Adapting a club-based medication delivery strategy to a hypertension context: the CLUBMEDS Study in Nigeria.
Karla Santo, Godsent C Isiguzo, Emily Atkins, Shiva R Mishra, Rajmohan Panda, Lilian Mbau, Samuel B Fayomi, Collins Ugwu, Augustine Odili, Salim Virani
BMJ Open | Published : 2019
INTRODUCTION: The prevalence of hypertension in sub-Saharan Africa is among the world's highest; however, awareness, treatment and control of hypertension in this region are suboptimal. Among other barriers, the overburdened healthcare system poses a great challenge for hypertension control. Community peer-support groups are an alternative and promising strategy to improve adherence and blood pressure (BP) control. The CLUBMEDS study aims to evaluate the feasibility and impact of adherence clubs to improve hypertension control in Nigeria. METHODS AND ANALYSIS: The CLUBMEDS study will include a formative (pre-implementation) qualitative evaluation, a pilot study and a process (postimplementat..View full abstract