ArticleBMC health services research2026
Barriers and Facilitators to the implementation and scale-up of a mHealth integrated care program for diabetes and hypertension in Ghana: a qualitative study of the Akoma Pa program.
Article in BMC health services research, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper, 1 of them a synthesis that pooled it.
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Who cites it
1 citing paper in PubMed, 1 synthesis or guideline pooled it.
- Application of Large Language Models in Chronic Disease Care: Mixed Methods Systematic Review and Thematic Synthesis.Journal of medical Internet research · 2026Pooled it
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Authors and funding
9 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectiveTo determine the barriers and facilitators to the implementation and scale-up of the Akoma Pa mHealth-based integrated care program for diabetes and hypertension in Ghana.
methods30 implementation managers and healthcare providers (Akoma Pa champions) were interviewed in-depth based on their experience and ability to provide information on implementing and scaling-up the Akoma Pa program in February 2024. Participants were selected from the Christian Health Association Ghana healthcare facilities across Ghana. Thematic qualitative content analysis based on Kuckartz was used to identify recurring themes and categories, guided by the mHealth Predisposing Characteristics, Needs, and Enabling Resources (PNE) Framework.
resultsParticipants identified 47 factors influencing the implementation and scale-up of the intervention, categorized into provider- and patient-level contextual factors. Findings were organized according to perceived usefulness and perceived ease of use, reflecting assessments of value, feasibility, and scale-up potential. Key enablers included mobile phone accessibility, provider engagement, and integration with the National Health Insurance Scheme. Reported barriers included digital infrastructure gaps, policy misalignment, lack of data protection policies and workforce limitations. Although the SPICE app, central to the Akoma Pa digital health program, enhanced patient tracking and care coordination, it still required ongoing support to ensure interoperability and scalability. Evidence-based practices and personalized care improved patient management and outcomes.
conclusionIntegrated mHealth programs such as Akoma Pa hold promise for strengthening chronic disease management in low-resource settings. Addressing infrastructural and long-term funding barriers is critical to sustaining and scaling these interventions. Findings offer insights to inform future digital health policy and program design in sub-Saharan Africa.
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