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Driving NCD screening at scale: outcomes of a digital, CHW-led hypertension surveillance program in rural Rwanda

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Authors: Evariste Ntaganda, Ziad El-Khatib, James Gafirita, Judith Mukamurigo, Francois Uwinkindi, Jacob Masai, Mylene Manirakiza, Alexandre Dukundane, Albert Tuyishime, Jesse Njunguru, Sharonmercy Okemwa, Simon Pierre Niyonsenga, Jean Uwayezu, Oren Ombiro & Richard Kalisa

This study examined how Community Health Workers (CHWs) in Rwanda used blood pressure monitors and a mobile app to screen people for high blood pressure. Between 2023 and 2024, CHWs screened nearly 500,000 people, and about 63,000 were found to have high blood pressure and referred to health facilities. However, only 7.2% of those referred completed the referral, and nearly two-thirds of those who did were confirmed to have hypertension. Older people were more likely to be diagnosed. The findings show that CHWs and digital tools can help identify hypertension on a large scale, but stronger referral and follow-up systems are needed to ensure people receive care.

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Resource Topic: CHW Role, CHW programs, Digital health, Digital support, Hypertension, Surveillance

Resource Type: Qualitative

Year: 2026

Region: Sub-Saharan Africa (SSA)

Country: Rwanda

Publisher May Restrict Access: No

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