Date of Award

2024

Document Type

Project

College/School

College of Nursing

Degree Name

Doctor of Nursing Practice (DNP)

Project Mentor

Daisy S. Garcia

Readers

Ngoc Diep Pham

Abstract

Background: This paper outlines the design of a hypertension management program aimed to be piloted in a rural commune in Vietnam. The program is in collaboration with a nonprofit organization based in the U.S. and emphasizes grassroots solutions to improve healthcare access and enhance patient outcomes at the community level.

Objectives: To determine the prevalence of elevated blood pressure and associated risk factors in Ca Dy's population, examine the commune health workers' experiences at the commune health station, and design a program to manage hypertension

Method: Mixed-method analysis results informed the design of a HMP for this project. Phase I comprised a retrospective quantitative analysis of data from 2019 and 2023 mobile clinics in Ca Dy, along with qualitative data collected from a focus group discussion with commune health workers. These findings guided the program design in phase II.

Results: About one-third of adults in Ca Dy have experienced elevated BP, with prevalence on the rise since 2019 and age being the only statistically significant risk factor. For the local population, accessing care is hindered by distance and financial constraints, while the CHWs face challenges in providing care due to limited healthcare resources and financial support.

Conclusion: Given the high prevalence and increasing trend of elevated BP among adults in Ca Dy, addressing the HTN burden is critical. Empowering commune health workers with resources at a centralized commune health station may decrease the distance traveled by local residents to access care and increase preventative blood pressure management among the community

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