Investigating the Executive Challenges of National Blood Pressure Control Mobilization in East Azarbaijan Province and Providing Solutions to Solve Them

Abstract

Abstract Background: High blood pressure is one of the health challenges in today's world. All countries of the world carry out high blood pressure screening programs as an important strategy for the timely identification of patients. This study was conducted with the aim of explaining the implementation challenges of the National Blood Pressure Control Mass Screening in East Azarbaijan Province and providing solutions. Methods: This study was done in several ways. In the first stage, a systematic review study was designed and the experiences and challenges of mass screening, implementation methods, monitoring methods, and suggested solutions for high blood pressure screening in the world were identified. The second and third stages were conducted as a qualitative study (semi-structured interview) with experts and challenges and solutions were identified. Finally, in the fourth stage, a Delphi Method was held and the challenges and solutions proposed by the experts were prioritized and suggested for implementation. Results: In Nizamand's review study, out of 2933 articles found, finally 18 articles were included in the study. Based on the results of content analysis, 77 challenges were identified and classified into 9 categories. Also, 66 challenges obtained from the interviews were categorized into 4 main themes: process, content, context and stakeholders and 15 sub-themes. Also, 47 solutions mentioned by the experts were categorized in the same 4 main themes and 14 sub-themes. Conclusion: The results of the study showed that identifying the challenges of screening and taking action based on the proposed corrective solutions can facilitate the process of identifying and treating patients. Countries can take a more successful path for the proper management of the high blood pressure screening program by using the suggested solutions against the challenges identified in different stages including design, planning and implementation.