Authors: Felix Gerber, Giuliana Sanchez-Samaniego, Ravi Gupta, Thabo Ishmael Lejone, Thesar Tahirsylaj, Fabian Raeber, Mamakhala Chitja, Malebona Mathulise, Thuso Kabi, Mosoetsi Mokaeane, Malehloa Maphenchane, Manthabiseng Molulela, Makhebe Khomolishoele, Mota Mota, Sesale Masike, Matumaole Bane, Manthati Mofokeng, Mamoronts’ane Pauline Sematle, Retselisitsoe Makabateng, Madavida Mphunyane, Lebohang Sao, Mosa Tlahali, Malitaba Litaba, Dave Brian Basler, Kevin Kindler, Irene Ayakaka, Pauline Grimm, Thilo Burkard, Frédérique Chammartin, Alain Amstutz & Niklaus Daniel Labhardt
This study in rural Lesotho tested whether community health workers could safely manage high blood pressure using a mobile tool that guides treatment decisions. In 103 villages, people with hypertension either received care from trained community health workers or were referred to health facilities for usual care. After one year, more patients in the community health worker group had their blood pressure under control, and there were no safety concerns. The results show that trained community health workers, supported by simple digital tools, can safely and effectively manage hypertension in remote, low-resource areas.
Link: Lay community health worker-led care with mobile decision support for uncontrolled hypertension: a cluster-randomized trial
Resource Topic: CHW Role, Hypertension
Resource Type: Cluster Randomized Trial
Year: 2026
Region: Africa
Country: Lesotho
Publisher May Restrict Access: Yes