Developing a package to improve hypertension control in Nigeria - Trial PACTR202107530985857

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Summary

Background: Nigeria is experiencing increasing prevalence of hypertension. A greater cause for concern is the epidemic of premature cardiovascular mortality and early onset. Prevalence of hypertension in Nigeria ranges from 10.3 to 36.5% depending on the state. Our team found prevalence of hypertension to be 33.1%, and 20.4% in adults in Ibadan. Unfortunately, there is limited capacity to effectively tackle the increasing trend in Nigeria. Hypertension care is mostly hospital-based (secondary and tertiary settings), overwhelming a health service that is already imperiled by inadequate facilities. Meanwhile, primary health care facilities close to the populace are less patronised and ill-equipped for hypertension care. These factors have limited access to hypertension care with many people undetected or poorly managed. Various strategies including task shifting whereby community/home-based interventions using Community-based Oriented Resource Persons (CORPs) to improve access and support health care such as for cardiovascular disease have been tested across the globe. However, strategies in a region/country may not be applicable in another. Hence the need to search for local and effective alternative hypertension control strategy. Aim: This study is to develop a package to improve hypertension control in Nigeria.

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