Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
Identifieur interne : 000076 ( Main/Exploration ); précédent : 000075; suivant : 000077Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
Auteurs : Juliet Iwelunmor [États-Unis] ; Joyce Gyamfi [États-Unis] ; Jacob Plange-Rhule [Ghana] ; Sarah Blackstone [États-Unis] ; Nana Kofi Quakyi [États-Unis] ; Michael Ntim [Ghana] ; Ferdinand Zizi [États-Unis] ; Kwasi Yeboah-Awudzi [Ghana] ; Alexis Nang-Belfubah [Ghana] ; Gbenga Ogedegbe [États-Unis]Source :
- BMC Public Health [ 1471-2458 ] ; 2017.
Abstract
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.
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.
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.
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.
Url:
DOI: 10.1186/s12889-017-4127-9
PubMed: 28222754
PubMed Central: 5320716
Affiliations:
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Champaign</wicri:regionArea><wicri:noRegion>Champaign</wicri:noRegion></affiliation></author><author><name sortKey="Quakyi, Nana Kofi" sort="Quakyi, Nana Kofi" uniqKey="Quakyi N" first="Nana Kofi" last="Quakyi">Nana Kofi Quakyi</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 8753</institution-id><institution-id institution-id-type="GRID">grid.137628.9</institution-id><institution>Department of Population Health,</institution><institution>New York University School of Medicine,</institution></institution-wrap>New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>New York</wicri:regionArea></affiliation></author><author><name sortKey="Ntim, Michael" sort="Ntim, Michael" uniqKey="Ntim M" first="Michael" last="Ntim">Michael Ntim</name><affiliation wicri:level="1"><nlm:aff id="Aff3"><institution-wrap><institution-id 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York</wicri:regionArea></affiliation></author><author><name sortKey="Yeboah Awudzi, Kwasi" sort="Yeboah Awudzi, Kwasi" uniqKey="Yeboah Awudzi K" first="Kwasi" last="Yeboah-Awudzi">Kwasi Yeboah-Awudzi</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Ghana Health Services, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Health Services, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Nang Belfubah, Alexis" sort="Nang Belfubah, Alexis" uniqKey="Nang Belfubah A" first="Alexis" last="Nang-Belfubah">Alexis Nang-Belfubah</name><affiliation wicri:level="3"><nlm:aff id="Aff4">Ghana Health Services, Accra, Ghana</nlm:aff><country xml:lang="fr">Ghana</country><wicri:regionArea>Ghana Health Services, Accra</wicri:regionArea><placeName><settlement type="city">Accra</settlement><region nuts="2">Région du Grand Accra</region></placeName></affiliation></author><author><name sortKey="Ogedegbe, Gbenga" sort="Ogedegbe, Gbenga" uniqKey="Ogedegbe G" first="Gbenga" last="Ogedegbe">Gbenga Ogedegbe</name><affiliation wicri:level="1"><nlm:aff id="Aff2"><institution-wrap><institution-id institution-id-type="ISNI">0000 0004 1936 8753</institution-id><institution-id institution-id-type="GRID">grid.137628.9</institution-id><institution>Department of Population Health,</institution><institution>New York University School of Medicine,</institution></institution-wrap>New York, USA</nlm:aff><country xml:lang="fr">États-Unis</country><wicri:regionArea>New York</wicri:regionArea></affiliation></author></analytic><series><title level="j">BMC Public Health</title><idno type="eISSN">1471-2458</idno><imprint><date when="2017">2017</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>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.</p></sec><sec><title>Methods</title><p>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.</p></sec><sec><title>Results</title><p>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.</p></sec><sec><title>Conclusion</title><p>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.</p></sec></div></front><back><div1 type="bibliography"><listBibl><biblStruct><analytic><author><name sortKey="Nilsen, P" uniqKey="Nilsen P">P Nilsen</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bergstrom, A" uniqKey="Bergstrom A">A Bergström</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Green, Lw" uniqKey="Green L">LW Green</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Vogel, Jp" uniqKey="Vogel J">JP Vogel</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Trompette, J" uniqKey="Trompette J">J Trompette</name></author></analytic></biblStruct><biblStruct><analytic><author><name 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Damschroder</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Squires, Je" uniqKey="Squires J">JE Squires</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Stewart, S" uniqKey="Stewart S">S Stewart</name></author><author><name sortKey="Sliwa, K" uniqKey="Sliwa K">K Sliwa</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Shroufi, A" uniqKey="Shroufi A">A Shroufi</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Hendriks, Me" uniqKey="Hendriks M">ME Hendriks</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Wurie, Hr" uniqKey="Wurie H">HR Wurie</name></author><author><name sortKey="Cappuccio, Fp" uniqKey="Cappuccio F">FP Cappuccio</name></author></analytic></biblStruct><biblStruct><analytic><author><name sortKey="Bovet, P" uniqKey="Bovet P">P Bovet</name></author><author><name sortKey="Paccaud, F" uniqKey="Paccaud F">F Paccaud</name></author></analytic></biblStruct></listBibl></div1></back></TEI><affiliations><list><country><li>Ghana</li><li>États-Unis</li></country><region><li>Région du Grand Accra</li></region><settlement><li>Accra</li></settlement></list><tree><country name="États-Unis"><noRegion><name sortKey="Iwelunmor, Juliet" sort="Iwelunmor, Juliet" uniqKey="Iwelunmor J" first="Juliet" last="Iwelunmor">Juliet Iwelunmor</name></noRegion><name sortKey="Blackstone, Sarah" sort="Blackstone, Sarah" uniqKey="Blackstone S" first="Sarah" last="Blackstone">Sarah Blackstone</name><name sortKey="Gyamfi, Joyce" sort="Gyamfi, Joyce" uniqKey="Gyamfi J" first="Joyce" last="Gyamfi">Joyce Gyamfi</name><name sortKey="Ogedegbe, Gbenga" sort="Ogedegbe, Gbenga" uniqKey="Ogedegbe G" first="Gbenga" last="Ogedegbe">Gbenga Ogedegbe</name><name sortKey="Quakyi, Nana Kofi" sort="Quakyi, Nana Kofi" uniqKey="Quakyi N" first="Nana Kofi" last="Quakyi">Nana Kofi Quakyi</name><name sortKey="Zizi, Ferdinand" sort="Zizi, Ferdinand" uniqKey="Zizi F" first="Ferdinand" last="Zizi">Ferdinand Zizi</name></country><country name="Ghana"><noRegion><name sortKey="Plange Rhule, Jacob" sort="Plange Rhule, Jacob" uniqKey="Plange Rhule J" first="Jacob" last="Plange-Rhule">Jacob Plange-Rhule</name></noRegion><name sortKey="Nang Belfubah, Alexis" sort="Nang Belfubah, Alexis" uniqKey="Nang Belfubah A" first="Alexis" last="Nang-Belfubah">Alexis Nang-Belfubah</name><name sortKey="Ntim, Michael" sort="Ntim, Michael" uniqKey="Ntim M" first="Michael" last="Ntim">Michael Ntim</name><name sortKey="Yeboah Awudzi, Kwasi" sort="Yeboah Awudzi, Kwasi" uniqKey="Yeboah Awudzi K" first="Kwasi" last="Yeboah-Awudzi">Kwasi Yeboah-Awudzi</name></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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