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Multicenter Study
. 2019 Jun;14(2):173-179.
doi: 10.1016/j.gheart.2019.06.003.

Strategies for Effective Stakeholder Engagement in Strengthening Referral Networks for Management of Hypertension Across Health Systems in Kenya

Constantine Akwanalo  1 , Benson Njuguna  2 , Tim Mercer  3 , Sonak D Pastakia  4 , Ann Mwangi  5 , Jonathan Dick  6 , Julia Dickhaus  7 , Josephine Andesia  8 , Gerald S Bloomfield  9 , Thomas Valente  10 , Joseph Kibachio  11 , Max Pillsbury  12 , Shravani Pathak  13 , Aarti Thakkar  9 , Rajesh Vedanthan  7 , Jemima Kamano  14 , Violet Naanyu  5
Affiliations
Multicenter Study

Strategies for Effective Stakeholder Engagement in Strengthening Referral Networks for Management of Hypertension Across Health Systems in Kenya

Constantine Akwanalo et al. Glob Heart. 2019 Jun.

Abstract

Background: Ineffective referral networks in low- and middle-income countries hinders access to evidence-based therapies by hypertensive patients, leading to high cardiovascular mortality and morbidity. The STRENGTHS (Strengthening Referral Networks for Management of Hypertension Across Health Systems) study evaluates strategies to improve referral processes utilizing the International Association of Public Participation framework to engage stakeholders.

Objectives: This study sought to identify and engage key stakeholders involved in referral of patients in the Ministry of Health, western Kenya.

Methods: Key stakeholders involved in policy formulation, provision, or consumption of public health care service were mapped out and contacted by phone, letters, and emissaries to schedule meetings, explain research objectives, and obtain feedback.

Results: Key stakeholders identified were the Ministry of Health, the Academic Model Providing Access to Healthcare, health professionals, communities and their leadership, and patients. Engaging them resulted in permission to contact research in their areas of jurisdiction and enabled collaboration in updating care protocols with emphasis on timely and appropriate referrals.

Conclusions: Early stakeholder identification and engagement using the International Association of Public Participation model eased explanation of research objectives, building consensus, and shaping the interventions to improve the referral process.

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Conflict of interest statement

The authors report no relationships that could be construed as a conflict of interest.

Figures

FIGURE 1.
FIGURE 1.
Graphic presentation of the International Association of Public Participation (IAP2) framework for stakeholder engagement.
FIGURE 2.
FIGURE 2.. STRENGTHS (Strengthening Referral Networks for Management of Hypertension Across Health Systems) study stakeholder map.
AMPATH, Academic Model Providing Access to Healthcare; NCD, noncommunicable disease.
See this image and copyright information in PMC

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