Key result
A community-based health insurance program in rural Nigeria was associated with a 5.24 mm Hg greater reduction in systolic blood pressure compared to a control area (95% CI, -9.46 to -1.02; P=.02).
Why the study?
Does a community-based health insurance program and facility quality improvement reduce blood pressure in adults with hypertension in rural Nigeria?
Population
564 nonpregnant adults with hypertension at baseline in rural Nigeria
Comparison
Voluntary community-based health insurance… vs Control area without the CBHI program
Design
Cohort
Follow-up
2 years (2009 to 2011)
Authors
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Supports community insurance programs for hypertension control in rural LMICs; hypothesis-generating and requires randomized confirmation.
Observational (n=564)
Yes
Does a community-based health insurance program and facility quality improvement reduce blood pressure in adults with hypertension in rural Nigeria?
Effect estimate: Difference -5.24 mm Hg (95% CI -9.46 to -1.02)
Absolute Event Rate: -10.41% vs -5.17%
p-value: p=.02
A community-based health insurance program combined with facility quality improvement significantly reduced blood pressure among adults with hypertension in rural Nigeria.
Hendriks et al. (2014) conducted an observational in Hypertension (n=564). Community-based health insurance (CBHI) program vs. Control area was evaluated on Change in systolic blood pressure from baseline (Difference -5.24 mm Hg, 95% CI -9.46 to -1.02, p=.02). A community-based health insurance program in rural Nigeria was associated with a 5.24 mm Hg greater reduction in systolic blood pressure compared to a control area (95% CI, -9.46 to -1.02; P=.02).
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