ArticleBMC health services research2018
Pharmacy-based hypertension care employing mHealth in Lagos, Nigeria - a mixed methods feasibility study.
Article in BMC health services research, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 40 papers, 5 of them syntheses that pooled it.
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Who cites it
40 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Roles and barriers of community pharmacy professionals in the prevention and management of noncommunicable diseases in Ethiopia: a systematic review.Frontiers in public health · 2025Pooled it
- Pooled it
- Interventions and contextual factors to improve retention in care for patients with hypertension in primary care: Hermeneutic systematic review.Preventive medicine · 2024Pooled it
- Use of technology to prevent, detect, manage and control hypertension in sub-Saharan Africa: a systematic review.BMJ open · 2022Pooled 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
- Efficacy of an mHealth App to Support Patients' Self-Management of Hypertension: Randomized Controlled Trial.Journal of medical Internet research · 2023Trial
- Mobile health interventions for African adults with hypertension: Evidence from a systematic review of implementation research outcomes.PLOS digital health · 2026Article
- Quantifying cervical cancer radiotherapy care gap: Baseline assessment prior to implementation of a digital Health App.Technical innovations & patient support in radiation oncology · 2026Article
- Digital health interventions for hypertension management in African women: a scoping review protocol.Systematic reviews · 2026Article
- Telepharmacy in Nigeria: a narrative review.Frontiers in public health · 2026Review
- Use of digital health in task-sharing for prevention and management of non-communicable diseases in Africa: A scoping review.PLOS global public health · 2026Article
- Models of care for noncommunicable diseases in primary care: key elements and design in low- and middle-income countries - a scoping review.Global health action · 2025Article
- Digital health tools in hypertension management in sub-Saharan Africa: a scoping review of barriers and facilitators of adoption into mainstream healthcare.BMJ health & care informatics · 2025Article
- Barriers and facilitators of provision of telemedicine in Nigeria: A systematic review.PLOS digital health · 2025Article
- Evaluating the digital health technology landscape in sub-Saharan Africa and its implications for cardiovascular health.NPJ cardiovascular health · 2025Review
- Rethinking chronic care: how blended patient-centered care delivery and innovative financing models can contribute to achieving universal health coverage-a case study of an integrated approach in Kenya.Oxford open digital health · 2025Article
- Evaluating a multifaceted implementation strategy and package of evidence-based interventions based on WHO PEN for people living with HIV and cardiometabolic conditions in Lusaka, Zambia: protocol for the TASKPEN hybrid effectiveness-implementation stepped wedge cluster randomized trial.Implementation science communications · 2024Article
- Enhancing care transition performance of community pharmacies in Nigeria.Health science reports · 2024Article
- Article
- Outcomes of a hypertension care program based on task-sharing with private pharmacies: a retrospective study from two blocks in rural India.Journal of human hypertension · 2023Article
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Authors and funding
12 authors.
Funding
Abstract
backgroundAccess to quality hypertension care is often poor in sub-Saharan Africa. Some community pharmacies offer hypertension monitoring services, with and without involvement of medical doctors. To directly connect pharmacy staff and cardiologists a care model including a mobile application (mHealth) for remote patient monitoring was implemented and pilot tested in Lagos, Nigeria. Pharmacists provided blood pressure measurements and counselling. Cardiologists enrolled patients in the pilot program and remotely monitored them, for which patients paid a monthly fee. We evaluated the feasibility of this care model at five private community pharmacies. Outcome measures were retention in care, blood pressure change, quality of care, and patients' and healthcare providers' satisfaction with the care model.
methodsPatients participated in the care model's pilot at one of the five pharmacies for approximately 6-8 months from February 2016. We conducted structured patient interviews and blood pressure measurements at pilot entry and exit, and used exports of the mHealth-application, in-depth interviews and focus group discussions with patients, pharmacists and cardiologists.
resultsOf 336 enrolled patients, 236 (72%) were interviewed at pilot entry and exit. According to the mHealth data 71% returned to the pharmacy after enrollment, with 3.3 months (IQR: 2.2-5.4) median duration of activity in the mHealth-application. Patients self-reported more visits than recorded in the mHealth data. Pharmacists mentioned use of paper records, understaffing, the application not being user-friendly, and patients' unwillingness to pay as reasons for underreporting. Mean systolic blood pressure decreased 9.9 mmHg (SD: 18). Blood pressure on target increased from 24 to 56% and an additional 10% had an improved blood pressure at endline, however this was not associated with duration of mHealth activity. Patients were satisfied because of accessibility, attention, adherence and information provision.
conclusionPatients, pharmacists and cardiologists adopted the care model, albeit with gaps in mHealth data. Most patients were satisfied, and their mean blood pressure significantly reduced. Usage of the mHealth application, pharmacy incentives, and a modified financing model are opportunities for improvement. In addition, costs of implementation and availability of involved healthcare providers need to be investigated before such a care model can be further implemented.
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