Health system barriers to hypertension care in Peru
Rapid assessment to inform organizational-level change
Bibliographic Data
Traditional patient- and provider-level hypertension interventions have proven insufficient to halt hypertension as the leading cause of morbidity and mortality globally. Systems-level interventions are required to address factors challenging hypertension control across a social ecological framework, an under-studied topic particularly salient in low- and middle-income countries (LMICs) such as Peru. To inform such interventions, we sought to identify key health systems barriers to hypertension care in Puno, Peru. A participatory stakeholder workshop (October 2021) and 21 in-depth interviews (October 2021—March 2022) were conducted with 55 healthcare professionals (i.e., doctors, nurses, midwives, dentists, nutritionists), followed by a deductive qualitative analysis of transcripts and notes. Participating healthcare providers indicated that low prioritization and lack of national policies for hypertension care have resulted in limited funding and lack of societal-level prevention efforts. Additionally, limited cultural consideration, both in national guidelines as well as by some providers in Puno, results in inadequate care that may not align with local traditions. Providers highlighted that patient care is also hampered by inadequate distribution and occasional shortages of medications and equipment, as well as a lack of personnel and limited opportunities for training in hypertension. Multiple incompatible health information systems, complicated referral systems, and geographic barriers additionally hinder continuity of care and care seeking. Insights gained from health providers on the healthcare system in Puno provide essential contextual information to inform development of organizational-level strategies necessary to improve provider and patient behaviors to achieve better hypertension care outcomes
Business · Organizational change · Political science · Public relations · Blood Pressure and Hypertension Studies · Global Public Health Policies and Epidemiology · Health Systems, Economic Evaluations, Quality of Life · Medicine · Nursing
Trends and Factors Associated with the Non-Use of Formal Health Services in Peru, 2015–2024
Access to hypertension services and health-seeking experiences in rural Coastal Kenya
Andes trial and integration of the HEARTS model in Puno, Peru
Understanding the role of ‘software’ in health system capacity for non-communicable disease response
Worldwide trends in hypertension prevalence and progress in treatment and control from 1990 to 2019
Task Shifting for Non-Communicable Disease Management in Low and Middle Income Countries – A Systematic Review
Theory of Change
Using theory of change to design and evaluate public health interventions
The cost-effectiveness of hypertension management in low-income and middle-income countries
Health systems interventions for hypertension management and associated outcomes in Sub-Saharan Africa
An analysis of policy and funding priorities of global actors regarding noncommunicable disease in low- and middle-income countries
Forty years after Alma-Ata
Healthcare and Health Problems from the Perspective of Indigenous Population of the Peruvian Amazon
Socioeconomic inequalities in the use of medical consultation services in Peru, 2019
How to assess and prepare health systems in low- and middle-income countries for integration of services—a systematic review
Contribution of modifiable risk factors for hypertension and type-2 diabetes in Peruvian resource-limited settings
Naturalistic inquiry
| Unique citing works | 4 |
|---|---|
| Citations per year | 4 |
| Citation span | 2025 - 2026 (2) |
| Citation velocity | current |
| Highly cited | No |
| Citation types | Neutral: 4 |