Management of Hypertension Utilizing Trained Community Health Worker in Rural Municipalities of Nepal (MUTU)
Hypertension,Essential

About this trial
This is an interventional treatment trial for Hypertension,Essential focused on measuring Hypertension, Community Health Worker, Medication, Amlodipine, Nepal
Eligibility Criteria
Inclusion criteria
- Between 25-70 years old
- Systolic blood pressure 140-179 mmHg or diastolic blood pressure 90-119 mmHg
- Do not have a plan to leave the study municipality within a year
Exclusion criteria
- Use of antihypertensive medication in the last two weeks
- History of stroke, heart attack, heart failure, or chronic kidney disease
- History of diabetes meritus
- Pregnant or any plan to be pregnant in a year
- Breastfeeding
Sites / Locations
- Rupa Rural Municipality
- Biruwa Rural Municipality
Arms of the Study
Arm 1
Arm 2
Experimental
Active Comparator
Active Group
Comparison Group
Participants will be first screened for their blood pressure and asked a few questions to determine eligibility. For eligible participants, FCHV will visit within ~1 week and measure blood pressure again. If found high, the participant will be referred to the nearest Health Post. At the Health Posts, if FB-CHWs confirms the diagnosis of hypertension, they will prescribe amlodipine 5 mg/d according to the study protocol and ask the patient to return in ~2 weeks. If blood pressure is controlled (<140/90 mmHg) after ~2 weeks, FB-CHWs will refill amlodipine 5 mg/d for 3 months. If not, FB-CHWs will increase the dose to 10 mg/d and follow up in ~2 weeks. If still not controlled with amlodipine 10 mg, FB-CHWs will refer the patient to the Regional Hospital in Pokhara. In addition, FCHVs will visit patients' homes 3 times (at 3-, 6-, and 9-month), provide lifestyle counseling, and follow up the adherence to hypertension treatment.
Participants will be first screened for their blood pressure and asked a few questions to determine eligibility. For eligible participants, FCHV will visit within a week or so and measure the blood pressure again. If found high, the participant will be referred to a healthcare facility ("the usual care") which can diagnose and manage hypertension. In addition, FCHVs will visit patients' homes once (around 3-month), provide lifestyle counseling, and follow up the adherence to hypertension treatment.