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December 13, 2023BMC Primary CareOpen Access

The CHW intervention was significantly associated with higher odds of being screened for hypertension (aOR 7.01, p<0.01) and taking hypertension medication regularly (aOR 2.09, p<0.01).

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Why the study?

Evaluations were needed to assess the impact of a government-implemented intervention equipping community health workers to measure blood pressure to improve hypertension identification, follow-up, and medication adherence.

Does equipping community health workers to measure blood pressure improve screening, identification, and treatment adherence for hypertension in urban slum populations?

Population

5974 individuals in intervention-group and 5131 in comparison-group aged 30-79 years from an urban slum population

Comparison

Equipping Mitanin-CHWs to measure BP vs comparison-group

Design

Intervention vs comparison-group survey

Authors

SGSamir GargMDMukesh DewanganPNPrabodh Nanda

Discussion

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Overview

May support CHW BP screening in urban poor; hypothesis-generating, RCTs needed before practice change.

Structured PICO

Does equipping community health workers to measure blood pressure improve screening, identification, and treatment adherence for hypertension in urban slum populations?

P
Population
11,105 individuals aged 30-79 years living in urban slums in Raipur, Chhattisgarh state, India (5,974 in intervention group, 5,131 in comparison group).
I
Intervention
Mitanin community health workers (CHWs) equipped with digital blood pressure monitors and trained to conduct annual screening, refer individuals with BP >140/90 mmHg, and perform monthly home visits for confirmed cases to measure BP and advise on medication adherence.
C
Comparator
Mitanin community health workers (CHWs) without any training or equipment to measure blood pressure.
O
Outcome
Screening rate, detection rate, treatment rate, follow-up rate (BP measured in preceding 30 days), and medication adherence rate (consumed medication on all 7 preceding days).

Equipping community health workers to measure blood pressure significantly improves hypertension screening, detection, and treatment adherence among urban poor populations.

Cite This Study

Garg et al. (2023) studied this question.

synapsesocial.com/papers/6a06eae002b4a6d6a3d3d1bbhttps://doi.org/10.1186/s12875-023-02231-1
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1An NGO-Implemented Community–Clinic Health Worker Approach to Providing Long-Term Care for Hypertension in a Remote Region of Southern India2017 · 24 citations
  2. 2Assessing the knowledge and skill of ASHA community health workers in blood pressure measurement and primary care of hypertension2024
  3. 3Evaluating a Community Health Worker-Led Hypertension Programme on Blood Pressure Control in Peri-Urban Ibadan, Ghana: A Community-Based Study2001
  4. 4Effect of community health worker-provided targeted education with regular follow-up of hypertensive patients on blood pressure control: 24-month results of a longitudinal study in Bangladesh2016 · 5 citations
  5. 5Approaches and outcomes of community health worker’s interventions for hypertension management and control in low-income and middle-income countries: systematic review2022 · 46 citations