title: Hypertension and treatment outcomes in Palestine refugees in United Nations Relief and Works Agency primary health care clinics in Jordan.
abstract: OBJECTIVE
  In six United Nations Relief and Works Agency (UNRWA) primary health care clinics in Jordan serving Palestine refugees diagnosed with hypertension, to determine the number, characteristics, programme outcomes and measures of disease control for those registered up to 30 June, 2013, and in those who attended clinic in the second quarter of 2013, the prevalence of disease-related complications between those with hypertension only and hypertension combined with diabetes mellitus.
  
  
  METHODS
  Retrospective cohort study with programme and outcome data collected and analysed using E-Health.
  
  
  RESULTS
  There were 18 881 patients registered with hypertension with females (64%) and persons aged ≥ 40 years (87%) predominating. At baseline, cigarette smoking was recorded in 17%, physical inactivity in 48% and obesity in 71% of patients. 77% of all registered patients attended clinic in the second quarter of 2013; of these, 50% had hypertension and diabetes and 50% had hypertension alone; 9% did not attend the clinics and 10% were lost to follow-up. Amongst those attending clinic, 92% had their blood pressure measured, of whom 83% had blood pressure <140/90 mm Hg. There were significantly more patients with hypertension and diabetes (N = 966, 13%) who had disease-related complications than patients who had hypertension alone (N = 472, 6%) [OR 2.2, 95% CI 2.0-2.5], and these differences were found for both males [18% vs. 10%, OR 1.9, 95% CI 1.6-2.2] and females [11% vs. 5%, OR 2.4, 95% CI 2.1-2.9].
  
  
  CONCLUSIONS
  Large numbers of Palestine refugees are being registered and treated for hypertension in UNRWA primary health care clinics in Jordan. Cohort analysis and E-Health can be used to regularly assess caseload, programme outcomes, clinic performance, blood pressure control and cumulative prevalence of disease-related complications. Current challenges include the need to increase clinic attendance and attain better control of blood pressure.
authors.affiliation: United Nations Relief and Works Agency for Palestine Refugees in the Near East, Amman, Jordan.
authors.forename: A
authors.initials: A
authors.lastname: Khader
authors.forename: L
authors.initials: L
authors.lastname: Farajallah
authors.forename: Y
authors.initials: Y
authors.lastname: Shahin
authors.forename: M
authors.initials: M
authors.lastname: Hababeh
authors.forename: I
authors.initials: I
authors.lastname: Abu-Zayed
authors.forename: R
authors.initials: R
authors.lastname: Zachariah
authors.forename: A
authors.initials: A
authors.lastname: Kochi
authors.forename: A
authors.initials: A
authors.lastname: Kapur
authors.forename: A D
authors.initials: AD
authors.lastname: Harries
authors.forename: I
authors.initials: I
authors.lastname: Shaikh
authors.forename: A
authors.initials: A
authors.lastname: Seita
mesh_terms: D000328:Adult; D000368:Aged; D000554:Ambulatory Care Facilities; D018912:Arabs; D001794:Blood Pressure; D003920:Diabetes Mellitus / Q000453:epidemiology; D005260:Female; D006801:Humans; D006973:Hypertension / Q000150:complications / Q000453:epidemiology* / Q000628:therapy; D007597:Jordan / Q000453:epidemiology; D008297:Male; D008875:Middle Aged; D009765:Obesity / Q000150:complications; D016017:Odds Ratio; D015995:Prevalence; D011320:Primary Health Care; D012036:Refugees; D012066:Relief Work; D012189:Retrospective Studies; D016896:Treatment Outcome; D014480:United Nations; D055815:Young Adult
keywords: Hipertensión; Jordan; Jordania; Jordanie; Palestine refugees; cohort reports; diabetes mellitus; diabetes mellitus, refugiados Palestinos; diabète sucré; hypertension; informe de cohortes; rapports de cohorte; réfugiés de Palestine