Implementation of a large-scale hypertension program in primary health centres in the Federal Capital Territory, Nigeria: an explanatory, sequential mixed-methods study.

ABSTRACT:

Introduction

To optimise hypertension care cascade, the multilevel Hypertension Treatment in Nigeria (HTN) Program, adapted from the WHO HEARTS package, was implemented within 60 primary healthcare centres (PHCs) in the Federal Capital Territory, Nigeria, from January 2020 to December 2023.

Methods

We conducted an explanatory sequential mixed-methods study, guided by the RE-AIM QuEST (Reach, Effectiveness, Adoption, Implementation, and Maintenance - Qualitative Evaluation for Systematic Translation) framework, to examine the factors influencing reach, effectiveness, adoption, implementation, acceptability and maintenance of the program. We conducted 13 focus group discussions in a subset of PHCs with patients (n=17), community health workers (n=35), pharmacy technicians (n=1

SUBMITTER: Obiezu-Umeh C 

PROVIDER: S-EPMC12314955 | biostudies-literature | 2025 Aug

REPOSITORIES: biostudies-literature