Table 1. Results of process evaluation of the community-based intervention for hypertension management in Kenya, 2012–2013.
| Intervention component by input category | Inputs | Activities | Outputs |
|---|---|---|---|
| Awareness and screening | |||
| Community gatherings (baraazas) | Banners, public address system, facilitators (community leaders, expert patients) | 7 baraazas held | Estimated between 50 and 80 people attended each meeting |
| Religious services | Facilitators (community health workers, religious leaders) | 21 religious meetings held | Estimated between 30 and 50 people attended |
| Radio jingle | Jingle content developer, local radio station (Koch FM) | 1 jingle lasting 50 seconds aired 3 times daily for 3 weeks | Koch FM radio listener numbers estimated at 250 000 people |
| Community health workers | Facilitators (medical/research officers), training facilities, allowances | 1 training and 1 refresher training held | 50 community health workers traineda |
| Door-to-door screening | Community health worker allowances, screening equipment and materials | 39 community health workers conducted door-to-door screenings | 4049 people screened |
| Referral | Free vouchers, confirmation of blood pressure by supervisor | 39 community health workers conducted referrals | 976 people referred |
| Treatment | |||
| Clinic staff | Facilitators (medical/research officers), training facilities, allowances | 1 training and 1 refresher training held | 2 nurses, 2 clinical officers and 1 medical records clerk trained |
| Standard treatment guidelines | Meetings and review by stakeholders | 1 main meeting held with stakeholder. Guideline reviewed mostly by email correspondence | 1 guideline document published |
| Upgrading and equipping of clinics | Construction of consultation area, equipment | 2 clinics upgraded. Concrete floor constructed and tent erected in 1 clinic. Both clinics received 2 sets of screening equipment and light furniture for consulting areas | 2 clinics upgraded |
| Management of referred patients at clinics | Clinic staff allowances, utilities and supplies (including medication) | Clinics held twice a week for 17 months | 845 people attended clinic first time, of whom 660 were eligible for recruitment into care |
| Retention in care | |||
| Follow-up of defaulters | Community health workers’ allowances (including incentives) and resources | 188 defaulters followed up and interviewed by community health workers | 46 defaulters returned to clinic after follow-up |
| SMS reminders | Bulk SMS application | 4519 SMS reminders sent | 660 patients received SMS reminders |
| Support groups | Community health workers, facilitators, incentives | 7 support groups formed and 28 support groups held | 371 people attended support groups |
SMS: short message service.
a Although 50 community health workers were trained, not all were deployed to conduct screening. Some dropped out of the study to pursue other interests.