KAP surveys are well represented in the literature, but studies that aim to explore the knowledge, attitudes and practices of a population around NCDs remain scarce. These six sites were chosen to reflect major Mongolian cultural and social groups. Discussions took place in six sites across the country, facilitated by local, trained health workers. This quantitative arm was then complemented and triangulated with a qualitative component: twelve focus group discussions focusing on diet, exercise and alcohol consumption. Permanent residents of sampled households were eligible for recruitment, if aged between 15-64 years. Participants were selected using a multi-stage cluster sampling technique in 42 regions across Mongolia, including rural and urban sites. A quantitative household-based questionnaire was conducted using a nationally representative sample of 3854 rural and urban households. This national survey consisted of both quantitative and qualitative methods. In addition, it aimed to provide data for the evaluation of current public health programs and to assist in building effective, evidence-based health policy. This study aimed to assess, describe and explore the knowledge, attitudes and practices of the Mongolian adult population around NCDs in order to better understand the drivers and therefore develop more appropriate solutions to this growing disease burden. The lifestyle and health of Mongolians are changing as a result, shown by the 20 STEPS surveys (World Health Organization's STEPwise Approach to Chronic Disease Risk Factor Surveillance) that described a growing burden of Non-Communicable Diseases and injuries (NCDs). The study findings support the need for standardized education and training of primary care practitioners in Ulaanbaatar to enhance hypertension control.īlood pressure clinical practice hypertension knowledge primary care.Mongolia is undergoing rapid epidemiological transition with increasing urbanisation and economic development. There were few substantive differences based on the age, gender, and years of clinical practice of the practitioners. The minority of health care professions use a hypertension management algorithm, and few have patient registries with performance reporting functions. There was a reluctance by physicians to task share hypertension diagnosis, drug prescribing and assessing cardiovascular risk to nurses. It was the practice of a high proportion of doctors to not pharmacologically treat most people with hypertension who were at high cardiovascular risk. A low proportion indicated they systematically screened adults for hypertension and many were not aware of the need to or were confident in prescribing more than two antihypertensive medications. However, confidence and practice in performing specific tasks to control hypertension were suboptimal. Primary care practitioners mostly had a positive attitude toward hypertension management. There were few substantive differences between healthcare professional disciplines. The WHL KAP survey uniquely includes an assessment of key World Health Organization recommended interventions to enhance hypertension control. We examined KAP surveys from 803 primary care practitioners in Ulaanbaatar, Mongolia (response rate 80%), using a comprehensive KAP survey developed by the World Hypertension League (WHL). An important aspect of clinical interventions is understanding the knowledge, attitudes, and practices (KAP) of differing primary healthcare practitioners. Increased blood pressure is a leading risk for death globally, and interventions to enhance hypertension control have become a high priority.
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