ArticleBMC public health2025
Bridging the gaps in the unmet needs of hypertension care in Nigeria: post-intervention evaluation of the community action against non-communicable diseases (COMAAND) project.
Article in BMC public health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 2 papers.
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Who cites it
2 citing papers in PubMed.
- Community-based interventions for non-communicable diseases in Africa: a scoping review of scope, effectiveness, and implementation factors.BMC public health · 2026Article
- Assessing the burden and inequality in the unmet need for hypertension and type 2 diabetes care using a care cascade framework in Tanzania, Lesotho, and South Africa.Primary health care research & development · 2026Article
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Authors and funding
14 authors.
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Abstract
backgroundNon-communicable diseases (NCDs), of which hypertension is one of the major drivers, have become a global public health burden, leading to at least 70% of deaths globally. Community action against non-Communicable diseases (COMAAND) is an innovative community-based intervention focused on improving the early detection and timely management of hypertension in Nigeria. In this report, we aim to evaluate the effectiveness of the intervention in improving key hypertension management outcomes including hypertension awareness, treatment, and blood pressure control after two years of implementing the intervention (between November 2019 to January 2022).
methodsWe evaluated the COMAAND intervention using a mixed method design (combining cross-sectional survey and longitudinal study). We conducted a community-wide cross-sectional survey to assess community level awareness, treatment, and blood pressure control at the end of the two years of intervention implementation. We used the one sample chi-squared test to compare categorical variables, and the one sample t-test for continuous variable between the pre-intervention and the post-intervention study. We also collected longitudinal data of patients enrolled at participating health care facilities and evaluated treatment adherence.
resultsThe mean age of the participants was 47 years, with no significant difference from that of the pre-intervention survey. Body mass index (23.8 vs. 26.2 kg/m
conclusionThe COMAAND project helped in improving hypertension care in a community setting. CLINICAL TRIAL NUMBER: Not applicable.
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