Urban Primary Health Care Research Articles

Standardisation of Blood Pressure Measurement Among Patients Attending an Urban Primary Health Centre: A Quality Improvement Initiative

Standardisation of Blood Pressure Measurement Among Patients Attending an Urban Primary Health Centre: A Quality Improvement Initiative

Health Catch-UP!: a realist evaluation of an innovative multi-disease screening and vaccination tool in UK primary care for at-risk migrant patients

BackgroundMigrants to the UK face disproportionate risk of infections, non-communicable diseases, and under-immunisation compounded by healthcare access barriers. Current UK migrant screening strategies are unstandardised with poor implementation and low uptake. Health Catch-UP! is a collaboratively produced digital clinical decision support system that applies current guidelines (UKHSA and NICE) to provide primary care professionals with individualised multi-disease screening (7 infectious diseases/blood-borne viruses, 3 chronic parasitic infections, 3 non-communicable disease or risk factors) and catch-up vaccination prompts for migrant patients.MethodsWe carried out a mixed-methods process evaluation of Health Catch-UP! in two urban primary healthcare practices to integrate Health Catch-UP! into the electronic health record system of primary care, using the Medical Research Council framework for complex intervention evaluation. We collected quantitative data (demographics, patients screened, disease detection and catch-up vaccination rates) and qualitative participant interviews to explore acceptability and feasibility.ResultsNinety-nine migrants were assessed by Health Catch-UP! across two sites (S1, S2). 96.0% (n = 97) had complete demographics coding with Asia 31.3% (n = 31) and Africa 25.2% (n = 25), the most common continents of birth (S1 n = 92 [48.9% female (n = 44); mean age 60.6 years (SD 14.26)]; and S2 n = 7 [85.7% male (n = 6); mean age 39.4 years (SD16.97)]. 61.6% (n = 61) of participants were eligible for screening for at least one condition and uptake of screening was high 86.9% (n = 53). Twelve new conditions were identified (12.1% of study population) including hepatitis C (n = 1), hypercholesteraemia (n = 6), pre-diabetes (n = 4), and diabetes (n = 1). Health Catch-UP! identified that 100% (n = 99) of patients had no immunisations recorded; however, subsequent catch-up vaccination uptake was poor (2.0%, n = 1). Qualitative data supported acceptability and feasibility of Health Catch-UP! from staff and patient perspectives, and recommended Health Catch-UP! integration into routine care (e.g. NHS health checks) with an implementation package including staff and patient support materials, standardised care pathways (screening and catch-up vaccination, laboratory, and management), and financial incentivisation.ConclusionsClinical Decision Support Systems like Health Catch-UP! can improve disease detection and implementation of screening guidance for migrant patients but require robust testing, resourcing, and an effective implementation package to support both patients and staff.

A Cross-sectional Study to Assess the Self-esteem Among Adolescents in an Urban Poor Locality of Bengaluru City

Self-esteem refers to the individual’s perception or subjective appraisal of one’s own self-worth, self-confidence and self-respect. Self-esteem plays an important role in determining and preventing mental health disorders. There is a dearth in the knowledge of understanding self-esteem among Indian urban slum adolescents; therefore, this study was taken to assess self-esteem among adolescents of an urban poor locality using ‘The Rosenberg Self-esteem scale’. A cross-sectional survey among adolescents aged 15 to 19 years was conducted from April to June 2023 in the urban poor locality of Bangalore. Taking prevalence of low self-esteem among adolescents as 15.3%, the sample size was calculated as 200. Out of 200 subjects, 52.7% were females and 47.5% were male. We found that 28.0% were school dropouts. The study showed a majority of the subjects had normal or high self-esteem and 10.5% had low self-esteem. Increasing age of the adolescents was found to be significantly associated with self-esteem scores ( p < .05). This study identified that 10.5% had poor self-esteem and they need support from family, school and Sneha Clinic at Urban Primary Health Centre to improve their life skills and prevent mental health issues in adolescence and adulthood.

Uncovering the hidden burden: A mixed methods study on the implementation of depression screening among persons with type 2 diabetes mellitus seeking health care in an urban primary health center of South India

BACKGROUND: Diabetes is linked with depression, but screening rates for depression are low, indicating a need for periodic assessments among those with diabetes. The study aimed to determine depression prevalence and associated factors in persons with type 2 diabetes mellitus (T2DM) in an urban primary care setting of Karnataka, as well as implementation challenges in depression screening for persons with T2DM as perceived by healthcare providers. MATERIAL AND METHODS: A mixed-methods study was performed for 6 months in 2022–2023 at an Urban Primary Health Centre (UPHC) in Bengaluru. The sample size was calculated to be 110, and convenience sampling was applied to select persons with T2DM. The participants were screened for depression using Patient Health Questionnaire-9. Key informant interviews were performed among various health care providers of the UPHC. Data were captured using EpiCollect Version 5.0. Univariate logistic regression was performed to find the factors associated with depression. RESULT: Of the 110 participants, 60 (54.5%) screened positive for depression. Men had 0.474 (95% Confidence Intervals—CI: 0.126, 1.782) lesser odds of depression when compared with women (P = 0.269). Those with comorbidities had 1.975 more odds (95% CI: 0.538, 7.252) when compared with absence of comorbidities (P = 0.305). Statistically significant associations were not found with any of the factors. Key facilitators for screening were willingness to implement screening, empathetic attitude, and awareness of mental health, whereas the challenges included lack of training in mental health assessment and patient reluctance to adhere to treatment due to stigma. CONCLUSION: The study found that 54.5% of persons with T2DM seeking heath care at the UPHC screened positive for depression. Several challenges in implementing depression screening for T2DM in primary care settings were noted.

Uncontrolled hypertension among adult patients at ambulatory primary care: Frequency and factors associated in urban and peri-urban Bobo–Dioulasso, Burkina Faso

IntroductionThis study described the different stages of uncontrolled hypertension, and assessed independently of the socio-demographic parameters, the non-modifiable and modifiable factors associated with uncontrolled hypertension at ambulatory care, in urban and peri-urban primary health care centres (PHCCs) of Bobo–Dioulasso, Burkina Faso. MethodsA sample of 380 hypertensive adults were consecutively interviewed from January to February 2022, in 20 public PHCCs, in Bobo-Dioulasso. Sociodemographic, non- and modifiable lifestyle, anthropometric and blood pressure parameters were collected. Descriptive, comparative and logistic regression tests were performed. ResultsThe participants’ mean age was 56.2 ± 10.4 years and frequency of uncontrolled hypertension stage I, II and III was respectively 40.3 %, 23.3 % and 7.9 %. Those with family history of hypertension was 42.4 %. Participants with monotherapy, bi-therapy and tri-therapy represented 51.6 %, 42.6 % and 2.1 % respectively, while 38.2 % declared to be uncompliant with the therapy. About 36 % were current alcohol users, 29.7 % physically inactive, 23.7 % ate less than three servings of fruits and vegetables (FV), 15.3 % were obese, and 12.9 % current tobacco users. In logistic regression analysis, the presence of family history of hypertension [adjusted odds ratio (aOR) = 2.1; p = 0.005], use of bi-/tri-therapy (aOR = 1.7; p = 0.044), daily intake of less than three FV servings (aOR = 1.9; p = 0.025); non-adherence with therapy (aOR = 3.3, p = 0.0001) and obesity (aOR = 4.5; p = 0.003) were associated with uncontrolled hypertension. ConclusionUncontrolled hypertension was high at ambulatory primary care. For its efficient management in secondary prevention, a tailored in-hospital strategy including permanent education for a healthier lifestyle practice is needed; and should be complementary strengthened with specific community-based interventions.

Immunization coverage and factors associated with immunization status in an urban area of Imphal East district: a cross-sectional study

Background: Despite many initiatives undertaken by the government of India, many children remain unvaccinated or under vaccinated, and vaccine preventable diseases are still a leading cause of morbidity and mortality. The present study was done to assess the immunization coverage of children aged 6 to 23 months in an urban area of Imphal East district and to determine the factors associated with immunization gap. We also determined the association of immunization status with some socio-demographic variables. Methods: A cross-sectional study was carried out in all the thirteen villages under urban primary health centre (UPHC), Kshetrigao among mothers or primary caregiver of children aged 6-23 months. Data were collected using semi-structured questionnaires by face to face interview. Results: The total number of respondents was 206. The prevalence of fully immunized, immunized up to date, partial and non immunized were found to be 73%, 59%, 37%, and 3% respectively. Child being sick was the main reason for incomplete immunization. Mother belonging to older age group were found to have significantly higher immunized up to date children than younger mother (p=0.02). Conclusions: The prevalence of immunized up to date children was low. Effective strategy of raising awareness among communities regarding routine vaccination and clarifying their misconceptions related to vaccines is the need of the hour.

Follow Up Status and Characteristics of Tobacco Users in an Urban Primary Healthcare Setup in Male, Maldives

Follow Up Status and Characteristics of Tobacco Users in an Urban Primary Healthcare Setup in Male, Maldives

TOBACCO USE BY FRIENDS AND FAMILY MEMBERS OF TOBACCO USERS: RESULT FROM CLIENTS ATTENDING TOBACCO CESSATION CLINIC AT URBAN PRIMARY HEALTHCARE SET UP IN MALDIVES

Objective: This study aimed to identify tobacco use among family members and friends of tobacco user who attended tobacco cessation clinic at an Urban Primary Healthcare set up in Male’, Maldives, starting from 2017 through 2023. Methods: A retrospective, quantitative, descriptive survey was employed utilizing secondary data extracted from tobacco cessation assessment forms at the Urban Primary Healthcare set up’s tobacco cessation clinic. The study utilized a census sampling approach, encompassing all available tobacco cessation forms, resulting in a total sample size of 544 participants. The primary researcher developed a data transfer sheet based on a review of the assessment forms, facilitating the systematic transfer of required data. Descriptive statistical analyses were conducted using SPSS version 21.0 to summarize and interpret the collected data. Results: Out of 544 tobacco users, 494 (90.8%) were male and 50 (9.2%) were female. Majority of the tobacco users reported that their friends and family members use tobacco. Huge amount of tobacco users reported tobacco use by nuclear family members while less than a quarter reported tobacco use among extended family members. Majority of tobacco users reported their coworkers or someone who lives together are non-tobacco users and majority of their class mates or best friends are tobacco users. Conclusion: The study concluded that majority of tobacco users reported about tobacco use among family members and friends This could be influencing factor for the tobacco users to continue tobacco use as tobacco use among parents or family member and friends has negative effects on tobacco users.

Nicotine Dependence and its Variation among Tobacco Users Who Visited the Tobacco Cessation Clinic in an Urban Primary Healthcare Center in Male' Maldives

Nicotine Dependence and its Variation among Tobacco Users Who Visited the Tobacco Cessation Clinic in an Urban Primary Healthcare Center in Male' Maldives

Characteristics of Tobacco Users who Visited the Tobacco Cessation Clinic in an Urban Primary Healthcare Center in Male' Maldives from 2017 - 2023: A Retrospective, Descriptive Cross - Sectional Study

Characteristics of Tobacco Users who Visited the Tobacco Cessation Clinic in an Urban Primary Healthcare Center in Male' Maldives from 2017 - 2023: A Retrospective, Descriptive Cross - Sectional Study

Attitudes Towards the Mentally Ill: A Comparative Study Between Medical Officers and Nurses in the Ahmedabad City of Gujarat

Context: Medical Officers (MO) and nurses are the most important contact of healthcare for all patients, including Mentally Ill persons. Therefore, it is important to analyze their attitudes towards MI. Aims: To assess and compare the attitudes of MO and nurses on the community attitude toward the mentally Ill (CAMI) scale. Settings and Design: The study was cross-sectional and census sampling was used to collect data. Methods and Material: The study was conducted on 67 MO and 85 nurses of 74 urban primary health centers in Ahmedabad. The questionnaire comprised socio-demographic data and the CAMI scale. Statistical analysis: The frequency of each item and mean (SD) of all subscales were calculated for both groups. T-test and ANOVA were applied to compare socio-demographic data with the CAMI scale. Results: Mean (SD) of authoritarianism (AU), benevolence (BE), social restrictiveness (SR), and Community Mental Health Ideology (CMHI) subscales were 24.97 (±3.14), 36.69 (±33.69), 21.61 (±3.76), 38.52 (±3.74) respectively for MO and 29.13 (±3.87), 35.51 (±4.17), 23.64 (±4.36), 36.01 (±4.37), respectively for nurses (p-value is <0.05 in AU, SR and CMHI). Joint families, rural areas, lower education and higher income are associated with higher stigma. Conclusion: Although we found NA among nurses as compared to MO, it is highly prevalent in both groups. This requires widespread mental health educational programs by tertiary care hospitals and psychiatrists under the District Mental Health Program. Key Messages: MO and nurses displayed stigmatizing attitudes toward MI in ample questions of the CAMI scale, especially in AU and SR subscales. This necessitates training them under DMHP.

Quality improvement initiative to standardise the anthropometric assessment for children under the age of 5 years at an urban primary health centre in New Delhi

BackgroundAnthropometric assessment in the paediatric population is particularly important to assess the child’s general health status, nutritional adequacy, and growth and developmental pattern. However, there are often shortcomings in the...

Exploring Loneliness, Trust, and Psychosocial Meanings Among Primary Care Attendees: A Cross-Sectional Study From a General Practice Setting in Crete, Greece.

Loneliness is often associated with behavioral, psychological, social, and mental and physical health aspects, while the relationship between trust and loneliness is still challenging in terms of research. The present study aimed to investigate to what extent loneliness and trust interact and if there is any association between loneliness and routine events or behaviors that affect overall well-being. This cross-sectional sample of 120 participants, aged between 40 and 75 years, was collected from an urban Primary Health Care Unit, between May and July 2023, in a consecutive manner, after criteria application. The University of California, Los Angeles (UCLA) Loneliness Scale (Version 3) and the Personal Trust and Connections Scale (PerTC) were completed. Hierarchical multiple linear regression analysis in steps and multiple logistic regression analysis were performed. The mean age of the participants was 59.8 years and the majority were females (73.3%). Only 10.8% were found to have no Behavioral Risk Factors (BRFs). A higher sense of loneliness was associated with being widowed/unmarried/divorced (unstandardized β=-4.10, p=0.045), not having children (β=-2.80, p=0.038), having more BRFs (β=2.03, p=0.032), or being in contact with fewer friends (β=-0.56, p<0.001). A higher sense of loneliness was related to lower levels of trust (β=-1.29, p=0.032). Lower odds of demonstrating high levels of loneliness were found among married individuals (odds ratio (OR): 0.38; 95% confidence interval (CI) 0.15, 0.95; p=0.039) and those who reported six or more routine contacts or meetings with friends (OR: 0.31; 95% CI 0.13, 0.74; p=0.008). A lower score on the total PerTC scale was related to higher odds of increased loneliness (OR: 2.78; 95%CI 1.01, 7.62; p=0.048). Being married and coming in contact or meeting with more friends was associated with lower odds of reporting high feelings of loneliness, while lower trust was correlated with increased odds of loneliness. Also, persons with more BRFs were found to have a higher loneliness score. Given their inverse correlation, tools that measure levels of loneliness and trust, like the UCLA and PerTC scales, may be used within primary care consultation to offer new insights on health risk behaviors and their possible synergistic influences.

Poor quality of sleep and it's associated factors among urban slum-dwellers of Bengaluru- a cross-sectional study

Background Sleep can be defined as a state of reduced attention from where the person can be woken up by any kind of stimuli. Sleep difficulties are a major group of disorders affecting one third of the adult population. The present study was taken up to assess the sleep quality and prevalence of sleep disorders among the adult population in the urban slum area of H Siddaiah Road Urban Primary Health Center (UPHC), which is in the Urban Field Practice Area, BMCRI. Methods Stratified random sampling was used to select 821 adults in the population of 18-60 years of age. Ethical clearance was obtained from the Institutional Ethical Committee. A pretested semi-structured questionnaire was used to interview the adults after obtaining their consent. The data was entered in Microsoft Office Excel and analysed using SPSS ver20.0. Results The study population was 52.81% females and 77.5% in the age group of 18-30 years. Most of the study population were Hindus (78.90%), and only 3.8% of the study population were illiterate. Most of them were employed (86.12%). Substance use was present in 82.9% of the study participants and overcrowding was present in 51.3% of the subjects. Female gender, being unemployed, living with relatives, overcrowding, and substance use such as alcohol and smokeless tobacco were the factors associated with poor sleep quality as measured using the Pittsburgh Sleep Quality Index. Among the study participants having poor sleep quality, most of participants needed further clinical assessment for insomnia (86%) followed by assessment for sleep apnoea (50.5%). Conclusions 200 (24.36%) study participants were determined to have poor sleep quality. Gender, marital status and overcrowding were the factors associated with poor sleep quality. A significant number of study participants need further assessment on insomnia, sleep apnoea and psychiatric disorders.

Prevalence of neural tube defect and its identification during antenatal period: a cross-sectional study in eastern Indian state

ObjectiveTo estimate the prevalence of neural tube defects among all birth outcomes in Odisha during 2016–2022. Additionally, to estimate the identification rate of neural tube defects during Pradhan Mantri Surakshit...

Feasibility randomised controlled trial of face-to-face counselling and mobile phone messages compared to usual care for smokeless tobacco cessation in Indian primary care: Project CERTAIN.

Smokeless tobacco (SLT) use in low- and middle-income countries (LMICs) has adverse health consequences. We hypothesize that it is feasible to test an intervention of mobile phone messages and face-to-face counselling session for SLT cessation in India. We conducted an exploratory, individual parallel two group, randomised controlled trial (RCT), with baseline -and end-point (three months from randomisation) assessments in urban primary health centres in Odisha, India. A total of 250 current (i.e., users in the last three months) SLT users or dual users (i.e., smokers and SLT users) were recruited to the trial (125 in each group). Participants were randomised to either routine care, face-to-face counselling, and reminder mobile messages or routine care only. The primary outcomes were to assess the feasibility of running a full RCT including recruitment, compliance, and retention. A total seven (77.8%) out of nine primary care centres took part in the trial. Out of the 315 SLT users invited to participate, 250 provided consent and were randomised [79.4% (95% CI: 74.5, 83.7)]. Out of the 250 randomised SLT users, 238 [95% (95% CI: 91.8, 97.5)] were followed up at three months (117 in the intervention group and 121 in the control group). Of the participants in the intervention group, 74 (63.8%) reported that they received the mobile messages. This exploratory trial demonstrated the feasibility of delivering and evaluating an intervention of mobile phone messages and face-to-face counselling for SLT users in Indian primary care in a full randomised trial. This study found that combining mobile messages with face-to-face counselling for smokeless tobacco users visiting primary health care settings in India is feasible in terms of recruitment of users, compliance with the intervention, and retention of study participants within the trial.The biochemically verified smokeless tobacco abstinence rate was higher in the intervention group compared with the control groupThere was poor agreement between self-reported tobacco cessation and the measured salivary cotinine in smokeless tobacco users.The findings support the feasibility and acceptability of the intervention signalling the need for a larger clinical trial to test effectiveness of the intervention.

Association between Levels of Loneliness, Laboratory Measurements, and Behavioral Aspects in a Primary Care Setting in Crete, Greece.

This paper examines potential associations of loneliness with laboratory data and specific psychosocial and behavioral attitudes. The sample collection took place in an urban Primary Health Care unit between May and July 2023, consecutively, and once exclusion criteria were implemented. Participants were aged between 40 and 75 years. Routine laboratory test results upon study initiation and six months before were used. The University of California, Los Angeles (UCLA), Loneliness Scale (Version 3), blood glucose, serum lipids, Fibrosis-4 index, and Creatinine Clearance (CrCl) were assessed through hierarchical multiple logistic regression analysis. Based on full model (3rd) analysis, those who were engaged in an individual sport or activity or had contacts with more friends presented significantly lower odds for increased loneliness levels (odds ratio (OR): 0.28 [95% confidence interval (CI) 0.09-0.91], p = 0.034 and OR: 0.76 [95%CI 0.66-0.88], p < 0.001, respectively). The consumption of alcohol was associated with increased loneliness (OR: 5.55 [95%CI 1.42-21.63], p = 0.014). Elevated triglyceride levels were linked with moderate or no loneliness (OR: 0.20 [95%CI 0.05-0.83], p = 0.026), while an increased LDL/HDL atherosclerotic index was related to increased subjective loneliness (OR: 4.50 [95%CI 1.12-18.13], p = 0.035). The need for holistic approaches-involving primary care personnel-in understanding and addressing loneliness, recognizing its multifaceted nature as well as the diverse factors that contribute to this issue, is considered challenging.

IJCM_251A: An Assessment of client satisfaction and factors associated with services provided by Urban Primary Health Centres (UPHCs) of Raipur city.

Background: Healthcare is an important aspect of concern for individuals, involving a range of services provided to individuals, families, or communities by healthcare professionals. The objective is to promote, maintain, monitor, or restore health. Client satisfaction in health care is an important indicator used to measure the quality of services provided by the health care facilities. It is a key outcome of health care and use of services. The assessment of patient satisfaction extends across various dimensions of health services, encompassing factors such as the availability, accessibility, and convenience of services consisting of physician, pharmacy, nurses and registration services. Objective: To assess the client satisfaction about the services provided by Urban Primary Health Centres. Methodology: This is a cross-sectional observational study conducted in the Urban Primary Health Centres of Raipur city, Chhattisgarh. The Urban Primary Health Centres (8 UPHCs) are selected by simple random sampling by lottery method and the study subjects (425 study subjects) are selected by consecutive sampling. Predesigned, pretested questionnaire of socio demographic profile and predesigned, pretested, semi-structured questionnaire on client satisfaction are used for data collection which consisted of questions regarding Physical facilities, Physicians services, Nurses services, Pharmacy services, Registration services, Accessibility to services and Convenience. After collection of data, compilation of data will be done using Microsoft excel sheet. Data will be analysed using suitable statistical software (SPSS version 21) Results: The majority of study participants, 324 (76.2%) were females. The study showed that most, 274 (64.5%) of the study participants were between the age of 21 to 40 years. The study subjects showed satisfaction of 59.8%, 51.5%, 44.2%, 43.8%, and 42.6% for nurse’s services, accessibility to services, physician services, pharmacy services, and registration services respectively and 45.2% satisfaction for both convenience and physical facilities. Conclusion: The findings from this study showed that overall satisfaction with the services provided was above average. However, there was dissatisfaction observed with some services. The evaluation of patient satisfaction with healthcare services has emerged as a crucial concern. Effectively addressing this matter could serve as an important tool for healthcare providers, providing insights into both their areas for improvement and successes.

IJCM_349A: Uncovering the hidden burden: a mixed-methods study on the implementation of depression screening among persons with Type 2 Diabetes Mellitus in an urban primary care setting

Background: Diabetes is linked with depression, but screening rates for depression are low, indicating a need for periodic screening among those with diabetes Objective: The study aims to determine depression prevalence and associated factors in persons with Type-2 Diabetes Mellitus (T2DM) in an urban primary care setting of Karnataka, as well as implementation challenges in depression screening for persons with T2DM as perceived by healthcare providers Methodology: We carried out a mixed-methods study over a period of six months at an Urban Primary Health Centre (UPHC) in Bengaluru. Depression screening was carried out in 110 persons with T2DM using Patient Health Questionnaire-9. Key Informant Interviews were carried out among various health care providers of the UPHC. Data was captured using EpiCollect Version 5.0. Univariate logistic regression was carried out to find the factors associated with depression. Results: Of the 110 participants, 60 (54.5%) screened positive for depression. Duration of diabetes (95% CI=0.203,0.943; P=0.035); presence of comorbidities (Odds Ratio=3.226; 95% CI=1.362,7.638; P=0.008), presence of complications (Odds Ratio=3.000; 95% CI=1.341,6.713; P=0.008) were found to be significantly associated with depression. The key facilitators for screening were willingness to implement screening, empathetic attitude, and awareness of mental health whereas the challenges included lack of training in mental health assessment and patient reluctance to adhere to treatment due to stigma. Conclusion: More than half the study participants screened positive for depression, with significant associations found between depression and duration of diabetes, comorbidities, and complications. Several challenges in implementing depression screening for T2DM in primary care settings were noted.

Efficacy of Focused Stroke Education on Knowledge about Early Identification of Stroke among Grass-Root Health Workers in Urban Primary Health Centres of Rishikesh: A Pre-Experimental Study

Background: Stroke is a major global public health problem. Among noncommunicable diseases, stroke is the second-most frequent cause of death and the third-most frequent cause of disability worldwide. So, it is important to create awareness among grass-root health workers (GRHWs). Aims: This study aimed to assess the efficacy of focused stroke education on knowledge about early identification of stroke among GRHWs in urban primary health centers of Rishikesh. Methods: A pre-experimental study was conducted among 68 GRHWs in urban primary health centers of Rishikesh, who were recruited through a total enumerative sampling technique. Data were collected using a self-structured questionnaire, followed by the administration of focused stroke education. Data were analyzed using descriptive and inferential statistics. Results: The mean age of participants was found to be 42.32 ± 8.39 years. The mean posttest knowledge score (19.62 ± 2.23) was apparently higher than the mean pretest knowledge score (13.90 ± 3.43). Participants’ knowledge was found to be less in the area of “Meaning and Definition of stroke” (1.26 ± 0.84) before intervention. However, after intervention, there was a significant increase in mean scores in all areas. The “Diagnosis and Treatment” domain had a maximum mean score (6.06 ± 1.47). There was no significant association between selected sociodemographic variables and the level of knowledge of participants. Conclusion: The study concluded that focused stroke education was effective in improving the level of knowledge regarding early identification of stroke among GRHWs.