ArticleRevista panamericana de salud publica = Pan American journal of public health2026
Healthcare providers' perceptions of the HEARTS Clinical Pathway in Belize: barriers and facilitators.
Article in Revista panamericana de salud publica = Pan American journal of public health, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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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.
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Who cites it
1 citing paper in PubMed.
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Authors and funding
16 authors.
Funding
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Abstract
Objective: To estimate the proportion of healthcare providers who perceived the HEARTS Clinical Pathway as easy to apply in routine practice and identify perceived barriers and facilitators influencing its use. Methods: A cross-sectional analytical study was conducted among HEARTS-trained healthcare providers in public primary health care facilities across Belize between 29 September and 3 October 2025. A structured questionnaire assessed training, leadership, resources, and pathway applicability. Quantitative data were analyzed descriptively and through exploratory logistic regression, while qualitative responses underwent thematic analysis. Results: A total of 227 healthcare providers from 22 public primary health care facilities participated. Overall, 23.8% (95% CI [18.7, 29.7]) perceived the HEARTS Clinical Pathway as easy to apply in routine practice. Leadership support (aOR = 6.47, Conclusions: Perceived applicability of the HEARTS Clinical Pathway was limited despite positive perceptions of training. Leadership support and resource availability were more strongly associated with pathway applicability than training alone. Strengthening governance, essential resources, and multidisciplinary support may facilitate broader adoption of HEARTS in Belize. Findings reflect implementation readiness rather than implementation fidelity or program effectiveness.
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