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Cost-effectiveness of leveraging existing HIV primary health systems and community health workers for hypertension screening and treatment in Africa: An individual-based modeling study

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Authors: Matthew D Hickey, James Ayieko, Jane Kabami, Asiphas Owaraganise, Elijah Kakande, Sabina Ogachi, Colette I Aoko, Erick M Wafula, Norton Sang, Helen Sunday, Paul Revill, Loveleen Bansi-Matharu, Starley B Shade, Gabriel Chamie, Laura B Balzer, Maya L Petersen, Diane V Havlir, Moses R Kamya, Andrew N Phillips

This study evaluated the cost-effectiveness of improving hypertension care in Africa. Two strategies were tested: expanding HIV clinics to treat hypertension (CCC) and adding community health worker (CHW) screenings for adults over 40. The results showed that both approaches could reduce heart disease, strokes, and deaths. CHW screening combined with CCC was the most effective, cutting CVD deaths by 25%. Both strategies were cost-effective and can help strengthen healthcare systems to tackle hypertension in Africa.

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Resource Topic: CHW Role, Cardiovascular disease, Hypertension

Resource Type: Qualitative

Year: 2025

Region: Africa

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Publisher May Restrict Access: No

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