IMPLEMENT-CVD Health system factors affecting implementation of fixed-dose combination therapy for hypertension in Kenya: Health Worker interview transcripts – User Guide

Persistent identifier

10.17037/DATA.00004541

Description

The IMPLEMENT-CVD research project investigated health system factors affecting implementation of fixed-dose combination therapy for hypertension in Kenya.

This dataset contains de-identified transcripts of interviews conducted with health workers at government health facilities and private pharmacies in Kiambu County, Kenya in 2022-3 (22 transcripts with 25 participants).

Interviews sought to explore their experiences of delivering care for hypertension and cardiovascular disease,  with a focus on processes of selecting, prescribing and dispensing medication, and on acceptability of Fixed-Dose Combination (FDC) therapy.

Data collection methods

Qualitative interviews conducted with health care providers and pharmacists to explore their experiences of delivering care for hypertension and cardiovascular disease,  with a focus on processes of selecting, prescribing and dispensing medication, and on acceptability of FDC therapy.

Interviews were conducted in-person by three interviewers:

• Interviewer A: Male, Swahili/English speaking, qualitative researcher at KEMRI-Wellcome Trust, Nairobi, Kenya
• Interviewer B: Female, English speaking, qualitative researcher at LSHTM, London, UK
• Interviewer C: Male, Swahili/English speaking, qualitative researcher at KEMRI-Wellcome Trust, Nairobi, Kenya

22 transcripts of interviews were conducted with 24 healthcare workers. One interview was conducted jointly with three healthcare workers of the same cadre.

Data analysis and preparation

Data was transcribed and translated into English by professional bilingual transcribers/translators employed by KEMRI-WT. Transcripts were reviewed by interviewers A and B.

Geographic regions

Kiambu County, Kenya.

Key dates

Interviews were conducted in November 2022-March 2023.

Quality controls

Interview transcripts were checked against the source recordings for accuracy. English transcriptions were checked to ensure accuracy.

Population

Health workers at government health facilities and private pharmacies in Kiambu County, Kenya.

Privacy

Prior to analysis, direct identifiers such as participant name, birth date, and healthcare staff names were removed. In addition, health facilities names were replaced with a project identifier.

Additional de-identification was performed in preparation for submission to the repository. Patient’s specific age was broadened into 5 year age categories and indirect identifiers were removed, such as location name, health facility details, occupation titles, and project health facility codes. Description of unique experiences such as individual occupation history were  removed,.

Two transcripts, which could not be fully deidentified due to the participant’s unique roles in the local health system, were excluded from deposit.

Ethics

Keywords

Hypertension, Cardiovascular disease, Kenya, fixed-dose combination therapy

Language of written material

Swahili, English

Project information

Additional information

Data collection methods and research findings are described in detail in:

• Acceptability of fixed-dose combination treatments for hypertension in Kenya: A qualitative study using the Theoretical Framework of Acceptability. 10.1371/journal.pgph.0003012
• Improving Implementation of NCD Care in Low- and Middle-Income Countries: The Case of Fixed Dose Combinations for Hypertension in Kenya. 10.1080/23288604.2024.2448862

Creators

Associated roles

Data access conditions

Interview transcripts are made available through controlled access.

Researchers applying for access will be required to provide study details including ethical approval sought/planned (with dates), study objectives, analysis plan, data management plan, timeframe, potential risks and benefits and planned outputs.

Requests will be reviewed by the KEMRI Wellcome Trust Research Programme Data Governance Committee in accordance with KWTRP Guidelines for Research Data Sharing.

File description

See Data Listing document for further information.