Non-communicable disease care in Sierra Leone: a mixed-methods study of the drivers and barriers to retention in care for hypertension

ObjectiveTo retrospectively analyse routinely collected data on the drivers and barriers to retention in chronic care for patients with hypertension in the Kono District of Sierra Leone.DesignConvergent mixed-methods study.SettingKoidu Government Hospital, a secondary-level hospital in Kono District...

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Bibliographic Details
Published in:BMJ open 2024-02, Vol.14 (2), p.e077326
Main Authors: Dibba, Yusupha, Kachimanga, Chiyembekezo, Gassimu, Joseph, Kulinkina, Alexandra V, Bukhman, Gene, Gilbert, Hannah N, Adler, Alma J, Mukherjee, Joia S
Format: Article
Language:English
Subjects:
Blood pressure
Data analysis
Data collection
Diabetes
Disease
Global Health
Health care access
health equity
health services accessibility
Humans
Hypertension
Hypertension - therapy
Interviews
Mixed methods research
Noncommunicable Diseases - therapy
Patient satisfaction
quality in health care
Regression analysis
Retention in Care
Retrospective Studies
Sierra Leone
Sociodemographics
Variables
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Summary:ObjectiveTo retrospectively analyse routinely collected data on the drivers and barriers to retention in chronic care for patients with hypertension in the Kono District of Sierra Leone.DesignConvergent mixed-methods study.SettingKoidu Government Hospital, a secondary-level hospital in Kono District.ParticipantsWe conducted a descriptive analysis of key variables for 1628 patients with hypertension attending the non-communicable disease (NCD) clinic between February 2018 and August 2019 and qualitative interviews with 21 patients and 7 staff to assess factors shaping patients’ retention in care at the clinic.OutcomesThree mutually exclusive outcomes were defined for the study period: adherence to the treatment protocol (attending >80% of scheduled visits); loss-to-follow-up (LTFU) (consecutive 6 months of missed appointments) and engaged in (but not fully adherent) with treatment (
ISSN:2044-6055
2044-6055
DOI:10.1136/bmjopen-2023-077326