Effect of health extension workers-led home-based multicomponent intervention on blood pressure reduction among hypertensive patients in rural districts of northwest Ethiopia: a cluster-randomised controlled trial

Authors: Destaw Fetene Teshome, Shitaye Alemu, Tadesse Awoke Ayele, Asmamaw Atnafu, Kassahun Alemu Gelaye

This study assessed the impact of home-based health programs led by health extension workers on lowering blood pressure in rural northwest Ethiopia. In a trial with 456 participants from 20 communities, those receiving the health workers’ intervention saw a greater reduction in blood pressure compared to those who did not. After 9 months, the intervention group had a 5 mm Hg greater drop in systolic blood pressure and a 3.7 mm Hg greater drop in diastolic blood pressure compared to the control group. Additionally, more people in the intervention group achieved optimal blood pressure control. The results suggest this approach is effective for managing blood pressure, but more research is needed to evaluate its cost-effectiveness for broader use.