18 rakshya journal_club_presentation

Journal Club Presentation
Presented By:
Name: Rakshya Ghimire
Roll No: 18
BPH, VIII Semester, SHAS, PU.
12/10/2020 Rakshya Ghimire 1

Presented for the partial fulfillment of requirement
of
PHA 451 Journal Club/Health Seminar
of
Bachelor of Public Health, VIII Semester,
School of Health and Allied Sciences, Pokhara University
under the cardinal supervision of
Assistant Professor Dr. Hari Prasad Kaphle
By
Rakshya Ghimire,
Symbol.No: 17370195
Pu.Reg No: 2016-1-37-0119

Selected Article for Presentation
• Authors(6): Geofrey Musinguzi, Sibyl Anthierens, Fred Nuwaha, Jean-
Pierre Van Geertruyden, Rhoda K. Wanyenze, and Hilde Bastiaens
• Tittle of article journal: Factors Influencing Compliance and Health
Seeking Behaviour for Hypertension in Mukono and Buikwe in
Uganda: A Qualitative Study
• Journal name : International Journal of Hypertension
• Volume 2018, Article ID 8307591, 13 pages
(https://doi.org/10.1155/2018/8307591)

Journal Information
• International Journal of Hypertension is a Peer-reviewed, Open
Access article.
which publishes original research articles, review articles, and clinical
studies related to hypertension, with a special focus on vascular
biology, epidemiology, pediatric hypertension, and hypertensive
nephropathy, Secondary hypertension, Pharmacotherapy of
hypertension.
• All manuscripts submitted for publication in this journals are strictly
and thoroughly peer-reviewed.
• The review process is double blinded reviewed by number of potential
reviewers.

Journal Information
• All articles are immediately available to read and reuse upon
publication.
Some Indexing Site includes;
Open Access Journals Integrated Service System Project (GoOA)
,Directory of Open Access Journals (DOAJ), Google Scholar ,Health
and Wellness Resource Center, Health Reference Center Academic ,
HINARI Access to Research in Health Program , J-Gate Portal,
PubMed Central, etc.
Bibliographic information
ISSN: 2090-0384 (Print) , ISSN: 2090-0392 (Online)
DOI: 10.1155/1707

Journal Information
Chief Editor: Franco Veglio, University of Turin, Italy
Academic Editor: Omotayo O. Erejuwa
Editorial Board: Tomohiro Katsuya, Osaka University, Japan, Fulvio
Morello, University of Torino, Italy, Roberto Pontremoli, University of
Genoa, Italy , Massimo Salvetti, University of Brescia, Italy ,
Masayoshi Soma, Nihon University, Japan , M. Volpe, Sapienza
University of Rome, Italy, Yimin Zhu, Department of Epidemiology &
Biostatistics, School of Public Health, Zhejiang University, China and
five more.

Critical Appraisal of Journal
International Journal of Hypertension maintains an Editorial Board of
practicing researchers from around the world, to ensure manuscripts
are handled by editors who are experts in the field of study.
It is an open access journal.
Have a recent publication or current submission of any article related
to Hypertension.

Critical Appraisal of Journal
Acceptance rate is 36% whereas, Rejection rate is 64%.
Submission to final decision 120 days
Acceptance to publication 28 days
Cite Score 2.100
Impact Factor 1.132
The Article Processing Charge for the journal is $1650.

Tittle of Article
• Factors Influencing Compliance and Health Seeking Behavior for
Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study

Critical Appraisal of Tittle
• The title is short and meaningful.
• Title itself reflects the aim and objectives of the study.
• The title gives an idea about study design and study area.

Authors
• Geofrey Musinguzi contributed to the study design and conception,
study implementation, data analysis, and interpretation of results,
wrote the initial draft of the manuscript, and edited the final submitted
version.
• Sibyl Anthierens contributed to conceptualisation, development of
study tools, and interpretation of results, conducted data analysis, and
participated in peer writing.
• Fred Nuwaha contributed to study design, conceptualisation, and
training research assistants, reviewed the draft manuscript, and
provided useful comments.

Authors
• Jean-Pierre Van Geertruyden contributed to data analysis,
interpretation, and manuscript writing.
• Rhoda K. Wanyenze contributed to interpretation of results,
manuscript writing, and critical review of the manuscript.
• Hilde Bastiaens contributed to conceptualisation, development of
study tools, data analysis, and interpretation of results and participated
in peer writing. All authors have read and approved the final
manuscript.

Critical Appraisal of Authors
• Authors names are clearly stated.
• Every authors work and contribution to the study is clearly
mentioned.
• Authors current post or position is not clearly mentioned.

Abstract
12/10/2020
Rakshya Ghimire
14

Critical Appraisal of Abstract
• Abstract itself is an self-explanatory and citation-free.
• Abstract gives the accurate summary of the whole article.
• Abstract is informative and meaningful for research.
• The information given in the abstract matches within the information
in detailed text.
• It Clearly deliver the essence of entire study.

Introduction
Hypertension is a leading risk factor for cardiovascular morbidity and
mortality with 7% of deaths attributable to it.
It is predicted that, by 2025, the number of adults with hypertension
will increase by about 60% to a total of 1.56 billion and most of the
cases will occur in low and middle income countries (LMIC).
Urbanization and the epidemiological transition characterised by an
aging population, physical inactivity, obesity, increasing alcohol
consumption, and high salt intake are contributing to the increasing
rates of hypertension in LMIC.

Introduction
Health seeking behaviour (HSB) has been defined as any activity
undertaken by individuals who perceive themselves to have a health
problem or to be ill for the purpose of finding an appropriate remedy.
Over the last 20 years, Uganda has witnessed an increasingly aging
population which has ushered in increasing rates of lifestyle-related
chronic non-communicable diseases.

Introduction
Notably, increasing cases of obesity, diabetes mellitus, and
hypertension, along with such complications as stroke, and heart
diseases are reported.
Data from the Health management information system (HMIS)
suggests that hypertension is the most reported NCD and community
surveys also suggest that one in five of every adult ≥ 18 years have
uncontrolled hypertension.

Critical Appraisal of Introduction
• It explains the importance of the study.
• The information given is based on the extensive literature review.
• It explored compliance and HSBs for hypertension using qualitative
approach in order to understand reasons for low levels of hypertension
control.
• Helps in designing programs for hypertension control and enhancing
quality standards in healthcare delivery.

Materials and methods
Study Period : From August to October , 2014
Setting Place: Mukono and Buikwe districts combined have six (6)
hospitals, 4 HCIV, 27 HCIIIs, and 57 HCIIs in Uganda.
Study Design : Community descriptive qualitative study
Sampling Method: Purposive sampling
Sample Size: 48

Materials and methods
Study Tools: WHO Stepwise Approach to Chronic Disease Risk
Factor Surveillance (STEPS)
:Blood pressure measurement using a validated automated
digital sphygmomanometer.
: Semistructured interview guides (Appendix)
Study Technique : Seminars on one-on-one interview,
Semistructured interview protocol
 Software Used: ATLAS.ti version 7
Data Analysis: Semantic thematic analysis approach.

Critical Appraisal of Materials and Methods
The methods section provides enough detail for others to be able to
replicate the study.
Patients with known hypertension were identified and interviewed
through semi-structured individual interviews protocol.
Every materials and method used were properly explained.
Exclusion and inclusion criteria are not defined.

Critical Appraisal of Materials and Methods
Ethical approval was granted by Makerere University School of
Public Health Higher Degrees-Research and Ethics Committee and the
Uganda National Council of Science and technology.
Written informed consent was taken from each participant.
Data Collection Procedure were clearly explained and data were
managed properly before analysis.

Results

Results:
Characterstic
s
Number
Sex Male
Female
17
31
Residential
status
Rural
Urban
24
24
Education
status
Primary or less
Post primary
25
23
Marital status Single
Married
13
35
Characterstics Numb
er
Age Overall median age 54
Measured
BP on the
interview
date
(SBP < 140 mmHg and
DBP < 90 mmHg)
Stage 1 (SBP = 140–159/
DBP = 90–99)
Stage 2 (SBP = 160–179/
DBP = 100–109)
Stage 3 (SBP ≥ 180/DBP ≥
110)
8
20
11
9

Critical Appraisal of Results
• Results are presented in the form of figures and tables.
• The tables shows both the descriptive as well as inferential data.
• The tables shows study participants’ characteristics and their current
blood pressure profiles as measured at the time of the interviews.
• The 3 thematic key issues influencing HSB for hypertension were
related to the health system, the patient, and the broader
socioeconomic and structural environment.

Critical Appraisal of Results
• The result are based on the aim and objectives of the study.
• Patients sought various channels of care for their hypertension.
• Regular monitoring of blood pressure was not a common practice.

Discussion

Critical Appraisal of Discussion
• Author’s had discussed about the limitations of the study.
• Findings have significant policy and practical implications on the
delivery of services for hypertension.
• All the findings have enough explanation and highlights the major part
in the study.
• The findings are insightful and of practical importance for programs
and intervention trials aimed at feasible strategies to lower
hypertension in this population.

Conclusion
• Conclusion : Patients seek varied channels of care for their hypertension.
• Recommendations:
Exploring the feasibility of the instituting Insurance scheme for chronic
diseases and therapy related concerns should be addressed to contribute
positively in improving Patient compliance.
Strategies to address the multi-factorial dimensions that affect HSB are
needed to improve hypertension control in this population.
Such strategies should leverage the opportunities at the various levels
and traditions of care and address the barriers to health seeking
behaviours.

Critical Appraisal of Conclusion
It clearly explain the main conclusions of the article.
It helps in highlighting its importance and relevance.
Conclusions are based on the results and findings which is believable
and meaningful.
There has been given appropriate recommendations for the study.

References

Critical Appraisal of References
The information in each reference is complete and accurate and easily
accessible through internet.
Total 40 references are given ,All references were numbered
consecutively in the order of their first citation.
 Citations of references in the text were identified using numbers in
square brackets e.g., “as discussed by Smith [9]”; “as discussed
elsewhere [9, 10]”.
References is based on Vancouver style.
All references were cited within the text.

Strengths
• Rigorous and extensive 5-day training was given to data collector to
standarlise data collection procedures.
• This study has received funding from the European Union’s Horizon
2020 Research and Innovation Programme under Grant agreement no.
733356 (SPICES project) and the Flemish Interuniversity Council
(VlIR-UOS) through the HEFS Platform Harvest Call
(ZIUS2013VOA0902).

Strengths
• All data relevant for this data has been included in this manuscript.
• The authors have no conflicts of interest to declare.
• The study lies in accruing the patients in their natural environment and
learning from their experiences by using interviews in the community
at the patients’ homes.
• The patients were purposively selected to obtain a varied sample
comprising of different gender, residential status, and district of
residence.

Weaknesses
• Limited transferability can be claimed given the small scale sized
nature of the study which was conducted in only two districts in
Uganda.
• The main system issues were related to availability and attitudes of
staff and shortage of supplies and medicines.

Overall significance of the article
• The findings of the study are believable as the references to the
previous studies have also undertaken and considered.
• This article generates the evidence that the health system challenges
were strongly attributed to non-compliance and Poor HSB patterns for
hypertension.
• The finding confirm that the assertion that signs and symptoms
influence people to seek diagnosis and treatment.

Overall significance of the article
• The findings of the study is applicable to significant policy and
practical implications on the delivery of services for hypertension for
both the patients and general population.
• Long duration of the treatment period and medication side effects
might compromise the patients beliefs about the medication
effectiveness which may be the contribution to the scientific society.
• The research question in this study could be “What are the factors
associated with hypertension control and Influencing compliance with
health seeking behaviour?

At the end
• My research title is ‘Factor Associated with Health Seeking Behavior
and Preventive Practices on Pre-Hypertension among Young Adult of
Vyas-Municipality,Tanahun.’
• This article would be helpful in defining study variables( Independent
Varaible).
• Data collection tools and techniques used in this research is similar to
my research as well.
• Helps to define the risk factors associated with Pre-Hypertension.
• Helps in Literature review for writing research proposal.
• The references in the article can be studied.

Questions?
Quarries?
Suggestions?
Feedbacks?

Thank You!

18 rakshya journal_club_presentation

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