Lancet Global Health: Community health workers and hypertension in Bangladesh, Pakistan and Sri Lanka

23 March, 2021

Below are extracts from a Comment in The Lancet Global Health. The linked paper to which it refers is available here:

CITATION: Innovations for effective implementation of guideline-based hypertension care in low-income and middle-income countries

Nitish Naik, Kavita Singh

Published:March 19, 2021DOI:

Hypertension is the leading preventable cause of death and disability worldwide, accounting for 19·2% (10·8 million) of all deaths globally and 16·4% (2 million) of all deaths in low-income and middle-income countries...

The COBRA-BPS study provides useful information on the effectiveness of a complex intervention programme led by community health workers in combating hypertension in rural areas...

Task sharing for hypertension control by community health workers offers a cost-effective way of addressing the community burden of hypertension...

Despite all the implementation challenges and available cost-effectiveness evidence, task sharing among physicians and health workers should be viewed as an essential and key element for hypertension control in low-income and middle-income countries...

Best wishes, Neil

Coordinator, HIFA Project on Community Health Workers

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HIFA profile: Neil Pakenham-Walsh is coordinator of the HIFA global health movement (Healthcare Information For All - ), a global community with more than 20,000 members in 180 countries, interacting on six global forums in four languages in collaboration with WHO. Twitter: @hifa_org FB: