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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

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Authors: Shafika Abrahams-Gessel, Thabang Manyaapelo, Nsika Sithole, Siphephelo Dlamini, Nondumiso Mpanza, Samukelisiwe Nxumalo, Thabisile Mjilo, Joanna Orne-Gliemann, Max Bachmann, Nombulelo Magula, Alison Castle, Mark J. Siedner, Thomas Gaziano

In rural KwaZulu-Natal, South Africa, most people with high blood pressure are not getting it under control. To help fix this, researchers looked at how care is currently provided in clinics and what might help or get in the way of a new community-based program (IMPACT-BP). They talked with clinic staff, community health workers (CHWs), community leaders, and patients. Challenges included not enough staff, overcrowded clinics, lack of trust in CHWs, and poor training and tools for CHWs. One helpful part was CHWs delivering medicine to people’s homes. Based on this, the researchers suggested changes like better CHW training, hiring staff just for the program, and teaching CHWs and patients how to measure blood pressure at home.

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Resource Topic: Hypertension

Resource Type: Evaluation

Year: 2025

Region: Sub-Saharan Africa (SSA)

Country: South Africa

Publisher May Restrict Access: No

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