Community-based Hypertension Treatment: Using implementation science to bridge the hypertension treatment gap in slum communities
Our work found barriers to hypertension treatment included difficulty getting to clinic, limited time with physicians, and low patient knowledge on causes of high blood pressure and low medication adherence (St Sauveur et al., 2025). Based on these findings, we designed a community-based hypertension management pilot among 100 participants with uncontrolled hypertension. This intervention consisted of task-shifting medication delivery and titration to community health workers, and community-based delivery of care of medications and counseling to patients’ homes for 12 months. We found compared to matched controls, the 100 intervention participants had a 12.8 mmHg greater SBP reduction and the intervention was highly feasible and acceptable to patients and providers. (St Sauveur et al., 2024)