{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,8,26]],"date-time":"2026-08-26T11:06:33Z","timestamp":1787742393277,"version":"build-2784847793"},"reference-count":32,"publisher":"AOSIS","issue":"1","license":[{"start":{"date-parts":[[2018,4,11]],"date-time":"2018-04-11T00:00:00Z","timestamp":1523404800000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Afr. j. prim. health care fam. med."],"abstract":"<jats:p>Background:\u00a0Non-communicable diseases, mainly cardiovascular diseases, diabetes, cancer and chronic respiratory diseases, are responsible for approximately 63% of all deaths occurring worldwide in any given year. The majority of these deaths have occurred in low- and middle-income countries (LMICs). The latest World Health Organization (WHO) report shows that the increase in diabetes is also most pronounced in the LMICs. The South African Labour and Development Research Unit estimated a 9% prevalence within the adult population in 2016. In the Eastern Cape Province, hypertensive heart disease has become the second most common cause of death, followed by diabetes, the third most common cause of death.Aim and setting:\u00a0The aim of this study was to report on the follow-up of patients in the community with known hypertension or diabetes or who were deemed at-risk (as identified during a prior community-wide survey).Methods:\u00a0Data were collected via a household primary health screening, monitoring and follow-up process, which included taking anthropometric measurements, blood pressure (BP) and blood glucose and referring to clinics for further testing and treatment where necessary.Results:\u00a0Of the 1885 participants followed up by the community health outreach workers, 1702 were known to be hypertensive and 183 were deemed at-risk [of these, only 24 (13.2%) had normal or high normal systolic BP readings]. There were 341 participants with diabetes and 34 at-risk of diabetes [of these, 28 (82%) had levels of 11 mmol\/l or higher at follow-up]. There was a significant improvement in BP and glucose control over repeated visits.Conclusion:\u00a0In this rural area of the Eastern Cape, South Africa, the follow-up of patients with hypertension or diabetes as well as those individuals at-risk adds value to hypertension and glucose control.<\/jats:p>","DOI":"10.4102\/phcfm.v10i1.1610","type":"journal-article","created":{"date-parts":[[2018,4,12]],"date-time":"2018-04-12T14:30:31Z","timestamp":1523543431000},"source":"Crossref","is-referenced-by-count":17,"title":["Detection, referral and control of diabetes and hypertension in the rural Eastern Cape Province of South Africa by community health outreach workers in the rural primary healthcare project: Health in Every Hut"],"prefix":"10.4102","volume":"10","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-6905-788X","authenticated-orcid":false,"given":"Angela A.","family":"Morris-Paxton","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-1573-4985","authenticated-orcid":false,"given":"Paul","family":"Rheeder","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3048-4192","authenticated-orcid":false,"given":"Rose-Marie G.","family":"Ewing","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-6623-4545","authenticated-orcid":false,"given":"Dillon","family":"Woods","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2580","published-online":{"date-parts":[[2018,4,11]]},"reference":[{"key":"ref0001","author":"World Health Organization","year":"2014","journal-title":"World health report: Global status report on noncommunicable diseases [homepage on the Internet]"},{"key":"ref0002","author":"World Health Organization","year":"2005","journal-title":"WHO STEPS surveillance manual: The WHO STEPwise approach to chronic disease risk factor surveillance [homepage on the Internet]"},{"key":"ref0003","author":"International Diabetes Federation","year":"2015","journal-title":"Unite for diabetes [homepage on the Internet]"},{"key":"ref0004","doi-asserted-by":"publisher","DOI":"10.1016\/j.gheart.2015.12.015"},{"key":"ref0005","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.115.018912"},{"key":"ref0006","author":"World Health Organization","year":"2013","journal-title":"Global action plan for the prevention and control of noncommunicable diseases [homepage on the Internet]"},{"key":"ref0007","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(05)67341-2"},{"issue":"1","key":"ref0008","first-page":"38","volume":"7","author":"Kengne","year":"2007","journal-title":"Afr Health Sci"},{"key":"ref0009","doi-asserted-by":"publisher","DOI":"10.1186\/1472-698X-11-S2-S10"},{"key":"ref0010","doi-asserted-by":"publisher","DOI":"10.1093\/ije\/dys210"},{"key":"ref0011","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(12)61814-5"},{"key":"ref0012","doi-asserted-by":"publisher","DOI":"10.1080\/14034950701505031"},{"key":"ref0013","author":"National Department of Health","year":"2010","journal-title":"Strategic plan 2010\/11\u20132012\/13"},{"key":"ref0014","author":"National Department of Health","year":"2012","journal-title":"Strategic plan for the prevention and control of non-communicable diseases 2013\u201317"},{"key":"ref0015","doi-asserted-by":"publisher","DOI":"10.1186\/1744-8603-8-14"},{"key":"ref0016","first-page":"2","author":"Subedar","year":"2011","journal-title":"Provincial guidelines for the implementation of the three streams of PHC re-engineering"},{"key":"ref0017","doi-asserted-by":"publisher","DOI":"10.7196\/SAMJ.7868"},{"key":"ref0018","doi-asserted-by":"publisher","DOI":"10.1186\/1472-6963-11-S2-S5"},{"key":"ref0019","author":"ECDoH","year":"2014","journal-title":"Service level agreement between the Eastern Cape Department of Health and the Donald Woods Foundation"},{"key":"ref0020","doi-asserted-by":"publisher","DOI":"10.4102\/phcfm.v9i1.1466"},{"issue":"1","key":"ref0021","first-page":"53","volume":"23","author":"Aalbers","year":"2012","journal-title":"Cardiovasc J Afr"},{"key":"ref0022","first-page":"S1","volume":"17","author":"Amod","year":"2012","journal-title":"J Endocrinol Metab Diabetes S Afr"},{"key":"ref0023","first-page":"135","author":"Shisana","year":"2013","journal-title":"South African National Health and Nutrition Examination Survey (SANHANES-1)"},{"key":"ref0024","author":"World Health Organization","year":"1995","journal-title":"Physical status: The use and interpretation of anthropometry"},{"key":"ref0025","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(09)60456-6"},{"key":"ref0026","author":"Matsebula","year":"2016","journal-title":"Socio-economic correlates with the prevalence and onset of diabetes in South Africa: Evidence from the first four waves of the National Income Dynamics Study"},{"key":"ref0027","doi-asserted-by":"publisher","DOI":"10.2471\/BLT.13.119008"},{"key":"ref0028","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2017.11464"},{"key":"ref0029","doi-asserted-by":"publisher","DOI":"10.3402\/gha.v6i0.19228"},{"issue":"2","key":"ref0030","doi-asserted-by":"crossref","first-page":"116","DOI":"10.1080\/20786190.2014.977063","volume":"57","author":"Le Roux","year":"2015","journal-title":"S Afr Fam Pract"},{"issue":"19283","key":"ref0031","first-page":"219","volume":"6","author":"Nxumalo","year":"2013","journal-title":"Glob Health Act"},{"key":"ref0032","doi-asserted-by":"publisher","DOI":"10.1186\/s12992-014-0085-5"}],"container-title":["African Journal of Primary Health Care &amp; Family Medicine"],"original-title":[],"link":[{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/1610\/2444","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/1610\/2423","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/1610\/2443","content-type":"application\/epub+zip","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/1610\/2445","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/viewFile\/1610\/2423","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,10,31]],"date-time":"2020-10-31T16:39:21Z","timestamp":1604162361000},"score":1,"resource":{"primary":{"URL":"https:\/\/phcfm.org\/index.php\/phcfm\/article\/view\/1610"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2018,4,11]]},"references-count":32,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2018,1,30]]}},"URL":"https:\/\/doi.org\/10.4102\/phcfm.v10i1.1610","relation":{},"ISSN":["2071-2936","2071-2928"],"issn-type":[{"value":"2071-2936","type":"electronic"},{"value":"2071-2928","type":"print"}],"subject":[],"published":{"date-parts":[[2018,4,11]]}}}