Community health workers for blood pressure control in Nepal

Khetan, Aditya

doi:10.1016/s2214-109x(17)30455-2

Cited by 3 publications

(1 citation statement)

References 7 publications

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“…We did not include these outcomes in our analysis; however, it is possible that these outcomes could be responsive to layperson-led interventions. The promising association of layperson-led approaches in other settings and populations reinforces the need for large-scale, well-designed, multiarm RCTs to determine the effectiveness of interventions led by lay individuals for supporting weight change among children and adolescents with overweight or obesity.…”

Section: Discussionmentioning

confidence: 99%

Layperson-Led vs Professional-Led Behavioral Interventions for Weight Loss in Pediatric Obesity

et al. 2020

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Section: Discussionmentioning

confidence: 99%

Layperson-Led vs Professional-Led Behavioral Interventions for Weight Loss in Pediatric Obesity

et al. 2020

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Impact of community health workers on improving identification and primary care of hypertension among the urban poor – findings from Chhattisgarh state of India

Garg,

Dewangan,

Nanda

et al. 2023

BMC Prim. Care

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Background Hypertension is a major health problem globally and in India. Around 60% of people with hypertension in India are not aware that they have the condition. Less than 30% of individuals with hypertension are on treatment. Existing studies have indicated that community health workers (CHWs) can play a useful role in expanding the care for hypertension. Evaluations are needed to study the impact when an intervention is implemented by the government in its existing large-scale CHW programme to improve the identification, regular follow-up and medication adherence for hypertension. Methods Chhattisgarh state implemented a pilot intervention to improve screening and follow-up for hypertension by equipping Mitanin-CHWs to measure blood pressure (BP). The study design involved an intervention-group and a comparison-group of urban slum population. The survey covered 5974 individuals (30–79 years age) in intervention-group and 5131 in comparison-group. Multivariate analysis was conducted to find out the effect of intervention on the desired outcomes. Results In intervention-group, 80.2% of the individuals (30–79 years age) had been screened for hypertension whereas the proportion was 37.9% in comparison-group. For 47.0% of individuals in intervention-group, Mitanin CHW was the provider who measured BP for the first time. Around 16.3% of individuals in intervention-group and 9.5% in comparison-group had been diagnosed with hypertension. Around 85.9% of hypertension cases in intervention-group and 77.0% in comparison-group were on treatment. BP had been measured in preceding 30 days for 81.8% of hypertension-cases in intervention-group and 64.3% in comparison-group. Around 70.3% of hypertension-cases in intervention-group and 55.1% in comparison-group had taken their complete medication for last seven days. Multivariate analysis showed that CHW intervention was associated significantly with improvements in all the desired outcomes. Conclusion Equipping the CHWs to measure BP was effective in increasing the screening and identification of hypertension, regular measurement of BP of individuals with hypertension and the adherence to medication. This shows the potential if the one-million strong work-force of Accredited-Social-Health-Activists (ASHA) CHWs in India gets equipped for this role. Governments need to provide a stronger policy push to get this materialised.

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Assessing the knowledge and skill of ASHA community health workers in blood pressure measurement and primary care of hypertension

Dewangan,

Garg,

Nanda

et al. 2024

Journal of Family Medicine and Primary Care

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Introduction: India has a high burden of hypertension, and community health workers (CHWs) can contribute to its primary care. Studies of small-scale interventions have shown that trained CHWs can be useful contributors to hypertension care. No assessments are available in India on effectiveness of CHW training when conducted on a large scale. Methods: A study was conducted in Chhattisgarh, where 38,000 Accredited Social Health Activist (ASHA) CHWs had been trained in blood pressure (BP) measurement and counselling skills related to hypertension. The study involved a skill test and a knowledge test with ten points each, administered to two representative samples of trained CHWs – 433 in rural areas and 422 in urban slums. Results: The mean skill score out of 10 was 7.79 (7.59–7.99) and 8.11 (7.93–8.29) for the rural and urban CHWs, respectively. Around 75.3% (71.0–79.1%) of the rural and 80.3% (76.2–83.9%) of urban CHWs were able to score 70% (7 out of 10) or higher in the skill test. The mean knowledge score out of 10 was 8.18 (8.04–8.33) and 8.82 (8.78–8.93) for the rural and urban CHWs, respectively. Around 83.2% (79.3–86.4%) and 95.0% (94.4–96.7%) of the rural and urban CHWs, respectively, were able to score 70% or higher in the knowledge test. Conclusion: The ASHAs in Chhattisgarh demonstrated the necessary competence to contribute to BP measurement and primary care of hypertension. It shows feasibility of training a large number of CHWs in such skills. Efforts to equip and support the 1 million strong cadre of ASHAs across India need to be speeded up.

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Community health workers for blood pressure control in Nepal

Cited by 3 publications

References 7 publications

Layperson-Led vs Professional-Led Behavioral Interventions for Weight Loss in Pediatric Obesity

Layperson-Led vs Professional-Led Behavioral Interventions for Weight Loss in Pediatric Obesity

Impact of community health workers on improving identification and primary care of hypertension among the urban poor – findings from Chhattisgarh state of India

Assessing the knowledge and skill of ASHA community health workers in blood pressure measurement and primary care of hypertension

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