Implementation of Hypertension and Diabetes Chronic Disease Management in an Adult Group in Les Bours, Haiti
Robert H. Kelch, DNP, RN, FNP-BC
Hiba Wehbe-Alamah, PhD, RN, FNP-BC, CTN-A
Marilyn McFarland, PhD, RN, FNP-BC, CTN-A

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Suggested APA 6th Edition Formatted Reference
Kelch, R. H., Wehbe-Alamah, H. & McFarland, M. (2015). Implementation of hypertension and diabetes chronic disease management in an adult group in Les Bours, Haiti. Online Journal of Cultural Competence in Nursing and Healthcare, 5(1), 50-63. doi:10.9730/


Due to extreme poverty and lack of health services, most Haitians have never received primary healthcare or evaluation for common chronic diseases.

Leininger’s Culture Care Theory was used to design, implement, and evaluate a hypertension and diabetes management program for a non-governmental organization’s Haitian sta members. During three trips (October 2013 through March 2014), 48 participants were evaluated, treated, and given culturally appropriate health education to enhance understanding and compliance. Pre and post hypertension and blood glucose measurements were recorded. Short interviews solicited participant feedback.

Only 19% of participants were diagnosed with hypertension and none with diabetes. Paired ttests showed a statistically significant reduction in blood pressure following treatment. Participant interviews identified barriers to medication access and compliance.

Conclusions and Clinical Implications
The project produced recommendations for establishing primary care or disease management programs in developing countries: secure local clinical sta , develop local program funds, work with local suppliers, form intra-organization partnerships, and design culturally appropriate education.

Keywords: Haiti, research, hypertension, diabetes, culture

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