Key result
A hypertension and diabetes treatment program in Nairobi slums significantly reduced mean systolic blood pressure by 8.9 mmHg after one year of care, though overall clinic compliance was very poor.
Why the study?
Does a monthly clinic treatment program improve blood pressure and glucose control in adult residents with hypertension and/or diabetes in Nairobi slums?
Population
726 adult residents of two slums in Nairobi, Kenya with hypertension and/or diabetes
Design
Cohort
Follow-up
up to 34 months
Authors
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High attrition undermines sustainability of slum-based CVD clinics; leaves open whether retention strategies can sustain BP benefits in similar settings.
Cohort (n=726)
Yes
Does a monthly clinic treatment program improve blood pressure and glucose control in adult residents with hypertension and/or diabetes in Nairobi slums?
Mean Difference: -8.9
Absolute Event Rate: 141.5% vs 150.4%
p-value: p=0.003
A slum-based hypertension and diabetes treatment program in Kenya significantly reduced blood pressure among patients retained in care for at least a year, though overall compliance and retention were extremely poor.
Werner et al. (2015) conducted a cohort in Hypertension and diabetes (n=726). Hypertension and diabetes treatment program vs. Baseline (before treatment) was evaluated on Mean systolic blood pressure at 12 months (MD -8.9 mmHg, p=0.003). A hypertension and diabetes treatment program in Nairobi slums significantly reduced mean systolic blood pressure by 8.9 mmHg after one year of care, though overall clinic compliance was very poor.
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