Exploring the acceptability of self-screening for evaluation of a pilot intervention in Mwanza region, Tanzania

Abstract

Background: In sub-Saharan Africa, the estimated burden of hypertension is increasing. Innovative strategies are needed to ensure that people can  regularly check their blood pressure. This qualitative study aimed to understand participants’ knowledge of hypertension, explore the acceptability of  self-screening blood pressure testing at private drug shops, and understand motivations and barriers for attending referral services after a high blood pressure reading.

Methods: The study took place between October 2013 and January 2014 in Mwanza region, Tanzania. In-depth interviews were conducted with eight  service providers and 14 service users. Two focus group discussions were conducted with 24 community members.

Results: Private drug shop attendants  liked the opportunity to offer blood pressure testing, and their clients appreciated the self-testing of their blood pressure. Some service  users, whose screening suggested a raised blood pressure, attended health facilities for further follow-up, driven by their expectations of good services, health concerns and a desire for treatment. Conversely, a perceived lack of severity of the condition were barriers to attendance at the health facility,  along with the long waiting times and drug stock-outs experienced at the facilities.

Conclusion: Private drug shops provide an opportunity to acts as a  gateway for more people to assess their health. However, self-screening alone cannot ensure those in need of treatment receive it. A broader structural intervention is required to remove the barriers preventing people from attending health services and receiving adequate medical care.