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. Author manuscript; available in PMC: 2016 Jan 1.
Published in final edited form as: J Stroke Cerebrovasc Dis. 2014 Oct 24;24(1):1–9. doi: 10.1016/j.jstrokecerebrovasdis.2014.08.011

Table 2.

Intervention Strategies

Strategy Region Description Results
Task shifting Cameroon • Effectiveness of integrating care for HTN by task shifting to “non-physician” clinician facilities • Decreased systolic BP and diastolic BP.108
Nigeria • Pharmacist-managed HTN clinics • Improved BP control, reduced treatment failure, increased patient satisfaction.109
Nigeria • WHO launched a task-shifting evidence-based clinical decision support program targeted at CVD risk reduction at the primary health care level110 • Decreased systolic and diastolic BP.111
South Africa • Nurse-led program for patients with HTN • Enhanced early detection, referral of poorly controlled patients, & improved nurses' knowledge. 112
Nurse-led Risk Reduction South Africa • Nurse-led program for patients with HTN • Nurse-run care systems in SSA based on protocol/education are feasible.113
• Local health system-wide nurse-led program used to follow patients with HTN in improved overall early detection and referral of high risk patients. 112
mHealth Technology Nigeria • Survey to determine number of SSA clinic patients with mobile phones • ~67% of clinic patients had mobile phones.33
• Smart phone penetration in SSA is currently~25%,35 and rising rapidly each successive34 year.
Kenya • Task-shifting strategy with technology (tablet-based electronic Decision Support & Integrated Record-Keeping) • Approach was highly usable.114
World • Home tele-monitoring of chronic diseases • Empowers patients, influences behaviors, improves medical conditions.91,115
• More effective when “augmented” with nurse-management.

HTN=hypertension; SSA=Sub-Saharan Africa; BP=Blood Pressure; mhealth=mobile health