A formative evaluation of potential barriers and facilitators to inform effective implementation of a community-based hypertension care program in rural South Africa: The IMPACT-BP trial
Our findings allowed us to identify specific adaptations to the intervention implementation strategy to make the proposed community-based intervention acceptable and feasible in this setting. Adaptations included employing dedicated CHWs and nurses for trial-related activities, developing an expanded CHW training module on hypertension knowledge, teaching CHWs to measure blood pressure and subsequently train patients to do the same, and training CHWs to educate patients about hypertension management.
Authors
- Mark Jacob Siedner (ORCID: https://orcid.org/0000-0003-3506-842X)
- Joanna Orne‐Gliemann (ORCID: https://orcid.org/0000-0003-0359-4089)
- Thomas A. Gaziano (ORCID: https://orcid.org/0000-0002-5985-345X)
- Shafika Abrahams‐Gessel (ORCID: https://orcid.org/0000-0003-4954-057X)
- Alison Castle (ORCID: https://orcid.org/0000-0001-7752-6236)
- Nombulelo Magula (ORCID: https://orcid.org/0000-0001-8625-9539)
- Max Bachmann (ORCID: https://orcid.org/0000-0003-1770-3506)
- Thabang Manyaapelo (ORCID: https://orcid.org/0000-0002-5664-6295)
- Nondumiso Mpanza
- Nsika Sithole (ORCID: https://orcid.org/0000-0003-2090-3453)
- Siphephelo Dlamini (ORCID: https://orcid.org/0000-0002-1143-0810)
- Samukelisiwe Nxumalo
- Thabisile Mjilo
Institutions
- University of East Anglia (GB)
- Brigham and Women's Hospital (US)
- Massachusetts Department of Public Health (US)
- Harvard University (US)
- Université de Bordeaux (FR)
- Inserm (FR)
- Massachusetts General Hospital (US)
- Bordeaux Population Health (FR)
- Africa Health Research Institute (ZA)
- Institut de Recherche pour le Développement (FR)
- University of KwaZulu-Natal (ZA)
Publication Details
- Journal
- SSM - Health Systems
- Published
- 2025-05-10
- DOI
- https://doi.org/10.1016/j.ssmhs.2025.100086
- Citations
- 1
- Primary Topic
- Health Policy Implementation Science
- Type
- article
- Field-Weighted Citation Impact
- 2.82
Funders
- Wellcome Trust
- National Institutes of Health
- National Heart, Lung, and Blood Institute
- National Institute of Mental Health
- National Institute of Allergy and Infectious Diseases
- Fogarty International Center