Perceived enablers and barriers to the implementation of CVDs behavioural interventions by community health workers: Rural Communities in South Africa Ga-Molepo and Seshego areas of Polokwane Municipality of Limpopo Province.

Background: Community health workers (CHWs) are at the forefront of promoting health in their communities and are involved in the control of non-communicable diseases (NCDs) including cardiovascular disease(CVD). Their specialist knowledge is likely to enhance their involvement in the prevention and control of NCDs in the community, particularly through education and mobilisation. Public health interventions, such as screening and referring of patients to health care facilities, aim to enhance the quality of outcomes. The purpose of the study was to investigate the perceived enablers and barriers to the implementation of behavioural interventions to address CVD by CHWs and outreach team leaders (OTLs) at primary healthcare facilities, in the Limpopo province of South Africa. Method: Open-ended interviews were conducted among 59 CHWs and 11 OTLs, aged from 25 to 59 years. Their experiences of CVD intervention were conveniently sampled in their respective healthcare facilities. Coding and analysis were conducted using the thematic analysis method with the assistance of ATLAS.ti qualitative software. Results: : Various enablers and barriers to the implementation of CVD behavioural intervention were identified including: How well the intervention program SPICES (Scaling of Packages Interventions for Cardiovascular diseases in selected sites in Europe and Sub-Saharan Africa) fit into existing CVDs processes and practices, Integration & interaction of SPICES research Interventions to current CVDs would be an easier process, SPICES Intervention program perfectly align with organizational goals and enhancing the implementation .Intervention program and Procurement of addition health screening equipment’s. Supportive equipment’s for writing and recording screening results Conclusion: This study has identified perceived enablers and barriers that may be incorporated and overcome to improve implementation of CVD behavioural intervention in semi-urban and rural settings in South Africa. The enablers should be encouraged and barriers be overcomed to improve CVD quality care .