Enablers and barriers for implementing high-quality hypertension care in a rural primary care setting in Nigeria: perspectives of primary care staff and health insurance managers

Global Health Action
Aina O OdusolaJoke A Haafkens

Abstract

Hypertension is a highly prevalent risk factor for cardiovascular diseases in sub-Saharan Africa (SSA) that can be modified through timely and long-term treatment in primary care. We explored perspectives of primary care staff and health insurance managers on enablers and barriers for implementing high-quality hypertension care, in the context of a community-based health insurance programme in rural Nigeria. Qualitative study using semi-structured individual interviews with primary care staff (n = 11) and health insurance managers (n=4). Data were analysed using standard qualitative techniques. Both stakeholder groups perceived health insurance as an important facilitator for implementing high-quality hypertension care because it covered costs of care for patients and provided essential resources and incentives to clinics: guidelines, staff training, medications, and diagnostic equipment. Perceived inhibitors included the following: high staff workload; administrative challenges at facilities; discordance between healthcare provider and insurer on how health insurance and provider payment methods work; and insufficient fit between some guideline recommendations and tools for patient education and characteristics/needs of the lo...Continue Reading

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Citations

Jun 22, 2018·Omics : a Journal of Integrative Biology·Nicholas Ekow ThomfordCollet Dandara
Mar 5, 2019·Journal of the American Association of Nurse Practitioners·Joanes Faustine Mboineki, Changying Chen
May 21, 2020·The Journal of Clinical Hypertension·Eva L van der LindenBert-Jan H van den Born

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Software Mentioned

MAX Qualitative Data Analysis ( MAXQDA )

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