Date of Award
2025
Document Type
Project
College/School
College of Nursing
Degree Name
Doctor of Nursing Practice (DNP)
Project Mentor
Dr. Jennifer Fricas
Readers
Dr. Kendra Williams
Abstract
Hypertension is the leading cause of preventable mortality worldwide. Community health workers (CHWs) can be potential aids in managing hypertension in Peru. CHWs in Peru are currently not formally practicing or compensated for chronic disease management. Effectiveness of CHWs for hypertension care is being assessed in the The Addressing Hypertension and Diabetes through Community-Engaged Systems (ANDES) Trial. Through semi-structured interviews with healthcare providers and healthcare administrators, this study aims to understand scalability and feasibility integrating CHWs into hypertension management into Peru’s national healthcare system. Following transcription of interviews, inductive and deductive analysis identified key themes and subthemes. Participants described a lack of formal recognition of CHWs by senior management, funding for CHW programs, and training of CHWs as key barriers. They identified policies from upper management that support CHWs through training, supervision and fair compensation for CHWs as potential ways to facilitate sustainable integration of CHWs for hypertension management into Peru’s healthcare system. These findings illustrate potential solutions to scaling up a CHW intervention for managing hypertension.
Recommended Citation
Dittmann, Miye, "Exploring barriers and opportunities for formally integrating a compensated community health worker program to manage hypertension into the healthcare system in Puno, Peru." (2025). Doctor of Nursing Practice Projects. 163.
https://scholarworks.seattleu.edu/dnp-projects/163