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Community-Based Interventions to Promote Blood Pressure Control in a Developing Country
Annals of Internal Medicine, 11/04/09

Jafar TH et al. – Among 1341 patients living in 12 communities in Pakistan that were randomly assigned to general practitioner education, home health visits by trained lay workers, both, or neither, patients in communities assigned to both interventions had the greatest improvements in systolic blood pressure (10.8 mm Hg) after 2 years. Improvements were similar in all other groups (about 5 mm Hg). Family–based home health education (HHE) delivered by trained lay health workers, coupled with educating GPs on hypertension, can lead to significant blood pressure reductions among patients with hypertension in Pakistan. Both strategies in combination may be feasible for upscaling within the existing health care systems of Indo–Asian countries.