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Post-intervention acceptability of multicomponent intervention for management of hypertension in rural Bangladesh, Pakistan, and Sri Lanka- a qualitative study

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dc.contributor.author Jafar, T.H.
dc.contributor.author Tavajoh, S.
dc.contributor.author de Silva, H.A.
dc.contributor.author Naheed, A.
dc.contributor.author Jehan, I.
dc.contributor.author de Silva, C.K.
dc.contributor.author Chakma, N.
dc.contributor.author Huda, M.
dc.contributor.author Legido-Quigley, H.
dc.contributor.author COBRA-BPS Study Group.
dc.date.accessioned 2023-01-24T09:43:24Z
dc.date.available 2023-01-24T09:43:24Z
dc.date.issued 2023
dc.identifier.citation PLoS One.2023;18(1):e0280455. en_US
dc.identifier.issn 1932-6203
dc.identifier.uri http://repository.kln.ac.lk/handle/123456789/25829
dc.description indexed in MEDLINE. en_US
dc.description.abstract BACKGROUND: COBRA-BPS (Control of Blood Pressure and Risk Attenuation-Bangladesh, Pakistan, Sri Lanka), a multicomponent, community health-worker (CHW)-led hypertension management program, has been shown to be effective in rural communities in South Asia. This paper presents the acceptability of COBRA-BPS multicomponent intervention among the key stakeholders. METHODS: We conducted post-implementation interviews of 87 stakeholder including 23 community health workers (CHWs), 19 physicians and 45 patients in 15 rural communities randomized to COBRA-BPS multicomponent intervention in in Bangladesh, Pakistan, and Sri Lanka. We used Theoretical Framework for Acceptability framework (TFA) with a focus on affective attitude, burden, ethicality, intervention coherence, opportunity cost, perceived effectiveness and self-efficacy. RESULTS: COBRA-BPS multicomponent intervention was acceptable to most stakeholders. Despite some concerns about workload, most CHWs were enthusiastic and felt empowered. Physicians appreciated the training sessions and felt trusted by their patients. Patients were grateful to receive the intervention and valued it. However, patients in Pakistan and Bangladesh expressed the need for supplies of free medicines from the primary health facilities, while those in Sri Lanka were concerned about supplies' irregularities. All stakeholders favoured scaling-up COBRA-BPS at a national level. CONCLUSIONS: COBRA-BPS multicomponent intervention is acceptable to the key stakeholders in Bangladesh, Pakistan and Sri Lanka. Community engagement for national scale-up of COBRA-BPS is likely to be successful in all three countries. en_US
dc.language.iso en en_US
dc.publisher Public Library of Science en_US
dc.subject Hypertension en_US
dc.subject Antihypertensive Agents en
dc.subject Antihypertensive Agents-therapeutic use en
dc.subject Rural Population en
dc.subject Sri Lanka en
dc.subject Randomized Controlled Trial en
dc.title Post-intervention acceptability of multicomponent intervention for management of hypertension in rural Bangladesh, Pakistan, and Sri Lanka- a qualitative study en_US
dc.type Article en_US


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