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December 28, 2017Global Health Science and PracticeOpen Access

After 2 years, of the 1,184 patients screened as hypertensive, 898 (75.8%) had achieved blood pressure control.

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Why the study?

Does a community health worker screening and management program improve blood pressure control in adults in a remote region of India?

Population

7,176 adults over age 18 in the tribal region of the Sittilingi Valley in southern India, of whom 1,184 were…

Design

Cohort

Follow-up

2 years

Authors

SSSujatha SankaranPRPrema S RaviYWYichen Ethel Wu

Discussion

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Overview

CHW-led hypertension programs may aid control in India; leaves open whether they improve hard cardiovascular outcomes.

Structured PICO

Does a community health worker screening and management program improve blood pressure control in adults in a remote region of India?

P
Population
7,176 adults over age 18 in the tribal region of the Sittilingi Valley in southern India, of whom 1,184 (16.5%) were screened as hypertensive.
I
Intervention
Community health worker (CHW) screening for hypertension, referral for diagnosis and initial management in a physician-staffed clinic, and provision of sustained lifestyle interventions and medications over multiple visits.
O
Outcome
Blood pressure control, defined as a systolic blood pressure less than 140 and a diastolic blood pressure less than 90 sustained over 3 consecutive visits.surrogate

A community health worker-led screening and management program in rural India successfully achieved blood pressure control in 75.8% of identified hypertensive patients over 2 years.

Cite This Study

Sankaran et al. (2017) studied this question.

synapsesocial.com/papers/6a6fd22e78a11c550e099840https://doi.org/10.9745/ghsp-d-17-00192
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Also Consider

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

  1. 1Impact of community health workers on improving identification and primary care of hypertension among the urban poor – findings from Chhattisgarh state of India2023 · 5 citations
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  3. 3Evaluating a Community Health Worker-Led Hypertension Programme on Blood Pressure Control in Peri-Urban Ibadan, Ghana: A Community-Based Study2001
  4. 4Screening for hypertension among older adults: A primary care "High Risk" approach2010 · 16 citations
  5. 5Effect 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