@article{db666e2973164377a96ad42a3d27a3f4,
title = "Exploring stakeholders' perceptions of a task-shifting strategy for hypertension control in Ghana: A qualitative study",
abstract = "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.",
author = "Juliet Iwelunmor and Joyce Gyamfi and Jacob Plange-Rhule and Sarah Blackstone and Quakyi, {Nana Kofi} and Michael Ntim and Ferdinand Zizi and Kwasi Yeboah-Awudzi and Alexis Nang-Belfubah and Gbenga Ogedegbe",
note = "Funding Information: This work is funded by: {\textquoteleft}Sustaining a Task Shifting Strategy for Hypertension Management in Ghana{\textquoteright} (grant# R03TW010081, PI: Iwelunmor) through the National Institutes of Health Fogarty International Center, and{\textquoteleft}Task Shifting and Blood Pressure Control in Ghana: A cluster-randomized trial{\textquoteright} project through the National Health, Lung, and Blood Institute of the National Institutes of Health (grant# U01HL114198: PI Ogedegbe) as part of the Global Alliance for Chronic Diseases (GACD) program. Funding Information: The authors would like to thank the Regional Health Directorate especially Dr. Kwasi Yeboah Awudzi, who assisted with recruitment of the community health centers and staffing of the CHCs with community health nurses. The authors are grateful to the community health nurses and the team of research assistants at Kwame Nkrumah University of Science and Technology (KNUST) for their work on this project. This work is funded by: {\textquoteleft}Sustaining a Task Shifting Strategy for Hypertension Management in Ghana{\textquoteright} (grant# R03TW010081) through the National Institutes of Health Fogarty International Center. Additional support from: {\textquoteleft}Task Shifting and Blood Pressure Control in Ghana: A cluster-randomized trial{\textquoteright} project through the National Health, Lung, and Blood Institute of the National Institutes of Health (grant# U01HL114198) as part of the Global Alliance for Chronic Diseases (GACD) program. Publisher Copyright: {\textcopyright} 2017 The Author(s).",
year = "2017",
month = feb,
day = "21",
doi = "10.1186/s12889-017-4127-9",
language = "English (US)",
volume = "17",
journal = "BMC public health",
issn = "1471-2458",
publisher = "BioMed Central",
number = "1",
}