Title |
A cluster-randomized trial of task shifting and blood pressure control in Ghana: study protocol
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Published in |
Implementation Science, June 2014
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DOI | 10.1186/1748-5908-9-73 |
Pubmed ID | |
Authors |
Gbenga Ogedegbe, Jacob Plange-Rhule, Joyce Gyamfi, William Chaplin, Michael Ntim, Kingsley Apusiga, Kiran Khurshid, Richard Cooper |
Abstract |
Countries in sub-Saharan Africa (SSA) are experiencing an epidemic of cardiovascular disease (CVD) propelled by rapidly increasing rates of hypertension. Barriers to hypertension control in SSA include poor access to care and high out-of-pocket costs. Although SSA bears 24% of the global disease burden, it has only 3% of the global health workforce. Given such limited resources, cost-effective strategies, such as task shifting, are needed to mitigate the rising CVD epidemic in SSA. Ghana, a country in SSA with an established community health worker program integrated within a national health insurance scheme provides an ideal platform to evaluate implementation of the World Health Organization (WHO) task-shifting strategy. This study will evaluate the comparative effectiveness of the implementation of the WHO Package targeted at CV risk assessment versus provision of health insurance coverage, on blood pressure (BP) reduction. |
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Unknown | 4 | 100% |
Demographic breakdown
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Members of the public | 3 | 75% |
Science communicators (journalists, bloggers, editors) | 1 | 25% |
Mendeley readers
Geographical breakdown
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United Kingdom | 4 | 1% |
Ghana | 1 | <1% |
Indonesia | 1 | <1% |
Spain | 1 | <1% |
United States | 1 | <1% |
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Researcher | 40 | 11% |
Student > Bachelor | 33 | 9% |
Student > Ph. D. Student | 31 | 9% |
Student > Postgraduate | 24 | 7% |
Other | 68 | 19% |
Unknown | 102 | 29% |
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Psychology | 14 | 4% |
Economics, Econometrics and Finance | 9 | 3% |
Other | 53 | 15% |
Unknown | 110 | 31% |