Why the study?
Hypertension control rates remain low in peri-urban Ghana, and robust evidence for the effectiveness of community health workers in managing hypertension within Ghana is limited.
Does a structured CHW-led hypertension management programme improve blood pressure control in adults with hypertension in a peri-urban setting?
Population
Adults diagnosed with hypertension in peri-urban communities of Ibadan, Ghana
Comparison
Structured CHW-led management programme vs standard clinic-based care
Design
Community-based quasi-experimental study
Follow-up
six-month period
Key result
A structured community health worker-led hypertension programme increased blood pressure control from 41.2% to 68.4% in adults with hypertension in peri-urban Ghana over six months (p<0.001).
Authors
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May support CHW-led programs in similar LMIC settings; leaves open need for RCTs to confirm scalability.
Does a structured CHW-led hypertension management programme improve blood pressure control in adults with hypertension in a peri-urban setting?
Absolute Event Rate: 68.4% vs 41.2%
p-value: p=<0.001
A structured community health worker-led programme significantly improves blood pressure control in resource-constrained peri-urban settings.
Kwame Kusi Agyemang (2001) studied Adults with diagnosed hypertension living in peri-urban communities of Ibadan, Ghana. Structured community health worker-led hypertension management programme vs. Standard clinic-based care was evaluated on Proportion of participants achieving controlled blood pressure defined as <140/90 mmHg (p=<0.001). A structured community health worker-led hypertension programme increased blood pressure control from 41.2% to 68.4% in adults with hypertension in peri-urban Ghana over six months (p<0.001).