Compliance With Guideline of Hypertension Management Among Health Practitioners in Illubabor and Buno Bedelle Zones, South West Ethiopia; 2020

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Abstract Background: To achieve sustainable development goal and to improve management of non-communicable diseases the federal democratic republic of Ethiopian ministry of health developed guidelines on clinical and programmatic management of major non communicable diseases in 2016. Compliance to hypertension guideline was very low in developing countries leading to compromised quality of life and premature deaths. The aim of this study was to assess health practitioners’ compliance with hypertension management guideline and its associated factors in Illubabor and Buno Bedelle zones.Method: A cross-sectional study design from patient medical record data was used to assess for compliance with hypertension management guideline. Medical records of adult Patients treated for hypertension from March 2019 to march 2020 was reviewed. Simple random sampling method was used to select the first study population then systematic sampling was used to select consecutive study populations. The collected data was checked for its completeness, consistency and accuracy before analysis. Data was coded, entered and cleaned using Epi- data 7 and export to SPSS version 25 for analysis. Multivariate analysis was used to obtain a final model describing the significant independent predictors of guidelines compliance.Results: overall compliance of health practitioners’ to hypertension guideline was found to be poor; only 75(19.5%) patients were managed following the guideline. In multivariate analysis, availability of resource (adjusted odds ratio [AOR] =0.400, 95% CI: =0.203-0.788), supervision status (adjusted odds ratio [AOR] =0.497, 95% CI: =0.308-0.892), training status (adjusted odds ratio [AOR] =0.250, 95% CI: =0.107-0.584), and appointment status (adjusted odds ratio [AOR] =0.091, 95% CI: =0.024-0.352) had significant positive association with compliance to hypertension management guideline.Conclusion: Only 75(19.5%) of patients were managed following the guideline; which indicates nearly more than two third of patients were not managed following the national hypertension guideline, primarily due to a lack of recommending lifestyle modifications.

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