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Feasibility and Acceptability of Diabetes and Hypertension Screening and Diagnosis by Community Health Workers in Rural Lesotho: A Mixed-Methods Pilot Study

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Authors: Thabo Ishmael Lejone, Felix Gerber, Ravi Gupta, Jennifer M Belus, Thesar Tahirsylaj, Tristan Lee, Giuliana Sanchez-Samaniego, Maurus Kohler, Maria Ines Haldemann, Fabian Raeber, Andrea Williams, Makhebe Khomolishoele, Palesa Mahlatsi, Pauline Mamoroents'ane Sematle, Lucia Motlatsi, Boikano Matjeane, Dave Basler, Kevin Kindler, Pauline Grimm, Martin Rohacek, Alain Amstutz, Niklaus Daniel Labhardt

This pilot study in rural Lesotho tested whether community health workers (CHWs) could screen people at home for high blood pressure and diabetes. Ten CHWs visited 687 households and screened over 1,800 people between 2022 and 2023. About one in four had high blood pressure, and one in twenty had diabetes. Almost everyone welcomed the service and appreciated being tested in their homes. The study shows that CHW-led screening for these diseases is both practical and well-accepted, suggesting it could be expanded to reach more communities.

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Resource Topic: CHW Role, Diabetes, Hypertension

Resource Type: Mixed Methods

Year: 2025

Region: Africa

Country: Lesotho

Publisher May Restrict Access: No

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