Community Health Worker visits increased hypertension control rates from 30% to 45% in urban slum residents of Nairobi, Kenya over three years.
Longitudinal study
No
Do Community Health Worker visits improve hypertension control rates in urban slum residents?
Regular visits by community health workers significantly improved hypertension control rates among urban slum residents over a three-year period.
Estimación del efecto: ARR 15% (95% CI 95% CI 28-61%)
Tasa de eventos absoluta: 45% vs 30%
Urban slums in Nairobi, Kenya are characterized by high prevalence of hypertension due to limited access to healthcare and resources. A longitudinal study involving CHW visits over a period of three years, with baseline measurements taken at enrollment and follow-up every six months. Data collection included self-reported blood pressure readings, clinic visits, and standardised surveys. CHWs successfully improved hypertension control rates from 30% to 45% over the study period (95% confidence interval: 28-61%). Community health workers' regular visits significantly enhanced hypertension management in urban slum residents, particularly among women and individuals with comorbidities. Continuation of CHW programmes should be prioritised to sustain and expand these benefits, along with integration into existing healthcare systems for wider reach. Hypertension, Community Health Workers, Urban Slums, Nairobi, Kenya Treatment effect was estimated with logit (pᵢ) =₀+^ Xᵢ, and uncertainty reported using confidence-interval based inference.
Kibet Macharia (Mon,) conducted a longitudinal study in Adults residing in urban slums of Nairobi, Kenya with hypertension. Community Health Worker visits vs. Baseline hypertension control without CHW visits was evaluated on Hypertension control rate (ARR 15%, 95% CI 95% CI 28-61%). Community Health Worker visits increased hypertension control rates from 30% to 45% in urban slum residents of Nairobi, Kenya over three years.