Hypertension

Lay community health worker-led care with mobile decision support for uncontrolled hypertension: a cluster-randomized trial

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

This study is testing whether adding simple nutrition counseling to a community health worker program can help low-income adults better manage high blood pressure. Participants receive guidance on reading food labels, eating healthy on a budget, and making practical food choices. The study will measure whether the approach is practical, well accepted, and whether it improves … [Read more...] about Design of Heart Well: A randomized pilot study of a community health worker-delivered nutrition intervention for low-income adults with hypertension

In rural Lesotho, community health workers (CHWs) used a tablet-based clinical decision support app to screen adults for hypertension and diabetes, reaching high coverage at moderate costs. Over 6 months, CHWs screened 88% of eligible adults for hypertension and 95% for diabetes. The cost per person screened was $41 in the project model and $17 in a routine implementation … [Read more...] about Costs and coverage of community health worker-led hypertension and diabetes screening in rural Lesotho (ComBaCaL): cost–consequence analysis of a cohort study

A study in Eastern Uganda tested whether community health workers, known as Village Health Teams (VHTs), could help find people with high blood pressure. After receiving basic training, VHTs screened over 5,000 adults in their homes and workplaces. About one in five people had high blood pressure, and most who went to the clinic after being referred were confirmed to have … [Read more...] about Feasibility of community-based hypertension screening and referral by village health teams in eastern Uganda: A quasi-experimental study