Hypertension

Community health worker-facilitated home visits for hypertension management in urban Nepal: a mixed-methods process evaluation

This study looked at a program in Nepal where community health workers visited people at home to help manage high blood pressure. Most people completed the visits and said they learned more, involved their families, and improved how they monitored their health. However, some plans for behavior change were not clear, and problems like lack of medicines and weak health services … [Read more...] about Community health worker-facilitated home visits for hypertension management in urban Nepal: a mixed-methods process evaluation

This study looked at whether a program led by community health workers could help people control high blood pressure in Rwanda and whether it was worth the cost. The program included home visits, health education, and support for monitoring blood pressure. Patients in the program had clear improvements in their blood pressure compared to those receiving usual care, although the … [Read more...] about Cost-Effectiveness of a Community Health Workers-Led Multicomponent Hypertension Intervention in Selected Health Centers in Rwanda: 12-Month Trial- Based Analysis from a Health Care System Perspective

This study examined how community health promoters in Kenya are involved in helping people manage high blood pressure. Although national policies now allow them to support services for chronic diseases, their involvement in hypertension care is still limited and inconsistent in practice. Community health promoters can play an important role because they already work closely … [Read more...] about Understanding what factors influence community health worker involvement in hypertension service delivery in Kenya: applying a community health system lens

This study in rural Lesotho tested whether community health workers could safely manage high blood pressure using a mobile tool that guides treatment decisions. In 103 villages, people with hypertension either received care from trained community health workers or were referred to health facilities for usual care. After one year, more patients in the community health worker … [Read more...] about Lay community health worker-led care with mobile decision support for uncontrolled hypertension: a cluster-randomized trial

This pilot study tested whether community health workers in rural Guatemala could manage high blood pressure using a mobile phone app that guides treatment decisions. Over six months, most patients stayed in the program and attended their visits. Health workers’ treatment decisions closely matched those of supervising doctors, and patients’ blood pressure improved. The program … [Read more...] about Feasibility study of a novel mHealth clinical decision support application to enable Community Health Workers to manage hypertension in rural Guatemala