Assessing the implementation of a multi-component hypertension program in a Guatemalan under-resourced dynamic context: An application of the RE-AIM/PRISM extension for sustainability and health equity.

ABSTRACT:

Background

The COVID-19 pandemic necessitated rapid changes in the delivery of care across public primary care settings in rural Guatemala in 2020. In response, a hypertension program implemented within the public primary care system required multiple adaptations, providing an illustrative example of dynamic implementation amidst changing context in an under-resourced setting. This study describes the evolvability of an evidence-based intervention (EBI; protocol-based hypertension treatment) and one of its main implementation strategies (team-based collaborative care) during the COVID-19 pandemic and discusses implications for health equity and sustainability.

Methods

This convergent mixed methods analysis assessed implementation across five Ministry of Health districts duri

SUBMITTER: Paniagua-Avila A 

PROVIDER: S-EPMC9882599 | biostudies-literature | 2023 Jan

REPOSITORIES: biostudies-literature