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

BMC Public Health

Research Article

Sarah Blackstone¹  Juliet Iwelunmor¹  Joyce Gyamfi²  Nana Kofi Quakyi²  Gbenga Ogedegbe²  Ferdinand Zizi²  Kwasi Yeboah-Awudzi³  Alexis Nang-Belfubah³  Jacob Plange-Rhule⁴  Michael Ntim⁴ 

[1] Department of Kinesiology and Community Health, University of Illinois Urbana-Champaign, College of Applied Health Sciences, Champaign, USA;Department of Population Health, New York University School of Medicine, New York, USA;Ghana Health Services, Accra, Ghana;Kwame Nkrumah University of Science and Technology, Kumasi, Ghana;

关键词: Focus Group Discussion;    District Hospital;    Community Health Center;    National Health Insurance Scheme;    Site Director;   

DOI  :  10.1186/s12889-017-4127-9

 received in 2016-10-14, accepted in 2017-02-13,  发布年份 2017

来源: Springer

【 摘 要 】

BackgroundThe 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.MethodsUsing 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.ResultsAnalysis 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.ConclusionThe 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.

【 授权许可】

CC BY   
© The Author(s). 2017