June 21, 2023BMC Health Services ResearchOpen Access

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

Q: What are the key findings of this study?

The TASSH training program significantly improved primary healthcare workers' knowledge of hypertension management, increasing mean test scores from 17.8 at baseline to 20.3 post-training.

Q: What is the clinical evidence from this study?

Study design: Other. Population: Hypertension management in HIV care (n=60). Intervention: TASSH training program vs. Pre-training baseline. Primary outcome: Knowledge of hypertension management and control (test score) (MD 2.5, p=<0.01).

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Key result

TASSH training improves primary healthcare workers' hypertension management test scores by ~14%.

MD 2.5
P<0.01
n=60

Why the study?

Increasing hypertension burden among persons living with HIV/AIDS threatens HIV care gains, requiring assessment of healthcare workers' knowledge and practice of hypertension management using a task-strengthening strategy.

Does a task-strengthening training strategy improve knowledge of hypertension management among primary healthcare workers in HIV clinics in Nigeria?

Comparison

Post-training vs pre-training evaluation of hybrid modules and refresher trainings

Design

Pre- and post-training survey with qualitative interviews

Authors

DODavid OladeleNigerian Institute of Medical Research AOAina Olufemi OdusolaLagos State University Teaching Hospital OOOluwatosin OdubelaNigerian Institute of Medical Research

Discussion

Member takes

Implication

May support scaling hypertension training in Nigerian HIV clinics; leaves open effects on patient outcomes.

Structured PICO

Does a task-strengthening training strategy improve knowledge of hypertension management among primary healthcare workers in HIV clinics in Nigeria?

Population

60 primary healthcare workers (93.3% female, mean age 41.4 years) from 30 primary healthcare centers in Lagos, Nigeria, participated in a training program on integrating hypertension management into HIV care.

Intervention

A task-strengthening strategy training program (TASSH-Nigeria) consisting of a two-day hybrid (virtual and onsite) baseline training on hypertension fundamentals, management guidelines, and counseling (5 A's), followed by a series of refresher trainings.

Comparator

Pre-training baseline knowledge (pre-test vs. post-test design).

Outcome

Knowledge and practice of hypertension management assessed via pre- and post-training test surveys.surrogate

Main Result

Mean Difference: 2.5

Absolute Event Rate: 20.3% vs 17.8%

p-value: p=<0.01

A task-strengthening training strategy significantly improved primary healthcare workers' knowledge of hypertension management, supporting the integration of cardiovascular care into HIV clinics in Nigeria.

Limitations

Descriptive study with a small population of HCWs, limiting generalizability and causal inference.
Qualitative responses may be subject to social desirability bias.
Frequent transfer and attrition of trained health workers complicates the assessment of long-term knowledge improvement.
Mobilization and engagement of trainees due to conflicting clinical duties
Healthcare worker attrition and inter-facility transfers
Administrative challenges of engaging government agencies
Conflicts with the COVID-19 vaccine rollout in Nigeria

Cite This Study

Oladele et al. (2023) studied Hypertension management in HIV care (n=60). TASSH training program vs. Pre-training baseline was evaluated on Knowledge of hypertension management and control (test score) (MD 2.5, p=<0.01). The TASSH training program significantly improved primary healthcare workers' knowledge of hypertension management, increasing mean test scores from 17.8 at baseline to 20.3 post-training.

synapsesocial.com/papers/6a202050eaa49a33b5fbed9f https://doi.org/10.1186/s12913-023-09603-4

Topics

Hypertension management

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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

Discussion

Member takes

Implication

Structured PICO

Main Result

Limitations

Cite This Study

Topics

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

Discussion

Member takes

Implication

Structured PICO

Main Result

Limitations

Cite This Study

Also Consider

Topics

Also Consider