Evidence map›Paper›PMID 37383312›Full record

ArticleHealth policy OPEN2020

Implementing a national non-communicable disease policy in sub-Saharan Africa: Experiences of key stakeholders in Ghana.

Gertrude Nsorma Nyaaba, Karien Stronks, Lina Masana, Cristina Larrea-Killinger, Charles Agyemang

Abstract read
In one paragraph

Article in Health policy OPEN, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
25citing papers in PubMed, 1 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

25 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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  18. Ghana's Adherence to PASCAR's 10-Point Action Plan towards Hypertension Control: A Scoping Review.International journal of environmental research and public health · 2023
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Gertrude Nsorma NyaabaDepartment of Public and Occupational Health, Amsterdam Public Health (APH) Research Institute, Amsterdam University Medical Centres, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, the Netherlands.
Karien StronksDepartment of Public and Occupational Health, Amsterdam Public Health (APH) Research Institute, Amsterdam University Medical Centres, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, the Netherlands.
Lina MasanaBarcelona Institute for Global Health (IS Global), c/o Rosselló, Barcelona, Spain.
Cristina Larrea-KillingerDepartment of Anthropology, Social and History of America and Africa, University of Barcelona, Barcelona, Spain.
Charles AgyemangDepartment of Public and Occupational Health, Amsterdam Public Health (APH) Research Institute, Amsterdam University Medical Centres, University of Amsterdam, Meibergdreef 9, 1105, AZ, Amsterdam, the Netherlands.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Introduction: Comprehensive national non-communicable disease (NCD) policy development and implementation are crucial for preventing and controlling the increasing NCD burden, particularly in the Africa region where the largest increase in NCD related mortality is expected by 2030. Yet, even where national NCD policies exist, effective implementation remains hindered for reasons not clearly elucidated. This study explored the experiences of key health stakeholders at national and sub-national levels with implementing a national NCD policy in Ghana. Methods: This was an explanatory, cross-sectional and grounded theory study using in-depth interview guides to collect primary data from 39 purposively sampled health policymakers and implementing officials at the national and sub-national levels in Ghana. A thematic approach was used in data analysis. Results: Several interwoven factors including poor policy awareness, poor coordination and intersectoral engagements and inadequate funding for NCD programs and activities are key challenges thwarting the effective implementation of the national NCD policy in Ghana. At the sub-national levels, inadequate clarity and structure for translating policy into action and inadequate integration further affect operationalizing of the national NCD policy. Conclusion: The findings call for policymakers to adopt a series of adaptive measures including sustainable NCD financing mechanisms, effective intersectoral coordination, policy sensitisation and capacity building for implementing health professionals, which should be coupled with governmental and global resource investment in effective implementation of national NCD policies to make sustained population level gains in NCD control in Ghana and in other resource constrained settings.

Indexed as

Africaimplementation bottlenecksNCD policy implementationperceptions and experiencesQualitative study

Identifiers

PMID37383312
PMCPMC10297756

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.