Management of Hypertension Utilizing Trained Community Health Worker in Rural Municipalities of Nepal

• Status: Recruiting
• Trial end date: 2022-09-01
• Target enrollment: 0
• Participant gender: All

Summary

The investigators will evaluate whether a system involving Female Community Health Volunteers (FCHVs) and facility-based community health workers (FB-CHWs) of Health Post (Auxiliary Health Workers, Auxiliary Nurse Midwives and Health Assistant) can contribute to improving hypertension care in rural Nepal. This study will be conducted in Rupa (active group) and Biruwa (comparison group) Rural Municipality of Gandaki province and enroll at least 736 hypertensive adults (322 in Rupa Rural Municipality and 414 in Biruwa Rural Municipality) who are aged 25-70 years, not taking antihypertensive medication, not pregnant and not breastfeeding, free of prior cardiovascular disease, chronic kidney disease, and diabetes. In Rupa Municipality, eligible participants will be able to receive amlodipine, one of the most frequently used antihypertensive medications, from FB-CHWs at Health Posts and five times (including baseline and end of study) of lifestyle counseling by FCHVs, whereas participants in Biruwa Municipality will receive the usual care plus three times (including baseline and end of study) of lifestyle counseling by FCHVs.

• Phase: N/A
• Accepts Healthy Volunteers?: Accepts Healthy Volunteers

Details

• Lead Sponsor: Johns Hopkins Bloomberg School of Public Health
• Collaborator: Nepal Development Society
• Treatments: Amlodipine

Criteria

Inclusion criteria

• Between 25-70 years old

• Systolic blood pressure 140-179 mmHg or diastolic blood pressure 90-119 mmHg

• Do not have a plan to leave the study municipality within a year

Exclusion criteria

• Use of antihypertensive medication in the last two weeks

• History of stroke, heart attack, heart failure, or chronic kidney disease

• History of diabetes meritus

• Pregnant or any plan to be pregnant in a year

• Breastfeeding