BACKGROUND Cardiovascular diseases (CVDs) are on the rise in many low-and middle-income countries where 80% of related deaths are registered. Community CVD prevention programmes utilizing self-care approaches have shown promise in contributing to population level reduction of risk factors. However, the acceptability of these programmes, which affects their uptake and effectiveness, is unknown including in the sub-Saharan Africa context. This study used the Theoretical Framework of Acceptability to explore the prospective acceptability of a community CVD prevention programme in Mukono and Buikwe districts in Uganda. METHODS This qualitative descriptive study was conducted in March 2019 among community health workers (CHWs), who would implement the intervention and community members, the intervention recipients, using eight focus group discussions. All discussions were audio-recorded, transcribed verbatim and analysed thematically guided by the theoretical framework. RESULTS CHWs and community members reported high eagerness to participate in the programme. Whereas CHWs had implemented similar community programmes and cited health promotion as their role, community members looked forward to health services being brought nearer to them. Although the intervention was preventive in nature, CHWs and community members expressed high interest in treatments for risk factors and were skeptical about the health system capacity to deliver them. CHWs anticipated barriers in mobilising communities who they said sometimes may not be cooperative while community members were concerned about failing to access treatment and support services after screening for risk factors. The major cost to CHWs and community members for engaging in the intervention was time that they would have dedicated to income generating activities and social events though CHWs also had the extra burden of being exemplary. CHWs were confident in their ability to deliver the intervention as prescribed if well trained, supported and supervised, and community members felt that if provided sufficient information and supported by CHWs, they could change their behaviours. CONCLUSIONS The community CVD prevention programme was highly acceptable among CHWs and community members in Mukono and Buikwe districts of Uganda amidst a few burdens and opportunity costs. Suggestions made by study participants to improve programme effectiveness informed programme design and implementation for impact.

中文翻译：

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乌干达Mukono和Buikwe地区社区心血管疾病预防计划的可接受性：一项定性研究。

背景技术在许多中低收入国家中，心血管疾病（CVD）的发病率上升了，其中80％的相关死亡病例得到记录。利用自我护理方法的社区CVD预防计划已显示出有助于降低人群中危险因素的潜力。但是，包括撒哈拉以南非洲在内，这些方案的可接受性会影响其采用和效果，目前尚不得而知。这项研究使用可接受性理论框架来探索乌干达Mukono和Buikwe地区的社区CVD预防计划的预期可接受性。方法该定性描述性研究于2019年3月在社区卫生工作者（CHW）中进行，他们将通过八次焦点小组讨论对实施干预措施的人以及接受干预的社区成员进行干预。所有讨论都经过录音，逐字记录，并在理论框架的指导下进行了主题分析。结果社区工作者和社区成员表示非常渴望参加该计划。社区卫生工作者实施了类似的社区计划，并以促进健康为己任，而社区成员则希望医疗服务离他们更近。尽管干预本质上是预防性的，但社区卫生工作者和社区成员对治疗危险因素表现出浓厚的兴趣，并对卫生系统提供这些危险因素的能力表示怀疑。社区卫生工作者预料到动员社区的障碍，他们说有时可能无法合作，而社区成员担心在筛查风险因素后无法获得治疗和支持服务。CHW和社区成员参与干预的主要成本是他们本来会专门用于创收活动和社交活动的时间，尽管CHW也有承担榜样的额外负担。如果经过良好的培训，支持和监督，社区卫生工作者对按规定进行干预的能力充满信心，社区成员认为，如果社区卫生工作者提供足够的信息和支持，他们可以改变自己的行为。结论在一些负担和机会成本的情况下，乌干达Mukono和Buikwe地区的CHW和社区成员中，社区CVD预防计划非常受欢迎。研究参与者为提高计划有效性而提出的建议，影响了计划的设计和实施。