139
Views
0
CrossRef citations to date
0
Altmetric
ORIGINAL RESEARCH

Challenges to Implementation of Community Health Worker-Led Chronic Obstructive Pulmonary Disease (COPD) Screening and Referral in Rural Uganda: A Qualitative Study using the Implementation Outcomes Framework

ORCID Icon, ORCID Icon, , ORCID Icon, , , ORCID Icon, , ORCID Icon, & show all
Pages 2769-2783 | Received 25 May 2023, Accepted 30 Oct 2023, Published online: 27 Nov 2023

References

  • IHME IfHMaE. Global burden of disease collaborative network, global burden of disease study 2019 (gdb 2019) results. Available from: https://vizhub.healthdata.org/gbd-results/. Accessed November 18, 2023.
  • World Health Organization. Chronic obstructive pulmonary disease (COPD). 2023. Available from: https://www.who.int/news-room/fact-sheets/detail/chronic-obstructive-pulmonary-disease-copd. Accessed March 8, 2023.
  • Alwan A. Global Status Report on Non-Communicable Diseases. World Health Organization; 2010.
  • Quaderi SA, Hurst JR. The unmet global burden of COPD. Glob Health Epidemiol Genom. 2018;3:e4. doi:10.1017/gheg.2018.1
  • Siddharthan T, Grigsby M, Morgan B, et al. Prevalence of chronic respiratory disease in urban and rural Uganda. Bull World Health Organ. 2019;97(5):318–327. doi:10.2471/BLT.18.216523
  • van Gemert F, Kirenga B, Chavannes N, et al. Prevalence of chronic obstructive pulmonary disease and associated risk factors in Uganda (FRESH AIR Uganda): a prospective cross-sectional observational study. Lancet Glob Health. 2015;3(1):e44–51. doi:10.1016/S2214-109X(14)70337-7
  • World Health Organization. General availability of peak flow measurement spirometry at the primary health care level; 2023. Available from: https://www.who.int/data/gho/data/indicators/indicatordetails/GHO/general-availability-of-peak-flow-measurementspirometry-at-the-primary-health-care-level. Accessed November 18, 2023.
  • Rossaki FM, Hurst JR, van Gemert F, et al. Strategies for the prevention, diagnosis and treatment of COPD in low- and middle- income countries: the importance of primary care. Expert Rev Respir Med. 2021;15(12):1563–1577. doi:10.1080/17476348.2021.1985762
  • Robertson NM, Nagourney EM, Pollard SL, et al. Urban-rural disparities in chronic obstructive pulmonary disease management and access in Uganda. Chronic Obstr Pulm Dis. 2019;6(1):17–28. doi:10.15326/jcopdf.6.1.2018.0143
  • Nagourney EM, Robertson NM, Rykiel N, et al. Illness representations of chronic obstructive pulmonary disease (COPD) to inform health education strategies and research design-learning from rural Uganda. Health Educ Res. 2020;35(4):258–269. doi:10.1093/her/cyaa016
  • Ruppel GL, Carlin BW, Hart M, Doherty DE. Office spirometry in primary care for the diagnosis and management of copd: national lung health education program update. Respir Care. 2018;63(2):242–252. doi:10.4187/respcare.05710
  • Nihlen U. Detection of chronic obstructive pulmonary disease (COPD) in primary health care: role of spirometry and respiratory symptoms. Scand J Prim Health Care. 1999;17(4):232–237. doi:10.1080/028134399750002467
  • Van Schayck CP. Detecting patients at a high risk of developing chronic obstructive pulmonary disease in general practice: cross sectional case finding study. BMJ. 2002;324(7350):1370. doi:10.1136/bmj.324.7350.1370
  • Yawn BP, Enright PL, Lemanske RF Jr, et al. Spirometry can be done in family physicians’ offices and alters clinical decisions in management of asthma and COPD. Chest. 2007;132(4):1162–1168. doi:10.1378/chest.06-2722
  • Joo MJ, Sharp LK, Au DH, Lee TA, Fitzgibbon ML. Use of spirometry in the diagnosis of COPD: a qualitative study in primary care. COPD. 2013;10(4):444–449. doi:10.3109/15412555.2013.766683
  • Jeet G, Thakur JS, Prinja S, Singh M. Community health workers for non-communicable diseases prevention and control in developing countries: evidence and implications. PLoS One. 2017;12(7):e0180640. doi:10.1371/journal.pone.0180640
  • Miles A, Reeve MJ, Grills NJ. Effectiveness of community health worker-delivered interventions on non-communicable disease risk and health outcomes in India: a systematic review. Christian J Global Health. 2020;7(5):31–51. doi:10.15566/cjgh.v7i5.439
  • Lin JS, O’Connor E, Evans CV, Senger CA, Rowland MG, Groom HC. Behavioral counseling to promote a healthy lifestyle in persons with cardiovascular risk factors: a systematic review for the U.S. preventive services task force. Ann Intern Med. 2014;161(8):568–578. doi:10.7326/M14-0130
  • Joshi R, Alim M, Kengne AP, et al. Task shifting for non-communicable disease management in low and middle income countries--a systematic review. PLoS One. 2014;9(8):e103754. doi:10.1371/journal.pone.0103754
  • Siddharthan T, Pollard SL, Quaderi SA, et al. Discriminative accuracy of chronic obstructive pulmonary disease screening instruments in 3 low- and middle-income country settings. JAMA. 2022;327(2):151–160. doi:10.1001/jama.2021.23065
  • Jarhyan P, Hutchinson A, Khatkar R, et al. Diagnostic accuracy of a two-stage sequential screening strategy implemented by community health workers (CHWs) to identify individuals with copd in rural India. Int J Chron Obstruct Pulmon Dis. 2021;16:1183–1192. doi:10.2147/COPD.S293577
  • DeJong SR, Veltman RH. The effectiveness of a CNS-led community-based COPD screening and intervention program. Clin Nurse Spec. 2004;18(2):72–79. doi:10.1097/00002800-200403000-00012
  • Parekh TM, Copeland CR, Dransfield MT, Cherrington A. Application of the community health worker model in adult asthma and COPD in the U.S.: a systematic review. BMC Pulm Med. 2019;19(1):116. doi:10.1186/s12890-019-0878-7
  • Uganda Bureau of Statistics. National population and housing census. Available from: https://www.ubos.org/explore-statistics/. Accessed July 18, 2022.
  • Siddharthan T, Kalyesubula R, Morgan B, et al. The rural Uganda non-communicable disease (RUNCD) study: prevalence and risk factors of self-reported NCDs from a cross sectional survey. BMC Public Health. 2021;21(1):2036. doi:10.1186/s12889-021-12123-7
  • Proctor E, Silmere H, Raghavan R, et al. Outcomes for implementation research: conceptual distinctions, measurement challenges, and research Agenda. Adm Policy Ment Hlth. 2011;38(2):65–76. doi:10.1007/s10488-010-0319-7
  • Braun V, Clarke V. Using thematic analysis in psychology. Qual Res. Psychol. 2006;3(2):77–101. doi:10.1191/1478088706qp063oa
  • Patton MQ. Qualitative Evaluation and Research Methods. Sage Publications; 1990.
  • Katagira W, Jones AV, Orme MW, et al. Identifying appropriate delivery of and referral to pulmonary rehabilitation in Uganda: a survey study of people living with chronic respiratory disease and health care workers. Int J Chron Obstruct Pulmon Dis. 2021;16:2291–2299. doi:10.2147/COPD.S314849
  • van Gemert F, Chavannes N, Nabadda N, et al. Impact of chronic respiratory symptoms in a rural area of sub-Saharan Africa: an in-depth qualitative study in the Masindi district of Uganda. Prim Care Respir J. 2013;22(3):300–305. doi:10.4104/pcrj.2013.00064
  • Jones R, Kireng B, Buteme S, Williams S, van Gemertzs F. A novel lung health programme addressing awareness and behaviour-change aiming to prevent chronic lung diseases in rural Uganda. Afr J Respir Med. 2019;14(2):2–9.
  • Ndambo MK, Munyaneza F, Aron M, Makungwa H, Nhlema B, Connolly E. The role of community health workers in influencing social connectedness using the household model: a qualitative case study from Malawi. Glob Health Action. 2022;15(1):2090123. doi:10.1080/16549716.2022.2090123
  • Robertson NM, Siddharthan T, Pollard SL, et al. Development and validity assessment of a chronic obstructive pulmonary disease knowledge questionnaire in low- and middle-income countries. Ann Am Thorac Soc. 2021;18(8):1298–1305. doi:10.1513/AnnalsATS.202007-884OC
  • Wang LH, Zhao Y, Chen LY, Zhang L, Zhang YM. The effect of a nurse-led self-management program on outcomes of patients with chronic obstructive pulmonary disease. Clin Respir J. 2020;14(2):148–157. doi:10.1111/crj.13112
  • Adhikari TB, Neupane D, Karki A, et al. Community-based intervention for prevention and management of chronic obstructive pulmonary disease in Nepal (COBIN-P trial): study protocol for a cluster-randomized controlled trial. Trials. 2021;22(1):474. doi:10.1186/s13063-021-05447-7
  • Masis L, Gichaga A, Zerayacob T, Lu C, Perry HB. Community health workers at the dawn of a new era: 4. programme financing. Health Res Policy Syst. 2021;19(Suppl 3). doi:10.1186/s12961-021-00751-9
  • Nepal P, Schwarz R, Citrin D, et al. Costing analysis of a pilot community health worker program in rural Nepal. Glob Health Sci Pract. 2020;8(2):239–255. doi:10.9745/GHSP-D-19-00393
  • Ndejjo R, Musinguzi G, Nuwaha F, Wanyenze RK, Bastiaens H. Acceptability of a community cardiovascular disease prevention programme in Mukono and Buikwe districts in Uganda: a qualitative study. BMC Public Health. 2020;20(1):75. doi:10.1186/s12889-020-8188-9
  • Ingenhoff R, Nandawula J, Siddharthan T, et al. Effectiveness of a community health worker-delivered care intervention for hypertension control in Uganda: study protocol for a stepped wedge, cluster randomized control trial. Trials. 2022;23(1):440. doi:10.1186/s13063-022-06403-9
  • Ingenhoff R, Munana R, Weswa I, et al. Principles for task shifting hypertension and diabetes screening and referral: a qualitative study exploring patient, community health worker and healthcare professional perceptions in rural Uganda. BMC Public Health. 2023;23(1):881. doi:10.1186/s12889-023-15704-w