, cigarette smoking was recorded in 17%, physical inactivity in 48% and obesity in 71% of patients. 77% of all registered patients attended clinic in the second quarter of 2013; of these, 50% had hypertension and diabetes and 50% had hypertension alone 9% did not attend the clinics and 10% were lost to follow-up. Amongst those attending clinic, 92% had their blood pressure measured, of whom 83% had blood pressure <140/90 mm Hg. There were significantly more patients with hypertension and diabetes (N = 966, 13%) who had disease-related complications than patients who had hypertension alone (N = 472, 6%) [OR 2.2, 95% CI 2.0-2.5], and these differences were found for both males [18% vs. 10%, OR 1.9, 95% CI 1.6-2.2] and females [11% vs. 5%, OR 2.4, 95% CI 2.1-2.9]. Conclusion: Large numbers of Palestine refugees are being registered and treated for hypertension in UNRWA primary health care clinics in Jordan. Cohort analysis and E-Health can be used to regularly assess caseload, programme outcomes, clinic performance, blood pressure control and cumulative prevalence of disease-related complications. Current challenges include the need to increase clinic attendance and attain better control of blood pressure. © 2014 John Wiley & Sons Ltd.

Author Keywords

Cohort reports Hypertension Diabetes mellitus Jordan palestine refugees

Index Keywords

descriptive research organizational framework réfugiés de Palestine foot amputation rapports de cohorte end stage renal disease refugee Jordanie physical inactivity informe de cohortes telehealth diabète sucré cerebrovascular accident blood pressure blindness Jordan congestive heart failure risk heart infarction follow up diabetes mellitus, refugiados Palestinos human sex difference Refugees middle aged Odds Ratio Relief Work Hipertensión diabetes mellitus obesity Jordania Aged United Nations hypertension Arab Arabs Palestine Young Adult health program Humans smoking Treatment Outcome male female Palestine refugees cohort reports Ambulatory Care Facilities outpatient department health services prevalence Article disease control Retrospective Studies glucose blood level major clinical study adult diabetes outcome assessment cohort analysis glucose retrospective study body mass primary health care
Link
https://www.scopus.com/inward/record.uri?eid=2-s2.0-84908877880&doi=10.1111%2ftmi.12356&partnerID=40&md5=3f64b619a5cc71ecb274f3d8ebd0729a
DOI: 10.1111/tmi.12356
ISSN: 13602276
Cited by: 11
Original Language: English