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Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study

BACKGROUND: The purpose of this study was to explore stakeholders' perception of an on-going evidence-based task-shifting strategy for hypertension (TASSH) in 32 community health centers and district hospitals in Ghana. METHODS: Using focus group discussions and in-depth interviews, qualitative...

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Autores principales: Iwelunmor, Juliet, Gyamfi, Joyce, Plange-Rhule, Jacob, Blackstone, Sarah, Quakyi, Nana Kofi, Ntim, Michael, Zizi, Ferdinand, Yeboah-Awudzi, Kwasi, Nang-Belfubah, Alexis, Ogedegbe, Gbenga
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2017
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5320716/
https://www.ncbi.nlm.nih.gov/pubmed/28222754
http://dx.doi.org/10.1186/s12889-017-4127-9
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author Iwelunmor, Juliet
Gyamfi, Joyce
Plange-Rhule, Jacob
Blackstone, Sarah
Quakyi, Nana Kofi
Ntim, Michael
Zizi, Ferdinand
Yeboah-Awudzi, Kwasi
Nang-Belfubah, Alexis
Ogedegbe, Gbenga
author_facet Iwelunmor, Juliet
Gyamfi, Joyce
Plange-Rhule, Jacob
Blackstone, Sarah
Quakyi, Nana Kofi
Ntim, Michael
Zizi, Ferdinand
Yeboah-Awudzi, Kwasi
Nang-Belfubah, Alexis
Ogedegbe, Gbenga
author_sort Iwelunmor, Juliet
collection PubMed
description BACKGROUND: The purpose of this study was to explore stakeholders' perception of an on-going evidence-based task-shifting strategy for hypertension (TASSH) in 32 community health centers and district hospitals in Ghana. METHODS: Using focus group discussions and in-depth interviews, qualitative data were obtained from 81 key stakeholders including patients, nurses, and site directors of participating community health centers involved in the TASSH trial. Qualitative data were analyzed using open and axial coding techniques. RESULTS: Analysis of the qualitative data revealed three themes that illustrate stakeholders' perceptions of the ongoing task-shifting strategy for blood pressure control in Ghana and they include: 1) awareness and understanding of the TASSH program; 2) reasons for participation and non-participation in TASSH; and 3) the benefit and drawbacks to the TASSH program. CONCLUSION: The findings support evidence that successful implementation of any task-shifting strategy must focus not only on individual patient characteristics, but also consider the role contextual factors such as organizational and leadership factors play. The findings also demonstrate the importance of understanding stakeholder's perceptions of evidence-based task-shifting interventions for hypertension control as it may ultimately influence the sustainable uptake of these interventions into "real world" settings.
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spelling pubmed-53207162017-02-24 Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study Iwelunmor, Juliet Gyamfi, Joyce Plange-Rhule, Jacob Blackstone, Sarah Quakyi, Nana Kofi Ntim, Michael Zizi, Ferdinand Yeboah-Awudzi, Kwasi Nang-Belfubah, Alexis Ogedegbe, Gbenga BMC Public Health Research Article BACKGROUND: The purpose of this study was to explore stakeholders' perception of an on-going evidence-based task-shifting strategy for hypertension (TASSH) in 32 community health centers and district hospitals in Ghana. METHODS: Using focus group discussions and in-depth interviews, qualitative data were obtained from 81 key stakeholders including patients, nurses, and site directors of participating community health centers involved in the TASSH trial. Qualitative data were analyzed using open and axial coding techniques. RESULTS: Analysis of the qualitative data revealed three themes that illustrate stakeholders' perceptions of the ongoing task-shifting strategy for blood pressure control in Ghana and they include: 1) awareness and understanding of the TASSH program; 2) reasons for participation and non-participation in TASSH; and 3) the benefit and drawbacks to the TASSH program. CONCLUSION: The findings support evidence that successful implementation of any task-shifting strategy must focus not only on individual patient characteristics, but also consider the role contextual factors such as organizational and leadership factors play. The findings also demonstrate the importance of understanding stakeholder's perceptions of evidence-based task-shifting interventions for hypertension control as it may ultimately influence the sustainable uptake of these interventions into "real world" settings. BioMed Central 2017-02-21 /pmc/articles/PMC5320716/ /pubmed/28222754 http://dx.doi.org/10.1186/s12889-017-4127-9 Text en © The Author(s). 2017 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.
spellingShingle Research Article
Iwelunmor, Juliet
Gyamfi, Joyce
Plange-Rhule, Jacob
Blackstone, Sarah
Quakyi, Nana Kofi
Ntim, Michael
Zizi, Ferdinand
Yeboah-Awudzi, Kwasi
Nang-Belfubah, Alexis
Ogedegbe, Gbenga
Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
title Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
title_full Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
title_fullStr Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
title_full_unstemmed Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
title_short Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
title_sort exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in ghana: a qualitative study
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5320716/
https://www.ncbi.nlm.nih.gov/pubmed/28222754
http://dx.doi.org/10.1186/s12889-017-4127-9
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