Key result
Ghanaian health policies show poor adherence to the PASCAR hypertension plan, limited by underfunding.
Why the study?
Hypertension interventions in Ghana have yielded poor health outcomes despite a rising disease burden, prompting assessment of health policies against PASCAR's 10-point action plan.
Systematic Review
Current health policies in Ghana show poor adherence to evidence-based PASCAR recommendations for hypertension control, threatening the country's ability to achieve the 2025 targets.
Answers are grounded in this paper and cite their sources.
May impede Ghana hypertension control; challenges policy alignment with PASCAR and leaves open need for implementation reforms.
The continuous increase in the prevalence of hypertension in Ghana has led to various interventions aimed at controlling the disease burden. Nonetheless, these interventions have yielded poor health outcomes. Subsequently, the Pan-African Society of Cardiology (PASCAR), established a 10-point action plan for inclusion in policies to aid control of hypertension. This scoping review assessed the adherence of health policies to the 10-point action plan towards hypertension control/reduction in Ghana. Eight health policies met the inclusion criteria and were assessed. The programme evaluation and policy design framework were used for synthesis and analysis of extracted data. Overall, there was poor adherence to hypertension control observed in the policies. Specifically, there were low levels of integrating hypertension control/reduction measures, a poor task-sharing approach, and poor financial resource allocations to tackle hypertension control/reduction in most of the policies. There was also low support for research to produce evidence to guide future interventions. For Ghana to achieve the global target of reducing hypertension by the year 2025, its health policies must adhere to evidence-based interventions in hypertension management/control. The study recommends a follow-up study among hypertension patients and healthcare professionals to evaluate the factors militating against hypertension management/control in Ghana.
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Sambah et al. (2023) conducted a systematic review in Hypertension (health policy evaluation). Ghanaian health policies was evaluated on Adherence to PASCAR's 10-point action plan towards hypertension control. Overall, there was poor adherence to the PASCAR 10-point action plan for hypertension control across the 8 evaluated Ghanaian health policies, characterized by poor task-sharing and low financial resource allocations.
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