title: Understanding and Motivations of Female Community Health Volunteers About Blood Pressure Control: A Prerequisite for Developing Community-Based Hypertension Interventions in Nepal.
abstract: Health literacy and attitudes of female community health volunteers (FCHV) toward hypertension management in the context of Nepal are not well understood. Therefore, it is important to explore the potential for the effectiveness for blood pressure screening and perceptions on their likely ability to promote a blood pressure reduction at community level.
  
  
  
  The study aims to explore the knowledge and attitudes of FCHV related to hypertension prevention and control.
  
  
  
  A cross-sectional survey was conducted with FCHV located inside Lekhnath municipality. A total of 113 FCHV were interviewed in the survey using a questionnaire on knowledge and attitudes related to hypertension and risk factors.
  
  
  
  The percentages of FCHV with low, medium, and high levels of knowledge about hypertension were 43%, 24%, and 31%, respectively. Almost all of the respondents considered hypertension a major problem in their community and they would like to receive training for blood pressure screening. No significant differences were observed in the knowledge and attitudes related to hypertension in relation to demographic characteristics of FCHV. A majority of FCHV agreed that smoking (69.8%), alcohol (77.8%), low physical activity (42.4%), high salt intake (65.4%), high fat intake (78.7%), and genetics (53.9%) are major risk factors for hypertension.
  
  
  
  Our study demonstrates that there is a background need to improve the health literacy for blood pressure management. There is also a need for development and implementation of a community-based intervention aimed at mobilizing female community health volunteers for detection and management of hypertension at the community level in Nepal. Our study demonstrated a high level of interest and readiness for blood pressure prevention, control, and management in community settings.
authors.affiliation: Department of Public Health, Center for Global Health, Aarhus University, Aarhus, Denmark. Electronic address: neupane.dinesh@gmail.com.
authors.forename: Dinesh
authors.initials: D
authors.lastname: Neupane
authors.affiliation: Faculty of Medicine, Rural Clinical School, University of New South Wales, Sydney, New South Wales, Australia.
authors.forename: Craig S
authors.initials: CS
authors.lastname: McLachlan
authors.affiliation: Nepal Development Society, Chitwan, Nepal.
authors.forename: Shiva R
authors.initials: SR
authors.lastname: Mishra
authors.affiliation: Department of Public Health, Center for Global Health, Aarhus University, Aarhus, Denmark.
authors.forename: Per
authors.initials: P
authors.lastname: Kallestrup
mesh_terms: D000328:Adult; D000368:Aged; D001794:Blood Pressure; D003150:Community Health Workers; D003430:Cross-Sectional Studies; D005260:Female; D007722:Health Knowledge, Attitudes, Practice; D006801:Humans; D006973:Hypertension / Q000453:epidemiology / Q000517:prevention & control*; D008297:Male; D008875:Middle Aged; D009042:Motivation; D009390:Nepal / Q000453:epidemiology; D015995:Prevalence; D011634:Public Health; D012307:Risk Factors; D011795:Surveys and Questionnaires; D014838:Volunteers; D055815:Young Adult