Training primary healthcare workers on a task-strengthening strategy for integrating hypertension management into HIV care in Nigeria: implementation strategies, knowledge uptake, and lessons learned

Autor: David Ayoola Oladele, Aina Olufemi Odusola, Oluwatosin Odubela, Ucheoma Nwaozuru, Colvin Calvin, Zaidat Musa, Ifeoma Idigbe, Chioma Nwakwo, Yemi Odejobi, Angela Aifah, Nafesa Kanneh, Shivani Mishra, Deborah Onakomaiya, Juliet Iwelunmor, Olugbenga Ogedegbe, Oliver Ezechi
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: BMC Health Services Research, Vol 23, Iss 1, Pp 1-10 (2023)
Druh dokumentu: article
ISSN: 1472-6963
80297838
DOI: 10.1186/s12913-023-09603-4
Popis: Abstract Background With improved access to anti-retroviral drugs, persons living with HIV/AIDS (PLWHA) are living longer but with attendant increased risks of non-communicable diseases (NCDs). The increasing burden of NCDs, especially hypertension, could reverse gains attributed to HIV care. Nurses and Community Health Officers (CHO) in Nigeria are cardinal in delivering primary health care. A task-strengthening strategy could enable them to manage hypertension in HIV care settings. This study aimed to assess their knowledge and practice of hypertension management among Healthcare workers (HCWs) and to explore the challenges involved in conducting onsite training during pandemics. Methods Nurses and CHOs in the employment of the Lagos State Primary Health Care Board (LSPHCB), Lagos State, Nigeria, were recruited. They were trained through hybrid (virtual and onsite) modules before study implementation and a series of refresher trainings. A pre-and post-training test survey was administered, followed by qualitative interviews to assess skills and knowledge uptake, the potential barriers and facilitators of task-sharing in hypertension management in HIV clinics, and the lessons learned. Results Sixty HCWs participated in the two-day training at baseline. There was a significant improvement in the trainees' knowledge of hypertension management and control. The average score during the pre-test and post-test was 59% and 67.6%, respectively. While about 75% of the participants had a good knowledge of hypertension, its cause, symptoms, and management, 20% had moderate knowledge, and 5% had poor knowledge at baseline. There was also an increase in the mean score between the pre-test and post-test of the refresher training using paired t-tests (P
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