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BMC Public Health
Published in: BMC Public Health 1/2017

Open Access 01-12-2017 | Research article

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

Authors: Juliet Iwelunmor, Joyce Gyamfi, Jacob Plange-Rhule, Sarah Blackstone, Nana Kofi Quakyi, Michael Ntim, Ferdinand Zizi, Kwasi Yeboah-Awudzi, Alexis Nang-Belfubah, Gbenga Ogedegbe

Published in: BMC Public Health | Issue 1/2017

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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.
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Metadata
Title
Exploring stakeholders’ perceptions of a task-shifting strategy for hypertension control in Ghana: a qualitative study
Authors
Juliet Iwelunmor
Joyce Gyamfi
Jacob Plange-Rhule
Sarah Blackstone
Nana Kofi Quakyi
Michael Ntim
Ferdinand Zizi
Kwasi Yeboah-Awudzi
Alexis Nang-Belfubah
Gbenga Ogedegbe
Publication date
01-12-2017
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2017
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-017-4127-9

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