Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross‐Sectional Study
ABSTRACT Background and Aim Globally, non‐communicable diseases (NCDs) are the leading cause of preventable morbidity and premature mortality. In sub‐Saharan Africa, NCDs will be the leading cause of mortality by 2030. In 2018, WHO reported that NCDs accounted for about 33% of all deaths in Tanzania...
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Wiley
2025-07-01
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| Series: | Health Science Reports |
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| Online Access: | https://doi.org/10.1002/hsr2.70978 |
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| author | Harold L. Mashauri Cornel M. Angolile Florida J. Muro |
| author_facet | Harold L. Mashauri Cornel M. Angolile Florida J. Muro |
| author_sort | Harold L. Mashauri |
| collection | DOAJ |
| description | ABSTRACT Background and Aim Globally, non‐communicable diseases (NCDs) are the leading cause of preventable morbidity and premature mortality. In sub‐Saharan Africa, NCDs will be the leading cause of mortality by 2030. In 2018, WHO reported that NCDs accounted for about 33% of all deaths in Tanzania. Community health workers (CHWs) are among the key stakeholders in prevention and control of NCDs. In developing countries like Tanzania, CHWs play an extensive role in prevention and control of communicable diseases, however, their simultaneous involvement toward NCDs is limited. This study aimed to determine knowledge, attitude, practice, and determinants toward CHWs' involvement in NCDs prevention and control in northern Tanzania. Methods This was a community‐based analytical cross‐sectional study in northern Tanzania enrolling 191 CHWs. Frequencies and percentages, χ2, and logistic regression tests were used to summarize categorical variables and determinants of CHWs' involvement toward NCDs prevention and control, respectively, using SPSS. Results Majority of participants had good knowledge (92.1%) and favorable attitude (100%). More than half (63.4%) were involved in NCD prevention and control programs of which only 26.7% and 41.4% reported to have involved in NCDs screening and community mobilization programs, respectively. Only 36.1% and 46.1% reported to have access to NCDs screening tools and to have ever attended either formal NCD seminar or training, respectively. Professional training to practice as CHW, frequency of home visits per week, involvement confidence, attendance of formal seminar or training on NCDs, and accessibility of tools for NCDs screening were determinants of CHWs' involvement in NCDs prevention and control. Conclusion Despite the vital role of CHWs toward NCDs prevention and control, their engagement in NCDs screening and community mobilization is still low in northern Tanzania. Professional training among in‐service and newly enrolled CHWs, encouragement of weekly home visits, and NCDs' capacity‐building programs in terms of skills and accessibility of screening tools should be implemented among CHWs to enhance their involvement in NCDs prevention and control. |
| format | Article |
| id | doaj-art-1bee42d6d58d4ae8b3b6dc4e5f0ce032 |
| institution | Kabale University |
| issn | 2398-8835 |
| language | English |
| publishDate | 2025-07-01 |
| publisher | Wiley |
| record_format | Article |
| series | Health Science Reports |
| spelling | doaj-art-1bee42d6d58d4ae8b3b6dc4e5f0ce0322025-08-20T03:44:46ZengWileyHealth Science Reports2398-88352025-07-0187n/an/a10.1002/hsr2.70978Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross‐Sectional StudyHarold L. Mashauri0Cornel M. Angolile1Florida J. Muro2Department of Internal Medicine KCMC University Moshi TanzaniaDepartment of Internal Medicine KCMC University Moshi TanzaniaDepartment of Epidemiology and Biostatistics, School of Public Health KCMC University Moshi TanzaniaABSTRACT Background and Aim Globally, non‐communicable diseases (NCDs) are the leading cause of preventable morbidity and premature mortality. In sub‐Saharan Africa, NCDs will be the leading cause of mortality by 2030. In 2018, WHO reported that NCDs accounted for about 33% of all deaths in Tanzania. Community health workers (CHWs) are among the key stakeholders in prevention and control of NCDs. In developing countries like Tanzania, CHWs play an extensive role in prevention and control of communicable diseases, however, their simultaneous involvement toward NCDs is limited. This study aimed to determine knowledge, attitude, practice, and determinants toward CHWs' involvement in NCDs prevention and control in northern Tanzania. Methods This was a community‐based analytical cross‐sectional study in northern Tanzania enrolling 191 CHWs. Frequencies and percentages, χ2, and logistic regression tests were used to summarize categorical variables and determinants of CHWs' involvement toward NCDs prevention and control, respectively, using SPSS. Results Majority of participants had good knowledge (92.1%) and favorable attitude (100%). More than half (63.4%) were involved in NCD prevention and control programs of which only 26.7% and 41.4% reported to have involved in NCDs screening and community mobilization programs, respectively. Only 36.1% and 46.1% reported to have access to NCDs screening tools and to have ever attended either formal NCD seminar or training, respectively. Professional training to practice as CHW, frequency of home visits per week, involvement confidence, attendance of formal seminar or training on NCDs, and accessibility of tools for NCDs screening were determinants of CHWs' involvement in NCDs prevention and control. Conclusion Despite the vital role of CHWs toward NCDs prevention and control, their engagement in NCDs screening and community mobilization is still low in northern Tanzania. Professional training among in‐service and newly enrolled CHWs, encouragement of weekly home visits, and NCDs' capacity‐building programs in terms of skills and accessibility of screening tools should be implemented among CHWs to enhance their involvement in NCDs prevention and control.https://doi.org/10.1002/hsr2.70978community healthcare workersNCD prevention and controlnon‐communicable diseasespublic health |
| spellingShingle | Harold L. Mashauri Cornel M. Angolile Florida J. Muro Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross‐Sectional Study Health Science Reports community healthcare workers NCD prevention and control non‐communicable diseases public health |
| title | Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross‐Sectional Study |
| title_full | Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross‐Sectional Study |
| title_fullStr | Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross‐Sectional Study |
| title_full_unstemmed | Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross‐Sectional Study |
| title_short | Knowledge, Attitude, Practice, and Determinants of Community Health Workers' Involvement Toward NCD Prevention and Control in Northern Tanzania: A Cross‐Sectional Study |
| title_sort | knowledge attitude practice and determinants of community health workers involvement toward ncd prevention and control in northern tanzania a cross sectional study |
| topic | community healthcare workers NCD prevention and control non‐communicable diseases public health |
| url | https://doi.org/10.1002/hsr2.70978 |
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