Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities

Autores
Fort, Meredith P.; Paniagua Avila, Alejandra; Beratarrechea, Andrea Gabriela; Cardona, Sayra; Figueroa, Juan Carlos; Martinez-Folgar, Kevin; Moyano, Daniela Luz; Barrios, Edgar; Mazariegos, Bernardo Eliu; Palacios, Eduardo; Irazola, Vilma; He, Jiang; Ramirez Zea, Manuel
Año de publicación
2019
Idioma
inglés
Tipo de recurso
artículo
Estado
versión publicada
Descripción
Background: There is an urgent need to define appropriate intervention strategies to control blood pressure in low- and middle-income countries. In 2018, a program proven effective in Argentina was translated to Guatemala's public primary health care system in rural and primarily indigenous communities. Objectives: This paper describes the stakeholder engagement process used to adapt the program to the Guatemalan rural context prior to implementing a type II hybrid effectiveness-implementation trial and shares lessons learned. Methods: We identified key differences in the 2 contexts that are relevant to translating the intervention to the Guatemalan context. Alongside interviews and focus group discussions, we conducted consultation workshops in July and August 2018, applying a participatory translation process involving patients, family members, community members, health care providers, and Ministry of Health officials. The process consisted of multiple meetings in Guatemala City, as well as meetings in each of the 5 departments where the study will be implemented, and 1 district per department. During the workshops, we presented the evidence-based experience from Argentina and then focused on the challenges and recommended solutions that the participants identified for each of the intervention's 6 components. The process concluded with a meeting in which the research team and Ministry of Health officials defined specific details of the intervention. Results: The outcome of the process is an adapted approach appropriate to integrate into Guatemala's public primary health care system in the trial phase. The approach considers the challenges and recommended strategies for each of the 6 intervention components. Conclusions: We identified lessons learned, challenges, and opportunities during the adaptation process. Findings will inform ongoing stakeholder engagement during the study implementation and future scale-up and efforts to translate evidence-based hypertension control strategies to low- and middle-income countries globally.
Fil: Fort, Meredith P.. Colorado School of Public Health; Estados Unidos. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Paniagua Avila, Alejandra. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Beratarrechea, Andrea Gabriela. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Cardona, Sayra. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Figueroa, Juan Carlos. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Martinez-Folgar, Kevin. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Moyano, Daniela Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Barrios, Edgar. Ministerio de Salud Pública y Asistencia Social; Guatemala
Fil: Mazariegos, Bernardo Eliu. Ministerio de Salud Pública y Asistencia Social; Guatemala
Fil: Palacios, Eduardo. Ministerio de Salud Pública y Asistencia Social; Guatemala
Fil: Irazola, Vilma. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: He, Jiang. Tulane University; Estados Unidos
Fil: Ramirez Zea, Manuel. Institute of Nutrition of Central America and Panama; Guatemala
Materia
stakeholder
participation
hypertension
Nivel de accesibilidad
acceso abierto
Condiciones de uso
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
Repositorio
CONICET Digital (CONICET)
Institución
Consejo Nacional de Investigaciones Científicas y Técnicas
OAI Identificador
oai:ri.conicet.gov.ar:11336/130758
Acceder
id CONICETDig_24962cf59076c3b710604ee36cbe1722
oai_identifier_str oai:ri.conicet.gov.ar:11336/130758
network_acronym_str CONICETDig
repository_id_str 3498
network_name_str CONICET Digital (CONICET)
spelling Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and OpportunitiesFort, Meredith P.Paniagua Avila, AlejandraBeratarrechea, Andrea GabrielaCardona, SayraFigueroa, Juan CarlosMartinez-Folgar, KevinMoyano, Daniela LuzBarrios, EdgarMazariegos, Bernardo EliuPalacios, EduardoIrazola, VilmaHe, JiangRamirez Zea, Manuelstakeholderparticipationhypertensionhttps://purl.org/becyt/ford/3.3https://purl.org/becyt/ford/3Background: There is an urgent need to define appropriate intervention strategies to control blood pressure in low- and middle-income countries. In 2018, a program proven effective in Argentina was translated to Guatemala's public primary health care system in rural and primarily indigenous communities. Objectives: This paper describes the stakeholder engagement process used to adapt the program to the Guatemalan rural context prior to implementing a type II hybrid effectiveness-implementation trial and shares lessons learned. Methods: We identified key differences in the 2 contexts that are relevant to translating the intervention to the Guatemalan context. Alongside interviews and focus group discussions, we conducted consultation workshops in July and August 2018, applying a participatory translation process involving patients, family members, community members, health care providers, and Ministry of Health officials. The process consisted of multiple meetings in Guatemala City, as well as meetings in each of the 5 departments where the study will be implemented, and 1 district per department. During the workshops, we presented the evidence-based experience from Argentina and then focused on the challenges and recommended solutions that the participants identified for each of the intervention's 6 components. The process concluded with a meeting in which the research team and Ministry of Health officials defined specific details of the intervention. Results: The outcome of the process is an adapted approach appropriate to integrate into Guatemala's public primary health care system in the trial phase. The approach considers the challenges and recommended strategies for each of the 6 intervention components. Conclusions: We identified lessons learned, challenges, and opportunities during the adaptation process. Findings will inform ongoing stakeholder engagement during the study implementation and future scale-up and efforts to translate evidence-based hypertension control strategies to low- and middle-income countries globally.Fil: Fort, Meredith P.. Colorado School of Public Health; Estados Unidos. Institute of Nutrition of Central America and Panama; GuatemalaFil: Paniagua Avila, Alejandra. Institute of Nutrition of Central America and Panama; GuatemalaFil: Beratarrechea, Andrea Gabriela. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: Cardona, Sayra. Institute of Nutrition of Central America and Panama; GuatemalaFil: Figueroa, Juan Carlos. Institute of Nutrition of Central America and Panama; GuatemalaFil: Martinez-Folgar, Kevin. Institute of Nutrition of Central America and Panama; GuatemalaFil: Moyano, Daniela Luz. Instituto de Efectividad Clínica y Sanitaria; ArgentinaFil: Barrios, Edgar. Ministerio de Salud Pública y Asistencia Social; GuatemalaFil: Mazariegos, Bernardo Eliu. Ministerio de Salud Pública y Asistencia Social; GuatemalaFil: Palacios, Eduardo. Ministerio de Salud Pública y Asistencia Social; GuatemalaFil: Irazola, Vilma. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; ArgentinaFil: He, Jiang. Tulane University; Estados UnidosFil: Ramirez Zea, Manuel. Institute of Nutrition of Central America and Panama; GuatemalaElsevier2019-06info:eu-repo/semantics/articleinfo:eu-repo/semantics/publishedVersionhttp://purl.org/coar/resource_type/c_6501info:ar-repo/semantics/articuloapplication/pdfapplication/pdfapplication/pdfhttp://hdl.handle.net/11336/130758Fort, Meredith P.; Paniagua Avila, Alejandra; Beratarrechea, Andrea Gabriela; Cardona, Sayra; Figueroa, Juan Carlos; et al.; Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities; Elsevier; Global Heart; 14; 2; 6-2019; 155-1632211-8179CONICET DigitalCONICETenginfo:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S2211816019300808?via%3Dihubinfo:eu-repo/semantics/altIdentifier/doi/10.1016/j.gheart.2019.05.005info:eu-repo/semantics/openAccesshttps://creativecommons.org/licenses/by-nc-sa/2.5/ar/reponame:CONICET Digital (CONICET)instname:Consejo Nacional de Investigaciones Científicas y Técnicas2025-10-15T14:26:22Zoai:ri.conicet.gov.ar:11336/130758instacron:CONICETInstitucionalhttp://ri.conicet.gov.ar/Organismo científico-tecnológicoNo correspondehttp://ri.conicet.gov.ar/oai/requestdasensio@conicet.gov.ar; lcarlino@conicet.gov.arArgentinaNo correspondeNo correspondeNo correspondeopendoar:34982025-10-15 14:26:22.967CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicasfalse
dc.title.none.fl_str_mv Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities
title Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities
spellingShingle Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities
Fort, Meredith P.
stakeholder
participation
hypertension
title_short Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities
title_full Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities
title_fullStr Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities
title_full_unstemmed Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities
title_sort Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities
dc.creator.none.fl_str_mv Fort, Meredith P.
Paniagua Avila, Alejandra
Beratarrechea, Andrea Gabriela
Cardona, Sayra
Figueroa, Juan Carlos
Martinez-Folgar, Kevin
Moyano, Daniela Luz
Barrios, Edgar
Mazariegos, Bernardo Eliu
Palacios, Eduardo
Irazola, Vilma
He, Jiang
Ramirez Zea, Manuel
author Fort, Meredith P.
author_facet Fort, Meredith P.
Paniagua Avila, Alejandra
Beratarrechea, Andrea Gabriela
Cardona, Sayra
Figueroa, Juan Carlos
Martinez-Folgar, Kevin
Moyano, Daniela Luz
Barrios, Edgar
Mazariegos, Bernardo Eliu
Palacios, Eduardo
Irazola, Vilma
He, Jiang
Ramirez Zea, Manuel
author_role author
author2 Paniagua Avila, Alejandra
Beratarrechea, Andrea Gabriela
Cardona, Sayra
Figueroa, Juan Carlos
Martinez-Folgar, Kevin
Moyano, Daniela Luz
Barrios, Edgar
Mazariegos, Bernardo Eliu
Palacios, Eduardo
Irazola, Vilma
He, Jiang
Ramirez Zea, Manuel
author2_role author
author
author
author
author
author
author
author
author
author
author
author
dc.subject.none.fl_str_mv stakeholder
participation
hypertension
topic stakeholder
participation
hypertension
purl_subject.fl_str_mv https://purl.org/becyt/ford/3.3
https://purl.org/becyt/ford/3
dc.description.none.fl_txt_mv Background: There is an urgent need to define appropriate intervention strategies to control blood pressure in low- and middle-income countries. In 2018, a program proven effective in Argentina was translated to Guatemala's public primary health care system in rural and primarily indigenous communities. Objectives: This paper describes the stakeholder engagement process used to adapt the program to the Guatemalan rural context prior to implementing a type II hybrid effectiveness-implementation trial and shares lessons learned. Methods: We identified key differences in the 2 contexts that are relevant to translating the intervention to the Guatemalan context. Alongside interviews and focus group discussions, we conducted consultation workshops in July and August 2018, applying a participatory translation process involving patients, family members, community members, health care providers, and Ministry of Health officials. The process consisted of multiple meetings in Guatemala City, as well as meetings in each of the 5 departments where the study will be implemented, and 1 district per department. During the workshops, we presented the evidence-based experience from Argentina and then focused on the challenges and recommended solutions that the participants identified for each of the intervention's 6 components. The process concluded with a meeting in which the research team and Ministry of Health officials defined specific details of the intervention. Results: The outcome of the process is an adapted approach appropriate to integrate into Guatemala's public primary health care system in the trial phase. The approach considers the challenges and recommended strategies for each of the 6 intervention components. Conclusions: We identified lessons learned, challenges, and opportunities during the adaptation process. Findings will inform ongoing stakeholder engagement during the study implementation and future scale-up and efforts to translate evidence-based hypertension control strategies to low- and middle-income countries globally.
Fil: Fort, Meredith P.. Colorado School of Public Health; Estados Unidos. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Paniagua Avila, Alejandra. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Beratarrechea, Andrea Gabriela. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: Cardona, Sayra. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Figueroa, Juan Carlos. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Martinez-Folgar, Kevin. Institute of Nutrition of Central America and Panama; Guatemala
Fil: Moyano, Daniela Luz. Instituto de Efectividad Clínica y Sanitaria; Argentina
Fil: Barrios, Edgar. Ministerio de Salud Pública y Asistencia Social; Guatemala
Fil: Mazariegos, Bernardo Eliu. Ministerio de Salud Pública y Asistencia Social; Guatemala
Fil: Palacios, Eduardo. Ministerio de Salud Pública y Asistencia Social; Guatemala
Fil: Irazola, Vilma. Instituto de Efectividad Clínica y Sanitaria; Argentina. Consejo Nacional de Investigaciones Científicas y Técnicas; Argentina
Fil: He, Jiang. Tulane University; Estados Unidos
Fil: Ramirez Zea, Manuel. Institute of Nutrition of Central America and Panama; Guatemala
description Background: There is an urgent need to define appropriate intervention strategies to control blood pressure in low- and middle-income countries. In 2018, a program proven effective in Argentina was translated to Guatemala's public primary health care system in rural and primarily indigenous communities. Objectives: This paper describes the stakeholder engagement process used to adapt the program to the Guatemalan rural context prior to implementing a type II hybrid effectiveness-implementation trial and shares lessons learned. Methods: We identified key differences in the 2 contexts that are relevant to translating the intervention to the Guatemalan context. Alongside interviews and focus group discussions, we conducted consultation workshops in July and August 2018, applying a participatory translation process involving patients, family members, community members, health care providers, and Ministry of Health officials. The process consisted of multiple meetings in Guatemala City, as well as meetings in each of the 5 departments where the study will be implemented, and 1 district per department. During the workshops, we presented the evidence-based experience from Argentina and then focused on the challenges and recommended solutions that the participants identified for each of the intervention's 6 components. The process concluded with a meeting in which the research team and Ministry of Health officials defined specific details of the intervention. Results: The outcome of the process is an adapted approach appropriate to integrate into Guatemala's public primary health care system in the trial phase. The approach considers the challenges and recommended strategies for each of the 6 intervention components. Conclusions: We identified lessons learned, challenges, and opportunities during the adaptation process. Findings will inform ongoing stakeholder engagement during the study implementation and future scale-up and efforts to translate evidence-based hypertension control strategies to low- and middle-income countries globally.
publishDate 2019
dc.date.none.fl_str_mv 2019-06
dc.type.none.fl_str_mv info:eu-repo/semantics/article
info:eu-repo/semantics/publishedVersion
http://purl.org/coar/resource_type/c_6501
info:ar-repo/semantics/articulo
format article
status_str publishedVersion
dc.identifier.none.fl_str_mv http://hdl.handle.net/11336/130758
Fort, Meredith P.; Paniagua Avila, Alejandra; Beratarrechea, Andrea Gabriela; Cardona, Sayra; Figueroa, Juan Carlos; et al.; Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities; Elsevier; Global Heart; 14; 2; 6-2019; 155-163
2211-8179
CONICET Digital
CONICET
url http://hdl.handle.net/11336/130758
identifier_str_mv Fort, Meredith P.; Paniagua Avila, Alejandra; Beratarrechea, Andrea Gabriela; Cardona, Sayra; Figueroa, Juan Carlos; et al.; Stakeholder Engagement in the Translation of a Hypertension Control Program to Guatemala's Public Primary Health Care System: Lessons Learned, Challenges, and Opportunities; Elsevier; Global Heart; 14; 2; 6-2019; 155-163
2211-8179
CONICET Digital
CONICET
dc.language.none.fl_str_mv eng
language eng
dc.relation.none.fl_str_mv info:eu-repo/semantics/altIdentifier/url/https://www.sciencedirect.com/science/article/pii/S2211816019300808?via%3Dihub
info:eu-repo/semantics/altIdentifier/doi/10.1016/j.gheart.2019.05.005
dc.rights.none.fl_str_mv info:eu-repo/semantics/openAccess
https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
eu_rights_str_mv openAccess
rights_invalid_str_mv https://creativecommons.org/licenses/by-nc-sa/2.5/ar/
dc.format.none.fl_str_mv application/pdf
application/pdf
application/pdf
dc.publisher.none.fl_str_mv Elsevier
publisher.none.fl_str_mv Elsevier
dc.source.none.fl_str_mv reponame:CONICET Digital (CONICET)
instname:Consejo Nacional de Investigaciones Científicas y Técnicas
reponame_str CONICET Digital (CONICET)
collection CONICET Digital (CONICET)
instname_str Consejo Nacional de Investigaciones Científicas y Técnicas
repository.name.fl_str_mv CONICET Digital (CONICET) - Consejo Nacional de Investigaciones Científicas y Técnicas
repository.mail.fl_str_mv dasensio@conicet.gov.ar; lcarlino@conicet.gov.ar
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