Perceived Barriers to Hypertension Control: A Cross-Sectional Study Among Healthcare Providers in the Ashanti Region of Ghana

Sambah, Francis, McBain-Rigg, Kristin, Seidu, Abdul-Aziz, and Emeto, Theophilus (2025) Perceived Barriers to Hypertension Control: A Cross-Sectional Study Among Healthcare Providers in the Ashanti Region of Ghana. Health Science Reports, 8 (4). e70576.

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Abstract

Background and Aims: 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. Methods: 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. Results: 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. Conclusion: 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.

Item ID: 88172
Item Type: Article (Research - C1)
ISSN: 2398-8835
Keywords: barriers, Ghana, government, health provider, health system, hypertension, management
Copyright Information: This is an open access article under the terms of the Creative Commons Attribution‐NonCommercial‐NoDerivs License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. © 2025 The Author(s). Health Science Reports published by Wiley Periodicals LLC
Date Deposited: 04 Feb 2026 02:53
FoR Codes: 42 HEALTH SCIENCES > 4206 Public health > 420606 Social determinants of health @ 100%
SEO Codes: 20 HEALTH > 2004 Public health (excl. specific population health) > 200412 Preventive medicine @ 100%
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