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Costs and Coverage of Community Health Worker-Led Hypertension and Diabetes Screening in Rural Lesotho: A Cohort Study with a Cost-Consequence Analysis

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Authors: Nicoló Spaolonzi, Ravi Gupta, Giuliana Sanchez-Samaniego, Alexander Carter, Thesar Tahirsylaj, Fabian Raeber, Malebona Mathulise, Thuso Kabi, Mosoetsi Mokaeane, Malehloa Maphenchane, Manthabiseng Molulela, Makhebe Khomolishoele, Mota Mota, Sesale Masike, Matumaole Bane, Mamoronts’ane Pauline Sematle, Retselisitsoe Makabateng, Lebohang Sao, Mosa Tlahali, Malitaba Litaba, Pauline Grimm, Pedram Sendi, Alain Amstutz, Felix Gerber, Niklaus Daniel Labhardt

This study looked at how community health workers (CHWs) in rural Lesotho helped screen people for high blood pressure and diabetes. Using a tablet-based tool, CHWs screened most of the eligible adults in their communities within six months. The program reached many people and was fairly affordable—costing about $17 per person screened in a real-world setting. The results show that CHWs can play a key role in spotting these health problems early, especially in rural areas.

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Resource Topic: CHW Role, Diabetes, Hypertension

Resource Type: Cohort Study

Year: 2025

Region: Africa

Country: Lesotho

Publisher May Restrict Access: No

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