Healthcare providers and policymakers’ perspectives on enablers and barriers to hypertension management in Ghana: a qualitative study
Sambah, Francis, McBain-Rigg, Kristin, Seidu, Abdul-Aziz, and Emeto, Theophilus I. (2025) Healthcare providers and policymakers’ perspectives on enablers and barriers to hypertension management in Ghana: a qualitative study. Discover Public Health, 22 (1). 316.
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Abstract
Background: Effective management of hypertension is crucial for reducing its burden, yet significant gaps remain in achieving optimal blood pressure control in Ghana. Therefore, understanding the perspectives of key stakeholders including healthcare providers and health policymakers is essential for identifying barriers and enablers to hypertension management. Using the chronic care model, this study aimed to explore the perspectives of healthcare providers and policymakers on the barriers and enablers to effective hypertension management in Ghana. Methods: We conducted in-depth interviews with healthcare providers (n = 18) and health policymakers (n = 4) involved in hypertension patient care and policy formulation and implementation respectively. Interviews were transcribed verbatim and analysed thematically using NVivo to generate themes and subthemes. Results: Three main themes were related to barriers: government level barriers, healthcare provider institutional barriers and patient level barriers. Four themes namely, patient follow-up and education, policy and structural support, professional knowledge and training, and teamwork and collaboration emerged as enablers hypertension control. Conclusion: This study provides insight into the multifaceted barriers and enablers to hypertension management from the perspective of healthcare providers and policymakers. The findings emphasise the need for a comprehensive multistakeholder approach to address the complex challenges in hypertension management in Ghana’s Ashanti region. We recommend that future research should evaluate the impact of community-based interventions on the management of hypertension using a multistakeholder approach.
| Item ID: | 87700 |
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| Item Type: | Article (Research - C1) |
| ISSN: | 3005-0774 |
| Keywords: | Healthcare provider, Hypertension, Perceived barriers, Perceived enablers, Stakeholders |
| Copyright Information: | © The Author(s) 2025. This article is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License, which permits any non-commercial use, sharing, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if you modified the licensed material. You do not have permission under this licence to share adapted material derived from this article or parts of it. The images or other third party material in this article are included in the article’s Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article’s Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by-nc-nd/4.0/. |
| Date Deposited: | 23 Jan 2026 02:00 |
| FoR Codes: | 42 HEALTH SCIENCES > 4206 Public health > 420602 Health equity @ 100% |
| SEO Codes: | 20 HEALTH > 2004 Public health (excl. specific population health) > 200401 Behaviour and health @ 100% |
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