Management of Hypertension Utilizing Trained Community Health Worker in Rural Municipalities of Nepal
Status:
Recruiting
Trial end date:
2022-09-01
Target enrollment:
Participant gender:
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.