Community Health Extension Worker-Led Health Coaching & Home Blood Pressure Monitoring
Hypertension is the leading cause of global cardiovascular (CVD) mortality and morbidity. About two-thirds of the 31.1% adults living with hypertension globally are in low-and middle-income countries (LMICs). This protocol aims to evaluate the implementation and effectiveness of community-health extension worker-led health coaching and home blood pressure (BP) monitoring on hypertension control among high-risk adults with uncontrolled BP compared with propensity-matched controls. This study will be embedded within the Hypertension Treatment in Nigeria (HTN) Program and includes a concurrent evaluation of effectiveness and implementation to inform regional, national, and global scaling.