Sambah Francis, McBain-Rigg Kristin, Seidu Abdul-Aziz, Emeto Theophilus I
Public Health and Tropical Medicine James Cook University Townsville Queensland Australia.
Department of Health, Physical Education and Recreation University of Cape Coast Cape Coast Ghana.
Health Sci Rep. 2025 Mar 27;8(4):e70576. doi: 10.1002/hsr2.70576. eCollection 2025 Apr.
Uncontrolled hypertension (HPT) is a major public health challenge in Ghana. This study investigated the impact of government health system, and healthcare provider-level barriers on hypertension management in the Ashanti region.
A cross-sectional survey of 210 healthcare providers at Komfo Anokye Teaching Hospital was conducted using a pre-tested questionnaire. Descriptive and inferential statistical analyses were employed to examine the associations between barriers and hypertension management.
Government and health system-level barriers were significantly associated with healthcare providers' perceived effectiveness in managing hypertension and policy effectiveness. Similarly, healthcare provider-level barriers were linked to perceived effectiveness and policy impact. However, multivariable analysis revealed that the effects of these barriers on hypertension management were attenuated.
While government, health system, and healthcare provider barriers influence hypertension management in Ghana, their impact is less pronounced than anticipated. This finding is encouraging for achieving the national hypertension control target. However, further research is needed to identify factors mitigating the effects of these barriers to inform effective interventions.
在加纳，未得到控制的高血压是一项重大的公共卫生挑战。本研究调查了政府卫生系统以及医疗服务提供者层面的障碍对阿散蒂地区高血压管理的影响。
使用预先测试的问卷对Komfo Anokye教学医院的210名医疗服务提供者进行了横断面调查。采用描述性和推断性统计分析来检验障碍与高血压管理之间的关联。
政府和卫生系统层面的障碍与医疗服务提供者对高血压管理的感知效果以及政策效果显著相关。同样，医疗服务提供者层面的障碍与感知效果和政策影响相关。然而，多变量分析显示，这些障碍对高血压管理的影响有所减弱。
虽然政府、卫生系统和医疗服务提供者的障碍会影响加纳的高血压管理，但其影响不如预期的那么明显。这一发现对于实现国家高血压控制目标令人鼓舞。然而，需要进一步研究以确定减轻这些障碍影响的因素，为有效的干预措施提供信息。
