A Thematic Analysis of Key Informant Interviews on the Implementation Experience of the HEARTS Hypertension Program in Nigeria.

Authors

Muhammad Jami Husain, Malau Mangai Toma, Sunday Victor Eze, Kufor Osi, Nanlop Ogbureke, Okeoma Erojikwe, Deliana Kostova, Andrew E Moran, Bolanle F Banigbe, Emmanuel Ndenor Sambo

Published in

Global heart. Volume 21. Issue 1. Pages 49. Epub Jun 19, 2026.

Abstract

The Nigeria Hypertension Control Initiative (NHCI) launched a national treatment program in 2020, guided by the HEARTS technical package for cardiovascular disease prevention in primary care. This study presents a thematic analysis of key informant interviews with primary care experts from Abuja, Kano, and Ogun, exploring NHCI implementation experiences. Using a structured qualitative approach, we analyzed responses across four domains: service delivery, medication procurement and availability, task shifting, and broader program aspects. Findings highlight improvements in service delivery, medication access, task shifting, and health-seeking behavior. However, challenges persist, including incomplete training, user fees, administrative burdens, and logistical barriers such as transportation costs and stockouts. Despite these issues, satisfaction with the standardized treatment protocol was high. Task shifting was well-received, easing pressure on senior staff but underscoring the need for continued training. Recommendations include integrating diabetes care, decentralizing medication sourcing, and enhancing training to strengthen NHCI's efficiency and sustainability in resource-limited settings.

PMID:
42327997
Bibliographic data and abstract were imported from PubMed on 22 Jun 2026.

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