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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ftwashingtonusm:oai:digitalcommons.wustl.edu:oa_4-3807 2024-02-04T10:03:40+01:00 Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria Iwelunmor, Juliet Lew, Daphne 2023-05-04T07:00:00Z application/pdf https://digitalcommons.wustl.edu/oa_4/2820 https://doi.org/10.1186/s43058-023-00425-3 https://digitalcommons.wustl.edu/context/oa_4/article/3807/viewcontent/s43058_023_00425_3.pdf unknown Digital Commons@Becker https://digitalcommons.wustl.edu/oa_4/2820 doi:10.1186/s43058-023-00425-3 https://digitalcommons.wustl.edu/context/oa_4/article/3807/viewcontent/s43058_023_00425_3.pdf 2020-Current year OA Pubs ICTS (Institute of Clinical and Translational Sciences) Medicine and Health Sciences text 2023 ftwashingtonusm https://doi.org/10.1186/s43058-023-00425-3 2024-01-07T17:41:41Z 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 Washington University School of Medicine: Digital Commons@Becker Implementation Science Communications 4 1 |
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ICTS (Institute of Clinical and Translational Sciences) Medicine and Health Sciences Iwelunmor, Juliet Lew, Daphne Organizational readiness to implement task-strengthening strategy for hypertension management among people living with HIV in Nigeria |
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ICTS (Institute of Clinical and Translational Sciences) Medicine and Health Sciences |
description |
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 ... |
format |
Text |
author |
Iwelunmor, Juliet Lew, Daphne |
author_facet |
Iwelunmor, Juliet Lew, Daphne |
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 |
Digital Commons@Becker |
publishDate |
2023 |
url |
https://digitalcommons.wustl.edu/oa_4/2820 https://doi.org/10.1186/s43058-023-00425-3 https://digitalcommons.wustl.edu/context/oa_4/article/3807/viewcontent/s43058_023_00425_3.pdf |
genre |
Orca |
genre_facet |
Orca |
op_source |
2020-Current year OA Pubs |
op_relation |
https://digitalcommons.wustl.edu/oa_4/2820 doi:10.1186/s43058-023-00425-3 https://digitalcommons.wustl.edu/context/oa_4/article/3807/viewcontent/s43058_023_00425_3.pdf |
op_doi |
https://doi.org/10.1186/s43058-023-00425-3 |
container_title |
Implementation Science Communications |
container_volume |
4 |
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1 |
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1789971206403784704 |