ArticleAnnals of global health
Nurse management of hypertension in rural western Kenya: implementation research to optimize delivery.
Article in Annals of global health. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 2 of them syntheses that pooled it.
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Who cites it
10 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Task sharing with non-physician health-care workers for management of blood pressure in low-income and middle-income countries: a systematic review and meta-analysis.The Lancet. Global health · 2019Pooled it
- Models of integration of HIV and noncommunicable disease care in sub-Saharan Africa: lessons learned and evidence gaps.AIDS (London, England) · 2018Pooled it
- Reciprocal innovation in implementation science and global health: reflections from the EXTRA-CVD (extending the HIV treatment cascade for cardiovascular disease prevention) study.BMC global and public health · 2026Review
- Effect of Nurse-Based Management of Hypertension in Rural Western Kenya.Global heart · 2020Article
- Innovative Implementation Strategies for Hypertension Control in Low- and Middle-Income Countries: a Narrative Review.Current hypertension reports · 2020Review
- Pharmacy-based hypertension care employing mHealth in Lagos, Nigeria - a mixed methods feasibility study.BMC health services research · 2018Article
- Barriers and Facilitators to Nurse Management of Hypertension: A Qualitative Analysis from Western Kenya.Ethnicity & disease · 2016Article
- Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya.Journal of the American College of Cardiology · 2015Review
- Usability and feasibility of a tablet-based Decision-Support and Integrated Record-keeping (DESIRE) tool in the nurse management of hypertension in rural western Kenya.International journal of medical informatics · 2015Article
- Implementation of management strategies for diabetes and hypertension: from local to global health in cardiovascular diseases.Global heart · 2015Review
Corrections and comments
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Authors and funding
7 authors.
Funding
Abstract
backgroundHypertension is the leading global risk factor for mortality. Hypertension treatment and control rates are low worldwide, and insufficient human resource capacity is among the contributing factors. Thus, a critical component of hypertension management is to develop novel and effective solutions to the human resources challenge. One potential solution is task redistribution and nurse management of hypertension in these settings.
objectivesThe aim of this study is to investigate whether nurses can effectively reduce blood pressure in hypertensive patients in rural western Kenya and, by extension, throughout sub-Saharan Africa.
methodsAn initial phase of qualitative inquiry will assess facilitators and barriers of nurse management of hypertension. In addition, we will perform usability and feasibility testing of a novel, electronic tablet-based integrated decision-support and record-keeping tool for the nurses. An impact evaluation of a pilot program for nurse-based management of hypertension will be performed. Finally, a needs-based workforce estimation model will be used to estimate the nurse workforce requirements for stable, long-term treatment of hypertension throughout western Kenya.
findingsThe primary outcome measure of the impact evaluation will be the change in systolic blood pressure of hypertensive individuals assigned to nurse-based management after 1 year of follow-up. The workforce estimation modeling output will be the full-time equivalents of nurses.
conclusionsThis study will provide evidence regarding the effectiveness of strategies to optimize task redistribution and nurse-based management of hypertension that can be applicable to noncommunicable disease management in low- and middle-income countries.
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Registered trials
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