A community-based intervention for managing hypertension in rural south Asia
New England Journal of Medicine Feb 27, 2020
Jafar TH, Gandhi M, de Silva MA, et al. - This study was carried out to assess the community-based intervention for managing hypertension. A cluster-randomized, controlled trial was performed in rural districts in Bangladesh, Pakistan, and Sri Lanka. Researchers randomized a sum of 30 communities to either a multicomponent intervention (intervention group) or usual care (control group). The study population consisted of a sum of 2,645 adults with hypertension. The primary endpoint included a reduction in systolic blood pressure at 24 months. A multicomponent intervention that was focused on proactive home visits by trained government community health workers who were associated with existing public healthcare infrastructure led to a greater reduction in blood pressure than usual care among adults with hypertension in rural communities in Bangladesh, Pakistan, and Sri Lanka.
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