Facilitators and barriers to optimal home blood pressure management in patients with hypertensive disorders of pregnancy in a tertiary care facility in Abuja, Nigeria: a qualitative research study
Background Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of...
Uloženo v:
| Vydáno v: | BMC health services research Ročník 23; číslo 1; s. 1 - 11 |
|---|---|
| Hlavní autoři: | , , , , , , , , , |
| Médium: | Journal Article |
| Jazyk: | angličtina |
| Vydáno: |
London
BioMed Central
06.09.2023
BioMed Central Ltd Springer Nature B.V BMC |
| Témata: | |
| ISSN: | 1472-6963, 1472-6963 |
| On-line přístup: | Získat plný text |
| Tagy: |
Přidat tag
Žádné tagy, Buďte první, kdo vytvoří štítek k tomuto záznamu!
|
| Abstract | Background
Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of HDP in Nigeria. This study evaluated facilitators and barriers to implementing a home blood pressure monitoring program to improve management of HDP.
Methods
From August 2022 to September 2022, we conducted 15 semi-structured, key informant interviews and 4 focus group discussions among patients, health care workers, and administrators at University of Abuja Teaching Hospital (UATH), a tertiary care centre in Nigeria. The study used the Consolidated Framework for Implementation Research to assess five domains: individual characteristics, inner and outer settings, intervention characteristics, and process of implementation. Audio files were transcribed, and data were analysed using a combination of inductive and deductive approaches. We also conducted 32 brief surveys on the participants to assess acceptability, appropriateness, and feasibility of a blood pressure monitoring program.
Results
The study sample consisted of healthcare workers (
n=
22) including specialists in cardiology, obstetrics and gynaecology, maternal-foetal medicine, nurses/midwives and resident doctors as well as patients (
n=
10). Mean (SD) age was 39.5 (10.9), and 78% were female. Participants identified facilitators including the perceived simplicity of home blood pressure monitoring program, high burden of HDP, and availability of a multi-disciplinary team of healthcare professionals with expertise in HDP management. Barriers identified were cost, limited knowledge of HDP amongst patients, limited transportation networks, inconsistent management protocols, and inadequate manpower and facilities. Survey results indicated that between 81% and 88% of participants reported that a blood pressure monitoring program would be acceptable, 56%-72% reported that it would be appropriate, and 47%-69% reported that it would be feasible.
Conclusion
This study identified facilitators and barriers while highlighting key implementation strategies to leverage and effectively address these respectively to enable successful implementation of a home blood pressure monitoring program. It also demonstrated that a home blood pressure monitoring program was considered acceptable, appropriate and feasible among respondents interviewed at UATH. |
|---|---|
| AbstractList | Abstract Background Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of HDP in Nigeria. This study evaluated facilitators and barriers to implementing a home blood pressure monitoring program to improve management of HDP. Methods From August 2022 to September 2022, we conducted 15 semi-structured, key informant interviews and 4 focus group discussions among patients, health care workers, and administrators at University of Abuja Teaching Hospital (UATH), a tertiary care centre in Nigeria. The study used the Consolidated Framework for Implementation Research to assess five domains: individual characteristics, inner and outer settings, intervention characteristics, and process of implementation. Audio files were transcribed, and data were analysed using a combination of inductive and deductive approaches. We also conducted 32 brief surveys on the participants to assess acceptability, appropriateness, and feasibility of a blood pressure monitoring program. Results The study sample consisted of healthcare workers (n=22) including specialists in cardiology, obstetrics and gynaecology, maternal-foetal medicine, nurses/midwives and resident doctors as well as patients (n=10). Mean (SD) age was 39.5 (10.9), and 78% were female. Participants identified facilitators including the perceived simplicity of home blood pressure monitoring program, high burden of HDP, and availability of a multi-disciplinary team of healthcare professionals with expertise in HDP management. Barriers identified were cost, limited knowledge of HDP amongst patients, limited transportation networks, inconsistent management protocols, and inadequate manpower and facilities. Survey results indicated that between 81% and 88% of participants reported that a blood pressure monitoring program would be acceptable, 56%-72% reported that it would be appropriate, and 47%-69% reported that it would be feasible. Conclusion This study identified facilitators and barriers while highlighting key implementation strategies to leverage and effectively address these respectively to enable successful implementation of a home blood pressure monitoring program. It also demonstrated that a home blood pressure monitoring program was considered acceptable, appropriate and feasible among respondents interviewed at UATH. BackgroundNigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of HDP in Nigeria. This study evaluated facilitators and barriers to implementing a home blood pressure monitoring program to improve management of HDP.MethodsFrom August 2022 to September 2022, we conducted 15 semi-structured, key informant interviews and 4 focus group discussions among patients, health care workers, and administrators at University of Abuja Teaching Hospital (UATH), a tertiary care centre in Nigeria. The study used the Consolidated Framework for Implementation Research to assess five domains: individual characteristics, inner and outer settings, intervention characteristics, and process of implementation. Audio files were transcribed, and data were analysed using a combination of inductive and deductive approaches. We also conducted 32 brief surveys on the participants to assess acceptability, appropriateness, and feasibility of a blood pressure monitoring program.ResultsThe study sample consisted of healthcare workers (n=22) including specialists in cardiology, obstetrics and gynaecology, maternal-foetal medicine, nurses/midwives and resident doctors as well as patients (n=10). Mean (SD) age was 39.5 (10.9), and 78% were female. Participants identified facilitators including the perceived simplicity of home blood pressure monitoring program, high burden of HDP, and availability of a multi-disciplinary team of healthcare professionals with expertise in HDP management. Barriers identified were cost, limited knowledge of HDP amongst patients, limited transportation networks, inconsistent management protocols, and inadequate manpower and facilities. Survey results indicated that between 81% and 88% of participants reported that a blood pressure monitoring program would be acceptable, 56%-72% reported that it would be appropriate, and 47%-69% reported that it would be feasible.ConclusionThis study identified facilitators and barriers while highlighting key implementation strategies to leverage and effectively address these respectively to enable successful implementation of a home blood pressure monitoring program. It also demonstrated that a home blood pressure monitoring program was considered acceptable, appropriate and feasible among respondents interviewed at UATH. Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of HDP in Nigeria. This study evaluated facilitators and barriers to implementing a home blood pressure monitoring program to improve management of HDP.BACKGROUNDNigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of HDP in Nigeria. This study evaluated facilitators and barriers to implementing a home blood pressure monitoring program to improve management of HDP.From August 2022 to September 2022, we conducted 15 semi-structured, key informant interviews and 4 focus group discussions among patients, health care workers, and administrators at University of Abuja Teaching Hospital (UATH), a tertiary care centre in Nigeria. The study used the Consolidated Framework for Implementation Research to assess five domains: individual characteristics, inner and outer settings, intervention characteristics, and process of implementation. Audio files were transcribed, and data were analysed using a combination of inductive and deductive approaches. We also conducted 32 brief surveys on the participants to assess acceptability, appropriateness, and feasibility of a blood pressure monitoring program.METHODSFrom August 2022 to September 2022, we conducted 15 semi-structured, key informant interviews and 4 focus group discussions among patients, health care workers, and administrators at University of Abuja Teaching Hospital (UATH), a tertiary care centre in Nigeria. The study used the Consolidated Framework for Implementation Research to assess five domains: individual characteristics, inner and outer settings, intervention characteristics, and process of implementation. Audio files were transcribed, and data were analysed using a combination of inductive and deductive approaches. We also conducted 32 brief surveys on the participants to assess acceptability, appropriateness, and feasibility of a blood pressure monitoring program.The study sample consisted of healthcare workers (n=22) including specialists in cardiology, obstetrics and gynaecology, maternal-foetal medicine, nurses/midwives and resident doctors as well as patients (n=10). Mean (SD) age was 39.5 (10.9), and 78% were female. Participants identified facilitators including the perceived simplicity of home blood pressure monitoring program, high burden of HDP, and availability of a multi-disciplinary team of healthcare professionals with expertise in HDP management. Barriers identified were cost, limited knowledge of HDP amongst patients, limited transportation networks, inconsistent management protocols, and inadequate manpower and facilities. Survey results indicated that between 81% and 88% of participants reported that a blood pressure monitoring program would be acceptable, 56%-72% reported that it would be appropriate, and 47%-69% reported that it would be feasible.RESULTSThe study sample consisted of healthcare workers (n=22) including specialists in cardiology, obstetrics and gynaecology, maternal-foetal medicine, nurses/midwives and resident doctors as well as patients (n=10). Mean (SD) age was 39.5 (10.9), and 78% were female. Participants identified facilitators including the perceived simplicity of home blood pressure monitoring program, high burden of HDP, and availability of a multi-disciplinary team of healthcare professionals with expertise in HDP management. Barriers identified were cost, limited knowledge of HDP amongst patients, limited transportation networks, inconsistent management protocols, and inadequate manpower and facilities. Survey results indicated that between 81% and 88% of participants reported that a blood pressure monitoring program would be acceptable, 56%-72% reported that it would be appropriate, and 47%-69% reported that it would be feasible.This study identified facilitators and barriers while highlighting key implementation strategies to leverage and effectively address these respectively to enable successful implementation of a home blood pressure monitoring program. It also demonstrated that a home blood pressure monitoring program was considered acceptable, appropriate and feasible among respondents interviewed at UATH.CONCLUSIONThis study identified facilitators and barriers while highlighting key implementation strategies to leverage and effectively address these respectively to enable successful implementation of a home blood pressure monitoring program. It also demonstrated that a home blood pressure monitoring program was considered acceptable, appropriate and feasible among respondents interviewed at UATH. Background Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of HDP in Nigeria. This study evaluated facilitators and barriers to implementing a home blood pressure monitoring program to improve management of HDP. Methods From August 2022 to September 2022, we conducted 15 semi-structured, key informant interviews and 4 focus group discussions among patients, health care workers, and administrators at University of Abuja Teaching Hospital (UATH), a tertiary care centre in Nigeria. The study used the Consolidated Framework for Implementation Research to assess five domains: individual characteristics, inner and outer settings, intervention characteristics, and process of implementation. Audio files were transcribed, and data were analysed using a combination of inductive and deductive approaches. We also conducted 32 brief surveys on the participants to assess acceptability, appropriateness, and feasibility of a blood pressure monitoring program. Results The study sample consisted of healthcare workers (n=22) including specialists in cardiology, obstetrics and gynaecology, maternal-foetal medicine, nurses/midwives and resident doctors as well as patients (n=10). Mean (SD) age was 39.5 (10.9), and 78% were female. Participants identified facilitators including the perceived simplicity of home blood pressure monitoring program, high burden of HDP, and availability of a multi-disciplinary team of healthcare professionals with expertise in HDP management. Barriers identified were cost, limited knowledge of HDP amongst patients, limited transportation networks, inconsistent management protocols, and inadequate manpower and facilities. Survey results indicated that between 81% and 88% of participants reported that a blood pressure monitoring program would be acceptable, 56%-72% reported that it would be appropriate, and 47%-69% reported that it would be feasible. Conclusion This study identified facilitators and barriers while highlighting key implementation strategies to leverage and effectively address these respectively to enable successful implementation of a home blood pressure monitoring program. It also demonstrated that a home blood pressure monitoring program was considered acceptable, appropriate and feasible among respondents interviewed at UATH. Keywords: Hypertensive disorders of pregnancy, Pregnancy, Facilitators, Barriers, Home blood pressure monitoring program Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of HDP in Nigeria. This study evaluated facilitators and barriers to implementing a home blood pressure monitoring program to improve management of HDP. From August 2022 to September 2022, we conducted 15 semi-structured, key informant interviews and 4 focus group discussions among patients, health care workers, and administrators at University of Abuja Teaching Hospital (UATH), a tertiary care centre in Nigeria. The study used the Consolidated Framework for Implementation Research to assess five domains: individual characteristics, inner and outer settings, intervention characteristics, and process of implementation. Audio files were transcribed, and data were analysed using a combination of inductive and deductive approaches. We also conducted 32 brief surveys on the participants to assess acceptability, appropriateness, and feasibility of a blood pressure monitoring program. The study sample consisted of healthcare workers (n=22) including specialists in cardiology, obstetrics and gynaecology, maternal-foetal medicine, nurses/midwives and resident doctors as well as patients (n=10). Mean (SD) age was 39.5 (10.9), and 78% were female. Participants identified facilitators including the perceived simplicity of home blood pressure monitoring program, high burden of HDP, and availability of a multi-disciplinary team of healthcare professionals with expertise in HDP management. Barriers identified were cost, limited knowledge of HDP amongst patients, limited transportation networks, inconsistent management protocols, and inadequate manpower and facilities. Survey results indicated that between 81% and 88% of participants reported that a blood pressure monitoring program would be acceptable, 56%-72% reported that it would be appropriate, and 47%-69% reported that it would be feasible. This study identified facilitators and barriers while highlighting key implementation strategies to leverage and effectively address these respectively to enable successful implementation of a home blood pressure monitoring program. It also demonstrated that a home blood pressure monitoring program was considered acceptable, appropriate and feasible among respondents interviewed at UATH. Background Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity and mortality in the country. There is a significant implementation gap in utilizing evidence-based practices for the management of HDP in Nigeria. This study evaluated facilitators and barriers to implementing a home blood pressure monitoring program to improve management of HDP. Methods From August 2022 to September 2022, we conducted 15 semi-structured, key informant interviews and 4 focus group discussions among patients, health care workers, and administrators at University of Abuja Teaching Hospital (UATH), a tertiary care centre in Nigeria. The study used the Consolidated Framework for Implementation Research to assess five domains: individual characteristics, inner and outer settings, intervention characteristics, and process of implementation. Audio files were transcribed, and data were analysed using a combination of inductive and deductive approaches. We also conducted 32 brief surveys on the participants to assess acceptability, appropriateness, and feasibility of a blood pressure monitoring program. Results The study sample consisted of healthcare workers ( n= 22) including specialists in cardiology, obstetrics and gynaecology, maternal-foetal medicine, nurses/midwives and resident doctors as well as patients ( n= 10). Mean (SD) age was 39.5 (10.9), and 78% were female. Participants identified facilitators including the perceived simplicity of home blood pressure monitoring program, high burden of HDP, and availability of a multi-disciplinary team of healthcare professionals with expertise in HDP management. Barriers identified were cost, limited knowledge of HDP amongst patients, limited transportation networks, inconsistent management protocols, and inadequate manpower and facilities. Survey results indicated that between 81% and 88% of participants reported that a blood pressure monitoring program would be acceptable, 56%-72% reported that it would be appropriate, and 47%-69% reported that it would be feasible. Conclusion This study identified facilitators and barriers while highlighting key implementation strategies to leverage and effectively address these respectively to enable successful implementation of a home blood pressure monitoring program. It also demonstrated that a home blood pressure monitoring program was considered acceptable, appropriate and feasible among respondents interviewed at UATH. |
| ArticleNumber | 954 |
| Audience | Academic |
| Author | Ameh, Friday O. Ekele, Bissallah Ojji, Dike B. Isah, Aliyu Mahmoud, Zainab Orji, Adaego A. Akaba, Godwin Huffman, Mark D. Okoye, Chukwuebuka F. Jamro-Comer, Erica |
| Author_xml | – sequence: 1 givenname: Zainab surname: Mahmoud fullname: Mahmoud, Zainab email: zmahmoud@wustl.edu organization: Washington University – sequence: 2 givenname: Adaego A. surname: Orji fullname: Orji, Adaego A. organization: Cardiovascular Research Unit, University of Abuja and University of Abuja Teaching Hospital – sequence: 3 givenname: Chukwuebuka F. surname: Okoye fullname: Okoye, Chukwuebuka F. organization: Cardiovascular Research Unit, University of Abuja and University of Abuja Teaching Hospital – sequence: 4 givenname: Friday O. surname: Ameh fullname: Ameh, Friday O. organization: Faculty of Clinical Sciences, University of Abuja – sequence: 5 givenname: Erica surname: Jamro-Comer fullname: Jamro-Comer, Erica organization: Washington University – sequence: 6 givenname: Aliyu surname: Isah fullname: Isah, Aliyu organization: Faculty of Clinical Sciences, University of Abuja – sequence: 7 givenname: Bissallah surname: Ekele fullname: Ekele, Bissallah organization: Faculty of Clinical Sciences, University of Abuja – sequence: 8 givenname: Godwin surname: Akaba fullname: Akaba, Godwin organization: Faculty of Clinical Sciences, University of Abuja – sequence: 9 givenname: Dike B. surname: Ojji fullname: Ojji, Dike B. organization: Faculty of Clinical Sciences, University of Abuja – sequence: 10 givenname: Mark D. surname: Huffman fullname: Huffman, Mark D. organization: Washington University, The George Institute for Global Health |
| BookMark | eNp9UsFu1DAUjFCRaBd-gJMlLhzYEtuJY3NBVUWhUgUXOFsvtrPrVWJv7aTV_h8fxstuEd0KVVEUx56ZvJnMWXESYnBF8ZaW55RK8TFTpihflgxvpRqxFC-KU1o1bCmU4CeP1q-Ks5w3ZUkbyZrT4vcVGN_7EcaYMoFgSQspeYcvYyRxO_oBerKOgyNtH6Ml2-RynpIjAwRYucGFkfhAtjB6XGZy78c1We-2Lo0uZH_niPU5Jjsrxm6mrwIEs5tJQEaEeUg7YgAlu8Ms-7OLdtrAB_Ldr1zy8AmxtxPsB501cQgHyaxJHie7e1287KDP7s3Dc1H8uvry8_Lb8ubH1-vLi5ulqWU9LpVQbasENJaBqZSlDS9rDkwaaVRta06lZBgng05YW3WdaLlRHRe87mhlgS-K64OujbDR24TZpJ2O4PV-I6aVBvRjeqcRXTpprSirquIAUkpR1qxWHZO1sS1qfT5obad2cNZgeAn6I9Hjk-DXehXvNC0rSWsUXRTvHxRSvJ1cHvXgs3F9D8HFKWsmBaNKlbVA6Lsn0E2cUsCsZlTNBePsEWoF6MCHLuKHzSyqLxrBG86VoIg6_w8KL-sGb7CWncf9I4I8EEyKOSfXabP_jXH25Xs0pOcO60OHNXZY7zus54nYE-rffJ4l8QMpIzhgff6ZfYb1B4FvChM |
| CitedBy_id | crossref_primary_10_1186_s43058_024_00675_9 crossref_primary_10_1007_s11886_023_01988_2 crossref_primary_10_1136_bmjgh_2024_017532 crossref_primary_10_1097_HJH_0000000000003835 |
| Cites_doi | 10.1186/s43058-020-00076-8 10.1016/j.jacc.2021.02.033 10.1007/s10488-010-0319-7 10.1161/hypertensionaha.122.19568 10.1093/intqhc/mzm042 10.1097/aog.0000000000002115 10.1016/j.eclinm.2022.101411 10.1007/s12170-022-00706-x 10.1186/s13012-015-0295-0 10.1016/j.aogh.2016.09.001 10.1161/hyp.0000000000000208 10.1161/cir.0000000000001096 10.1186/s13012-017-0635-3 10.1016/j.ypmed.2021.106442 10.3389/fcvm.2019.00178 10.1093/heapol/czy059 10.3389/fcvm.2022.886679 10.1093/her/cyl060 10.1016/s2214-109x(18)30385-1 10.11124/jbies-20-00578 |
| ContentType | Journal Article |
| Copyright | The Author(s) 2023 COPYRIGHT 2023 BioMed Central Ltd. 2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2023. BioMed Central Ltd., part of Springer Nature. BioMed Central Ltd., part of Springer Nature 2023 |
| Copyright_xml | – notice: The Author(s) 2023 – notice: COPYRIGHT 2023 BioMed Central Ltd. – notice: 2023. This work is licensed under http://creativecommons.org/licenses/by/4.0/ (the “License”). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. – notice: 2023. BioMed Central Ltd., part of Springer Nature. – notice: BioMed Central Ltd., part of Springer Nature 2023 |
| DBID | C6C AAYXX CITATION 3V. 7RV 7WY 7WZ 7X7 7XB 87Z 88C 88E 8FI 8FJ 8FK 8FL ABUWG AFKRA AZQEC BENPR BEZIV CCPQU DWQXO FRNLG FYUFA F~G GHDGH K60 K6~ K9. KB0 L.- M0C M0S M0T M1P NAPCQ PHGZM PHGZT PIMPY PJZUB PKEHL PPXIY PQBIZ PQBZA PQEST PQQKQ PQUKI Q9U 7X8 5PM DOA |
| DOI | 10.1186/s12913-023-09976-6 |
| DatabaseName | Springer Nature OA Free Journals CrossRef ProQuest Central (Corporate) Nursing & Allied Health Database ABI/INFORM Collection ABI/INFORM Global (PDF only) Health & Medical Collection ProQuest Central (purchase pre-March 2016) ABI/INFORM Collection Healthcare Administration Database (Alumni) Medical Database (Alumni Edition) Hospital Premium Collection Hospital Premium Collection (Alumni Edition) ProQuest Central (Alumni) (purchase pre-March 2016) ABI/INFORM Collection (Alumni) ProQuest Central (Alumni) ProQuest Central UK/Ireland ProQuest Central Essentials - QC ProQuest Central Business Premium Collection ProQuest One Community College ProQuest Central Business Premium Collection (Alumni) Health Research Premium Collection ABI/INFORM Global (Corporate) Health Research Premium Collection (Alumni) ProQuest Business Collection (Alumni Edition) ProQuest Business Collection ProQuest Health & Medical Complete (Alumni) Nursing & Allied Health Database (Alumni Edition) ABI/INFORM Professional Advanced ABI/INFORM Global Health & Medical Collection (Alumni) Healthcare Administration Database Medical Database Nursing & Allied Health Premium ProQuest Central Premium ProQuest One Academic Publicly Available Content Database ProQuest Health & Medical Research Collection ProQuest One Academic Middle East (New) One Health & Nursing ProQuest One Business (UW System Shared) ProQuest One Business (Alumni) ProQuest One Academic Eastern Edition (DO NOT USE) ProQuest One Academic (retired) ProQuest One Academic UKI Edition ProQuest Central Basic MEDLINE - Academic PubMed Central (Full Participant titles) DOAJ Directory of Open Access Journals |
| DatabaseTitle | CrossRef Publicly Available Content Database ABI/INFORM Global (Corporate) ProQuest Business Collection (Alumni Edition) ProQuest One Business ProQuest One Academic Middle East (New) ProQuest Central Essentials ProQuest Health & Medical Complete (Alumni) ProQuest Central (Alumni Edition) ProQuest One Community College ProQuest One Health & Nursing ABI/INFORM Complete ProQuest Central ABI/INFORM Professional Advanced ProQuest Health & Medical Research Collection Health Research Premium Collection Health and Medicine Complete (Alumni Edition) ProQuest Central Korea Health & Medical Research Collection ProQuest Central (New) ProQuest Medical Library (Alumni) ABI/INFORM Complete (Alumni Edition) Business Premium Collection ABI/INFORM Global ABI/INFORM Global (Alumni Edition) ProQuest Central Basic ProQuest One Academic Eastern Edition ProQuest Health Management ProQuest Nursing & Allied Health Source ProQuest Hospital Collection Health Research Premium Collection (Alumni) ProQuest Business Collection ProQuest Hospital Collection (Alumni) Nursing & Allied Health Premium ProQuest Health & Medical Complete ProQuest Medical Library ProQuest One Academic UKI Edition ProQuest Health Management (Alumni Edition) ProQuest One Business (Alumni) ProQuest Nursing & Allied Health Source (Alumni) ProQuest One Academic ProQuest One Academic (New) ProQuest Central (Alumni) Business Premium Collection (Alumni) MEDLINE - Academic |
| DatabaseTitleList | Publicly Available Content Database MEDLINE - Academic |
| Database_xml | – sequence: 1 dbid: DOA name: DOAJ Directory of Open Access Journals url: https://www.doaj.org/ sourceTypes: Open Website – sequence: 2 dbid: 7RV name: Nursing & Allied Health Database url: https://search.proquest.com/nahs sourceTypes: Aggregation Database |
| DeliveryMethod | fulltext_linktorsrc |
| Discipline | Medicine Public Health |
| EISSN | 1472-6963 |
| EndPage | 11 |
| ExternalDocumentID | oai_doaj_org_article_da30e8dd604443aa888605259f285cdb PMC10481544 A763733961 10_1186_s12913_023_09976_6 |
| GeographicLocations | Nigeria Abuja Nigeria |
| GeographicLocations_xml | – name: Nigeria – name: Abuja Nigeria |
| GroupedDBID | --- 0R~ 23N 2WC 44B 53G 5VS 6J9 6PF 7RV 7WY 7X7 88E 8FI 8FJ 8FL AAFWJ AAJSJ AASML AAWTL ABDBF ABUWG ACGFO ACGFS ACIHN ACUHS ADBBV ADUKV AEAQA AENEX AFKRA AFPKN AHBYD AHMBA AHYZX ALMA_UNASSIGNED_HOLDINGS AMKLP AMTXH AOIJS BAPOH BAWUL BCNDV BENPR BEZIV BFQNJ BMC BPHCQ BVXVI C6C CCPQU CS3 DIK DU5 DWQXO E3Z EAD EAP EAS EBD EBLON EBS EMB EMK EMOBN ESX F5P FRNLG FYUFA GROUPED_DOAJ GX1 HMCUK IAO IHR INH INR ITC K60 K6~ KQ8 M0C M0T M1P M48 M~E NAPCQ O5R O5S OK1 OVT P2P PGMZT PHGZM PHGZT PIMPY PJZUB PPXIY PQBIZ PQBZA PQQKQ PROAC PSQYO PUEGO RBZ RNS ROL RPM RSV SMD SOJ SV3 TR2 TUS UKHRP W2D WOQ WOW XSB AAYXX AFFHD CITATION 3V. 7XB 8FK AZQEC K9. L.- PKEHL PQEST PQUKI Q9U 7X8 5PM |
| ID | FETCH-LOGICAL-c585t-969bb96a7d2ac49d173053a28c8c95d5318821182af6dd4ff6b3c9f3635f14da3 |
| IEDL.DBID | 7RV |
| ISICitedReferencesCount | 7 |
| ISICitedReferencesURI | http://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=Summon&SrcAuth=ProQuest&DestLinkType=CitingArticles&DestApp=WOS_CPL&KeyUT=001060900000006&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| ISSN | 1472-6963 |
| IngestDate | Mon Nov 10 04:32:04 EST 2025 Tue Nov 04 02:06:27 EST 2025 Thu Sep 04 18:39:53 EDT 2025 Tue Oct 07 05:25:17 EDT 2025 Sat Nov 29 14:19:05 EST 2025 Sat Nov 29 10:52:10 EST 2025 Tue Nov 18 21:38:46 EST 2025 Sat Nov 29 05:24:09 EST 2025 Sat Sep 06 07:30:33 EDT 2025 |
| IsDoiOpenAccess | true |
| IsOpenAccess | true |
| IsPeerReviewed | true |
| IsScholarly | true |
| Issue | 1 |
| Keywords | Pregnancy Facilitators Home blood pressure monitoring program Barriers Hypertensive disorders of pregnancy |
| Language | English |
| License | Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
| LinkModel | DirectLink |
| MergedId | FETCHMERGED-LOGICAL-c585t-969bb96a7d2ac49d173053a28c8c95d5318821182af6dd4ff6b3c9f3635f14da3 |
| Notes | ObjectType-Article-1 SourceType-Scholarly Journals-1 ObjectType-Feature-2 content type line 14 content type line 23 |
| OpenAccessLink | https://www.proquest.com/docview/2865362326?pq-origsite=%requestingapplication% |
| PQID | 2865362326 |
| PQPubID | 44821 |
| PageCount | 11 |
| ParticipantIDs | doaj_primary_oai_doaj_org_article_da30e8dd604443aa888605259f285cdb pubmedcentral_primary_oai_pubmedcentral_nih_gov_10481544 proquest_miscellaneous_2862199056 proquest_journals_2865362326 gale_infotracmisc_A763733961 gale_infotracacademiconefile_A763733961 crossref_citationtrail_10_1186_s12913_023_09976_6 crossref_primary_10_1186_s12913_023_09976_6 springer_journals_10_1186_s12913_023_09976_6 |
| PublicationCentury | 2000 |
| PublicationDate | 2023-09-06 |
| PublicationDateYYYYMMDD | 2023-09-06 |
| PublicationDate_xml | – month: 09 year: 2023 text: 2023-09-06 day: 06 |
| PublicationDecade | 2020 |
| PublicationPlace | London |
| PublicationPlace_xml | – name: London |
| PublicationTitle | BMC health services research |
| PublicationTitleAbbrev | BMC Health Serv Res |
| PublicationYear | 2023 |
| Publisher | BioMed Central BioMed Central Ltd Springer Nature B.V BMC |
| Publisher_xml | – name: BioMed Central – name: BioMed Central Ltd – name: Springer Nature B.V – name: BMC |
| References | 9976_CR2 A Tong (9976_CR12) 2007; 19 D Colaci (9976_CR25) 2016; 82 9976_CR1 K Gholami (9976_CR18) 2022; 9 N Moise (9976_CR11) 2022; 146 9976_CR9 TJ Waltz (9976_CR15) 2015; 10 J Dol (9976_CR6) 2022; 20 9976_CR10 BC Mullany (9976_CR24) 2007; 22 E Proctor (9976_CR14) 2011; 38 J Tukur (9976_CR3) 2022; 47 I Ahmed (9976_CR5) 2018; 6 OG Shobo (9976_CR22) 2020; 1 VD Garovic (9976_CR4) 2022; 79 MB Davis (9976_CR8) 2021; 77 L Zheng (9976_CR21) 2022; 79 PS Bernstein (9976_CR16) 2017; 130 H Roth (9976_CR17) 2019; 6 Y Washio (9976_CR20) 2021; 145 L Morgan (9976_CR19) 2013; 31 E Choi (9976_CR7) 2022; 16 BJ Weiner (9976_CR13) 2017; 12 A Walsh (9976_CR23) 2018; 33 |
| References_xml | – volume: 1 start-page: 84 issue: 1 year: 2020 ident: 9976_CR22 publication-title: Implement Sci Commun. doi: 10.1186/s43058-020-00076-8 – ident: 9976_CR2 – volume: 77 start-page: 1763 issue: 14 year: 2021 ident: 9976_CR8 publication-title: J Am Coll Cardiol. doi: 10.1016/j.jacc.2021.02.033 – volume: 38 start-page: 65 issue: 2 year: 2011 ident: 9976_CR14 publication-title: Adm Polic Ment Heal Ment Heal Serv Res. doi: 10.1007/s10488-010-0319-7 – volume: 79 start-page: 2202 issue: 10 year: 2022 ident: 9976_CR21 publication-title: Hypertension. doi: 10.1161/hypertensionaha.122.19568 – volume: 19 start-page: 349 issue: 6 year: 2007 ident: 9976_CR12 publication-title: Int J Qual Health C. doi: 10.1093/intqhc/mzm042 – volume: 130 start-page: 347 issue: 2 year: 2017 ident: 9976_CR16 publication-title: Obstetrics Gynecol. doi: 10.1097/aog.0000000000002115 – volume: 47 start-page: 101411 year: 2022 ident: 9976_CR3 publication-title: Eclinicalmedicine. doi: 10.1016/j.eclinm.2022.101411 – volume: 16 start-page: 219 issue: 12 year: 2022 ident: 9976_CR7 publication-title: Curr Cardiovasc Risk Reports. doi: 10.1007/s12170-022-00706-x – ident: 9976_CR10 – volume: 10 start-page: 109 issue: 1 year: 2015 ident: 9976_CR15 publication-title: Implement Sci. doi: 10.1186/s13012-015-0295-0 – volume: 82 start-page: 922 issue: 5 year: 2016 ident: 9976_CR25 publication-title: Ann Glob Health. doi: 10.1016/j.aogh.2016.09.001 – volume: 31 start-page: 8 issue: 4 Suppl 2 year: 2013 ident: 9976_CR19 publication-title: J Heal Popul Nutrition. – volume: 79 start-page: e21 issue: 2 year: 2022 ident: 9976_CR4 publication-title: Hypertension. doi: 10.1161/hyp.0000000000000208 – ident: 9976_CR9 – volume: 146 start-page: e260 issue: 19 year: 2022 ident: 9976_CR11 publication-title: Circulation. doi: 10.1161/cir.0000000000001096 – volume: 12 start-page: 108 issue: 1 year: 2017 ident: 9976_CR13 publication-title: Implement Sci. doi: 10.1186/s13012-017-0635-3 – ident: 9976_CR1 – volume: 145 start-page: 106442 year: 2021 ident: 9976_CR20 publication-title: Prev Med. doi: 10.1016/j.ypmed.2021.106442 – volume: 6 start-page: 178 year: 2019 ident: 9976_CR17 publication-title: Front Cardiovasc Med doi: 10.3389/fcvm.2019.00178 – volume: 33 start-page: 879 issue: 8 year: 2018 ident: 9976_CR23 publication-title: Health Policy Plann. doi: 10.1093/heapol/czy059 – volume: 9 start-page: 886679 year: 2022 ident: 9976_CR18 publication-title: Front Cardiovasc Med doi: 10.3389/fcvm.2022.886679 – volume: 22 start-page: 166 issue: 2 year: 2007 ident: 9976_CR24 publication-title: Health Educ Res. doi: 10.1093/her/cyl060 – volume: 6 start-page: e1297 issue: 12 year: 2018 ident: 9976_CR5 publication-title: Lancet Global Heal. doi: 10.1016/s2214-109x(18)30385-1 – volume: 20 start-page: 2119 issue: 9 year: 2022 ident: 9976_CR6 publication-title: Jbi Évid Synthesis. doi: 10.11124/jbies-20-00578 |
| SSID | ssj0017827 |
| Score | 2.4136176 |
| Snippet | Background
Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal... Background Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal... Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal morbidity... BackgroundNigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of maternal... Abstract Background Nigeria has one of the highest burdens of maternal deaths globally, and hypertensive disorders of pregnancy (HDP) are the leading cause of... |
| SourceID | doaj pubmedcentral proquest gale crossref springer |
| SourceType | Open Website Open Access Repository Aggregation Database Enrichment Source Index Database Publisher |
| StartPage | 1 |
| SubjectTerms | Barriers Blood pressure Cardiology Care and treatment Computer network protocols Data collection Diagnosis Eclampsia Evidence-based medicine Evidence-based practice Facilitators Health Administration Health aspects Health Informatics Health services Home blood pressure monitoring program Hospitals Hypertension Hypertension in pregnancy Hypertensive disorders of pregnancy Intervention Interviews Management Maternal mortality Measurement Medical personnel Medical referrals Medicine Medicine & Public Health Midwifery Morbidity Mothers Nurses Nursing Research Obstetrics Patient outcomes Patients Physicians Postpartum period Preeclampsia Pregnancy Pregnant women Public Health Qualitative research Risk factors Teaching Womens health |
| SummonAdditionalLinks | – databaseName: DOAJ Directory of Open Access Journals dbid: DOA link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwrV1Lj9MwELbQigMSQjxFYEGDhMSBjTZxUtfmVhAVB1RxAGlvlmMn2yCaoKRdaf_f_jBmbLcQVsCFQw-tx43jGc8jmfmGsZfzTFqHZirNTD7DACWzqeQEBOlqVwqnjK08iOvH-Wolz87Up19afVFOWIAHDht36kyR1dI5QcBmhTEYsQnqvaYaLmfWVaR90evZB1Px_QHavfm-REaK0xGtGnUx4PhRaIBTMTFDHq3_uk6-nif528tSb4OWd9md6DzCIiz6HrtRd_fZ7fDkDUJB0QN2tTQ2QG_3wwimc1CZgfrSjbDtoUcVscH_WPebGnzWOvhU2N1Qw-aQCgNtBxFxdQR6VAtrjFeHmO0OLkJ2jtA3NP2cUDsuaZIByjFozXAJlFMGTViLH1tUu6_mBFbtOUn9G6QNFZ0eehwi6tAaPODtQ_Zl-f7zuw9p7NWQWgw4tqkSqqqUMHPHjS2Vy1FzzArDpZVWzRyedHTlKZgxjXCubBpRFVY1Bfo7TV4ikx-xo67v6scMhKuM4nllC56VlnOJX611dWkzWeU8S1i-Z522Ecic-ml80z6gkUIHdmtkt_bs1iJhrw9zvgcYj79SvyWJOFASBLf_AQVTR8HU_xLMhL0iedKkKHB51sR6B7xJgtzSC9Ts86JQIk_Y8YQSD7idDu8lUkcFM2oqKEbfA53vhL04DNNMSprr6n7nadAeKXRxEyYnkjy5s-lI1649yHjugYTKMmEne6H_efU_b92T_7F1T9ktHs5qmoljdrQddvUzdtNebNtxeO5P-g-frloD priority: 102 providerName: Directory of Open Access Journals – databaseName: SpringerLink [Stanislaus State] dbid: RSV link: http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwnV1Lj9MwELZgQQgJ8VhABBY0SEgc2IjESV2bW0FUHKBCvLQ3y7GTtogmKGmR9v_xw5hxnKKwgASHHlLPpE7tecUz3zD2aJpI69BMxYlJJxigJDaWnIAgXely4ZSxhQdxfT1dLOTJiXobisK6Idt9OJL0mtqLtRRPO7RM1ImA40ehEY3FeXYBzZ0kcXz3_tP-7ABt3nQoj_kt38gEeaT-s_r4bI7kLwel3v7Mr_3fzK-zq8HfhFm_QW6wc2V9yC69CSfqh-xK_94O-nKkm-z73NgeuLtpOzC1g8K01NWug20DDSqYDd5u1WxK8Dnv4BNpd20Jm30iDaxrCHitHdCLXlhhtNuGXHlwAfCzg6Yi9iVhfpwSkwHKUFib9hQoIw2qfi5-bFbsPptjWKyXJDPPkLavB_XA5RAwi1bg4XJvsY_zlx9evIpDp4fYYriyjZVQRaGEmTpubK5cinpnkhkurbRq4lBPYCBAoZCphHN5VYkis6rK0Fuq0tyZ7DY7qJu6vMNAuMIonhY240luOZd4aa0rc5vIIuVJxNJh8bUNMOjUjeOL9uGQFLpfLo3Lpf1yaRGxJ3uerz0IyF-pn9Oe2lMSgLf_ommXOugDjXNOSumcILy-zBgppaCWgqricmJdEbHHtCM1qRmcnjWhWgIfkgC79AztwjTLlEgjdjSiRPVgx8PDntZBPXWaypHRc0HXPWIP98PESSl3ddnsPA1aM4UOcsTkSBZGTzYeqdcrD1GeehiiPI_Y8SASP3_9z3_d3X8jv8cu816q4kQcsYNtuyvvs4v223bdtQ-8VvgBKhZh1A priority: 102 providerName: Springer Nature |
| Title | Facilitators and barriers to optimal home blood pressure management in patients with hypertensive disorders of pregnancy in a tertiary care facility in Abuja, Nigeria: a qualitative research study |
| URI | https://link.springer.com/article/10.1186/s12913-023-09976-6 https://www.proquest.com/docview/2865362326 https://www.proquest.com/docview/2862199056 https://pubmed.ncbi.nlm.nih.gov/PMC10481544 https://doaj.org/article/da30e8dd604443aa888605259f285cdb |
| Volume | 23 |
| WOSCitedRecordID | wos001060900000006&url=https%3A%2F%2Fcvtisr.summon.serialssolutions.com%2F%23%21%2Fsearch%3Fho%3Df%26include.ft.matches%3Dt%26l%3Dnull%26q%3D |
| hasFullText | 1 |
| inHoldings | 1 |
| isFullTextHit | |
| isPrint | |
| journalDatabaseRights | – providerCode: PRVADU databaseName: Open Access: BioMedCentral Open Access Titles customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: RBZ dateStart: 20010101 isFulltext: true titleUrlDefault: https://www.biomedcentral.com/search/ providerName: BioMedCentral – providerCode: PRVAON databaseName: DOAJ Directory of Open Access Journals customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: DOA dateStart: 20010101 isFulltext: true titleUrlDefault: https://www.doaj.org/ providerName: Directory of Open Access Journals – providerCode: PRVHPJ databaseName: ROAD: Directory of Open Access Scholarly Resources customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: M~E dateStart: 20010101 isFulltext: true titleUrlDefault: https://road.issn.org providerName: ISSN International Centre – providerCode: PRVPQU databaseName: ABI/INFORM Collection customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: 7WY dateStart: 20090101 isFulltext: true titleUrlDefault: https://www.proquest.com/abicomplete providerName: ProQuest – providerCode: PRVPQU databaseName: ABI/INFORM Global customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: M0C dateStart: 20090101 isFulltext: true titleUrlDefault: https://search.proquest.com/abiglobal providerName: ProQuest – providerCode: PRVPQU databaseName: Healthcare Administration Database customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: M0T dateStart: 20090101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthmanagement providerName: ProQuest – providerCode: PRVPQU databaseName: Nursing & Allied Health Database customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: 7RV dateStart: 20090101 isFulltext: true titleUrlDefault: https://search.proquest.com/nahs providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest - Health & Medical Complete保健、医学与药学数据库 customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: 7X7 dateStart: 20090101 isFulltext: true titleUrlDefault: https://search.proquest.com/healthcomplete providerName: ProQuest – providerCode: PRVPQU databaseName: ProQuest Central customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: BENPR dateStart: 20090101 isFulltext: true titleUrlDefault: https://www.proquest.com/central providerName: ProQuest – providerCode: PRVPQU databaseName: Publicly Available Content Database customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: PIMPY dateStart: 20090101 isFulltext: true titleUrlDefault: http://search.proquest.com/publiccontent providerName: ProQuest – providerCode: PRVAVX databaseName: SpringerLINK Contemporary 1997-Present customDbUrl: eissn: 1472-6963 dateEnd: 99991231 omitProxy: false ssIdentifier: ssj0017827 issn: 1472-6963 databaseCode: RSV dateStart: 20011201 isFulltext: true titleUrlDefault: https://link.springer.com/search?facet-content-type=%22Journal%22 providerName: Springer Nature |
| link | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9MwELdg4wEJ8T0RGJWRkHhg0fJVx-YFddMqkFhVlTHKk-XYSVtEk5G0SPv_-MO4c9xOYWIvPNRS63Nqt-ff-ezz7wh5nQZcGzBTfqDCPjgogfZ5hESQJjcJM0LpzJK4fkpHIz6dirHbcGtcWOUGEy1Qm0rjHvkh3qAEsIXVxvuLnz5mjcLTVZdC4zbZDdF2gz6nk_PtKQJYv3RzUYazwwZsG-YyiOAlwAz7rGOMLGf_dWS-Hi3515GptUTDB_87hofkvluD0kGrNI_Irbx8TO61G3i0vZf0hPweKt0yeFd1Q1VpaKZqTG_X0FVFK0CaJTxjXi1zaoPfqY2oXdc5XW4jauiipI64taG440vn4PbWLmieGsf82dCqwOYzJP-4xEaKYqjCQtWXFEPTaNH2xdYNsvV3dUBHixlOnncg214MtQzm1JEXzanlzX1KvgxPzo4_-C7lg6_Bb1n5goksE0ylJlI6ESYEAOrHKuKaa9E3ABjgEaBPpApmTFIULIu1KGJYNhVhYlS8R3bKqsyfEcpMpkQUZjqOgkRHEYe3Wps80QHPwijwSLj576V2fOiYluOHtH4RZ7LVFwn6Iq2-SOaRt9s2Fy0byI3SR6hSW0lk8rYfVPVMOmCQ0Ocg58YwJO6LleKcM8wtKIqI97XJPPIGFVIi3kD3tHLXJmCQyNwlB2Ag0jgWLPTIfkcScEJ3qzdKKR1ONfJKIz3yaluNLTH2rsyrtZUBsyZgpewR3pkKnZF1a8rF3HKVh5aPKEk8crCZNVff_u-f7vnNnX1B7kbtNPYDtk92VvU6f0nu6F-rRVP3LAhg-fUbltPUlrxHdo9ORuNJz-67QHkaHNvyDGrGH0_HKD35fP4HNVFygA |
| linkProvider | ProQuest |
| linkToHtml | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMw1V1fb9MwELfGQAIJ8R8RGGAkEA8sWuKkjo2EUPlTbVqpeBhS3zzHTtoimoykBfVL8Sn4YNw5Sacysbc98NCH1nbiuHe_8zl3vyPkeRIIY8FM-YEOe-CgBMYXDIkgbWZjbqU2qSNxHSajkRiP5ect8qvLhcGwyg4THVDb0uAZ-R5mUALYwm7j7cl3H6tG4dvVroRGIxaH2eonuGz1m4MP8P--YGzw8ej9vt9WFfANbI0XvuQyTSXXiWXaxNKGIOO9SDNhhJE9CzIJm07cduucWxvnOU8jI_MILHMexlZHcN1L5DLgeIIhZMl47eCFYG2TLjFH8L0abCnWTmDwkWD2fb5h_FyNgLOW4Gx05l-vaJ3lG9z839bsFrnR7rFpv1GK22QrK-6Q680BJW3yru6S3wNtGobysqqpLixNdYXl-2q6KGkJSDqHa0zLeUZdcD91EcPLKqPzdcQQnRW0JaatKZ5o0ym49VWbFEBty2xa0zLH4RMkN1nhIE0xFGOmqxXF0DuaN3Nxbf10-VXv0tFsguDwGvo2ia-OoZ225ExT6niB75EvF7KQ98l2URbZA0K5TbVkYWoiFsSGMQFfjbFZbAKRhizwSNjJmjIt3zuWHfmmnN8nuGrkU4F8Kiefinvk1XrMScN2cm7vdyjC657IVO5-KKuJaoFPwZyDTFjLkZgw0loIwbF2osyZ6BmbeuQlKoBCPIXpGd2mhcBDIjOZ6oMBTKJI8tAjOxs9AQfNZnOnBKrF4VqdaoBHnq2bcSTGFhZZuXR9wGxL8AQ8IjZUb-PJNluK2dRxsYeObymOPbLbaenp3f-9dA_Pn-xTcnX_6NNQDQ9Gh4_INdZAiB_wHbK9qJbZY3LF_FjM6uqJAyBKji9ae_8AG6XEpQ |
| linkToPdf | http://cvtisr.summon.serialssolutions.com/2.0.0/link/0/eLvHCXMwpV3db9MwELdgoAkJ8TGGCAwwEhIPLFripK7NW_moQIxqEh_am-XYSdtpTaakRdr_xx_Gne0WwgAJ8dCH1netXZ_vI777HSFPh4kwFsxUnOh0AAFKYmLBEAjSljbnVmpTOBDXw-FkIo6P5dFPVfwu2319JelrGhClqV4enNnKH3HBDzqwUtiVgMFLgkGN-WVyJcemQRivf_yyuUcA-zdcl8r8lq9njhxq_0XdfDFf8pdLU2eLxjf_fxW3yI3gh9KRF5zb5FJZ75DtD-GmfYdc98_zqC9TukO-jbXxgN5N21FdW1roFrvddXTZ0AYUzwK-btYsSupy4alLsF21JV1sEmzovKYBx7Wj-ACYziAKbkMOPbUBCLSjTYXsU8QCOUcmTTFzYa7bc4qZarTyc3Fjo2J1ovfpZD7Fs_QCaH2dqAM0pwHLaEYdjO4u-Tx-8-nV2zh0gIgNhDHLWHJZFJLroWXa5NKmoI8GmWbCCCMHFvQHBAgYIumKW5tXFS8yI6sMvKgqza3O7pKtuqnLe4RyW2jJ0sJkLMkNYwLeGmPL3CSiSFkSkXQtCMoEeHTs0nGqXJgkuPLbpWC7lNsuxSPyfMNz5sFB_kr9EuVrQ4nA3u6Dpp2qoCcUzDkphbUccfwyrYUQHFsNyoqJgbFFRJ6hdCpUPzA9o0MVBSwSgbzUCOzFMMskTyOy16MEtWH6w2v5VkFtdQrLlMGjAZc-Ik82w8iJqXh12awcDVg5CY5zRETvXPRW1h-p5zMHXZ46eKI8j8j--nj8-PU__3X3_438Mdk-ej1Wh-8m7x-Qa8wfsDjhe2Rr2a7Kh-Sq-bqcd-0jpyy-A1XDbZw |
| openUrl | ctx_ver=Z39.88-2004&ctx_enc=info%3Aofi%2Fenc%3AUTF-8&rfr_id=info%3Asid%2Fsummon.serialssolutions.com&rft_val_fmt=info%3Aofi%2Ffmt%3Akev%3Amtx%3Ajournal&rft.genre=article&rft.atitle=Facilitators+and+barriers+to+optimal+home+blood+pressure+management+in+patients+with+hypertensive+disorders+of+pregnancy+in+a+tertiary+care+facility+in+Abuja%2C+Nigeria%3A+a+qualitative+research+study&rft.jtitle=BMC+health+services+research&rft.au=Mahmoud%2C+Zainab&rft.au=Orji%2C+Adaego+A&rft.au=Okoye%2C+Chukwuebuka+F&rft.au=Ameh%2C+Friday+O&rft.date=2023-09-06&rft.issn=1472-6963&rft.eissn=1472-6963&rft.volume=23&rft.issue=1&rft.spage=954&rft_id=info:doi/10.1186%2Fs12913-023-09976-6&rft.externalDBID=NO_FULL_TEXT |
| thumbnail_l | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/lc.gif&issn=1472-6963&client=summon |
| thumbnail_m | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/mc.gif&issn=1472-6963&client=summon |
| thumbnail_s | http://covers-cdn.summon.serialssolutions.com/index.aspx?isbn=/sc.gif&issn=1472-6963&client=summon |