Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria
BACKGROUND: Hypertension (HTN) is highly prevalent among people living with HIV (PLHIV), but there is limited access to standardized HTN management strategies in public primary healthcare facilities in Nigeria. The shortage of trained healthcare providers in Nigeria is an important contributor to th...
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BioMed Central
2023
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Online Access: | http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157928/ https://doi.org/10.1186/s43058-023-00425-3 |
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Research Iwelunmor, Juliet Ogedegbe, Gbenga Dulli, Lisa Aifah, Angela Nwaozuru, Ucheoma Obiezu-Umeh, Chisom Onakomaiya, Deborah Rakhra, Ashlin Mishra, Shivani Colvin, Calvin L. Adeoti, Ebenezer Badejo, Okikiolu Murray, Kate Uguru, Henry Shedul, Gabriel Hade, Erinn M. Henry, Daniel Igbong, Ayei Lew, Daphne Bansal, Geetha P. Ojji, Dike Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria |
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Research |
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BACKGROUND: Hypertension (HTN) is highly prevalent among people living with HIV (PLHIV), but there is limited access to standardized HTN management strategies in public primary healthcare facilities in Nigeria. The shortage of trained healthcare providers in Nigeria is an important contributor to the increased unmet need for HTN management among PLHIV. Evidence-based TAsk-Strengthening Strategies for HTN control (TASSH) have shown promise to address this gap in other resource-constrained settings. However, little is known regarding primary health care facilities’ capacity to implement this strategy. The objective of this study was to determine primary healthcare facilities’ readiness to implement TASSH among PLHIV in Nigeria. METHODS: This study was conducted with purposively selected healthcare providers at fifty-nine primary healthcare facilities in Akwa-Ibom State, Nigeria. Healthcare facility readiness data were measured using the Organizational Readiness to Change Assessment (ORCA) tool. ORCA is based on the Promoting Action on Research Implementation in Health Services (PARIHS) framework that identifies evidence, context, and facilitation as the key factors for effective knowledge translation. Quantitative data were analyzed using descriptive statistics (including mean ORCA subscales). We focused on the ORCA context domain, and responses were scored on a 5-point Likert scale, with 1 corresponding to disagree strongly. FINDINGS: Fifty-nine healthcare providers (mean age 45; standard deviation [SD]: 7.4, 88% female, 68% with technical training, 56% nurses, 56% with 1–5 years providing HIV care) participated in the study. Most healthcare providers provide care to 11–30 patients living with HIV per month in their health facility, with about 42% of providers reporting that they see between 1 and 10 patients with HTN each month. Overall, staff culture (mean 4.9 [0.4]), leadership support (mean 4.9 [0.4]), and measurement/evidence-assessment (mean 4.6 [0.5]) were the topped-scored ORCA subscales, while scores on ... |
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Text |
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Iwelunmor, Juliet Ogedegbe, Gbenga Dulli, Lisa Aifah, Angela Nwaozuru, Ucheoma Obiezu-Umeh, Chisom Onakomaiya, Deborah Rakhra, Ashlin Mishra, Shivani Colvin, Calvin L. Adeoti, Ebenezer Badejo, Okikiolu Murray, Kate Uguru, Henry Shedul, Gabriel Hade, Erinn M. Henry, Daniel Igbong, Ayei Lew, Daphne Bansal, Geetha P. Ojji, Dike |
author_facet |
Iwelunmor, Juliet Ogedegbe, Gbenga Dulli, Lisa Aifah, Angela Nwaozuru, Ucheoma Obiezu-Umeh, Chisom Onakomaiya, Deborah Rakhra, Ashlin Mishra, Shivani Colvin, Calvin L. Adeoti, Ebenezer Badejo, Okikiolu Murray, Kate Uguru, Henry Shedul, Gabriel Hade, Erinn M. Henry, Daniel Igbong, Ayei Lew, Daphne Bansal, Geetha P. Ojji, Dike |
author_sort |
Iwelunmor, Juliet |
title |
Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria |
title_short |
Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria |
title_full |
Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria |
title_fullStr |
Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria |
title_full_unstemmed |
Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria |
title_sort |
organizational readiness to implement task-strengthening strategy for hypertension management among people living with hiv in nigeria |
publisher |
BioMed Central |
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2023 |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157928/ https://doi.org/10.1186/s43058-023-00425-3 |
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Implement Sci Commun |
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http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157928/ http://dx.doi.org/10.1186/s43058-023-00425-3 |
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© The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
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https://doi.org/10.1186/s43058-023-00425-3 |
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Implementation Science Communications |
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ftpubmed:oai:pubmedcentral.nih.gov:10157928 2023-06-11T04:15:46+02:00 Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria Iwelunmor, Juliet Ogedegbe, Gbenga Dulli, Lisa Aifah, Angela Nwaozuru, Ucheoma Obiezu-Umeh, Chisom Onakomaiya, Deborah Rakhra, Ashlin Mishra, Shivani Colvin, Calvin L. Adeoti, Ebenezer Badejo, Okikiolu Murray, Kate Uguru, Henry Shedul, Gabriel Hade, Erinn M. Henry, Daniel Igbong, Ayei Lew, Daphne Bansal, Geetha P. Ojji, Dike 2023-05-04 http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157928/ https://doi.org/10.1186/s43058-023-00425-3 en eng BioMed Central http://www.ncbi.nlm.nih.gov/pmc/articles/PMC10157928/ http://dx.doi.org/10.1186/s43058-023-00425-3 © The Author(s) 2023 https://creativecommons.org/licenses/by/4.0/Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/ (https://creativecommons.org/licenses/by/4.0/) . The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/ (https://creativecommons.org/publicdomain/zero/1.0/) ) applies to the data made available in this article, unless otherwise stated in a credit line to the data. Implement Sci Commun Research Text 2023 ftpubmed https://doi.org/10.1186/s43058-023-00425-3 2023-05-07T01:29:50Z BACKGROUND: Hypertension (HTN) is highly prevalent among people living with HIV (PLHIV), but there is limited access to standardized HTN management strategies in public primary healthcare facilities in Nigeria. The shortage of trained healthcare providers in Nigeria is an important contributor to the increased unmet need for HTN management among PLHIV. Evidence-based TAsk-Strengthening Strategies for HTN control (TASSH) have shown promise to address this gap in other resource-constrained settings. However, little is known regarding primary health care facilities’ capacity to implement this strategy. The objective of this study was to determine primary healthcare facilities’ readiness to implement TASSH among PLHIV in Nigeria. METHODS: This study was conducted with purposively selected healthcare providers at fifty-nine primary healthcare facilities in Akwa-Ibom State, Nigeria. Healthcare facility readiness data were measured using the Organizational Readiness to Change Assessment (ORCA) tool. ORCA is based on the Promoting Action on Research Implementation in Health Services (PARIHS) framework that identifies evidence, context, and facilitation as the key factors for effective knowledge translation. Quantitative data were analyzed using descriptive statistics (including mean ORCA subscales). We focused on the ORCA context domain, and responses were scored on a 5-point Likert scale, with 1 corresponding to disagree strongly. FINDINGS: Fifty-nine healthcare providers (mean age 45; standard deviation [SD]: 7.4, 88% female, 68% with technical training, 56% nurses, 56% with 1–5 years providing HIV care) participated in the study. Most healthcare providers provide care to 11–30 patients living with HIV per month in their health facility, with about 42% of providers reporting that they see between 1 and 10 patients with HTN each month. Overall, staff culture (mean 4.9 [0.4]), leadership support (mean 4.9 [0.4]), and measurement/evidence-assessment (mean 4.6 [0.5]) were the topped-scored ORCA subscales, while scores on ... Text Orca PubMed Central (PMC) Implementation Science Communications 4 1 |