Community Health Worker Led Program to Prevent and Control Hypertension Effectiveness Trial in Nepal

What this Trial Is About

This research aims to assess a community health worker-led hypertension prevention and control program CHPC in central Nepal. It focuses on implementation outcomes like reach, adoption, fidelity, and maintenance at patient, provider, and health system levels. The study also compares the effectiveness of the CHPC program against a facility-based intervention in controlling systolic blood pressure and examines implementation costs and cost-effectiveness. The intervention involves trained female community health volunteers FCHVs who conduct group meetings or home visits every three months over a year. These sessions include blood pressure measurement, counseling on lifestyle changes, goal setting, medication adherence, and referral to health facilities when needed. The study uses a cluster-randomized trial design with an intervention group receiving CHPC and a control group receiving usual care based on facility visits. Participants will engage in four follow-up meetings or visits over 12 months where blood pressure and lifestyle factors are assessed. Researchers will collect data through surveys, blood pressure and anthropometric measurements, observations, and interviews. They will evaluate program adoption, reach, implementation quality, maintenance, blood pressure control, awareness, physical activity, diet, medication use, equity, scalability, and cost-effectiveness over 12 to 24 months.

FCHV-HTN Implementation Trial in Nepal