About this trial
The purpose of the second phase of the Hypertension Treatment in Nigeria (HTN 2.0) Program is to build upon the success of the first phase of the HTN Program (2020-2023), which implemented the WHO HEARTS package across 60 primary healthcare centers (PHCs) in the Federal Capital Territory (FCT). This program demonstrated significant improvements in hypertension treatment and control. The focus of aim 3 will be evaluating diabetes management through the implementation of the HEARTS-D bundle in 10 PHCs across the FCT that previously participated in the initial HTN Program.
Eligibility criteria
Qualifiers
Adults (≥18 years),
Patients with previous diabetes diagnosis
Patients with persistently elevated random glucose >200 mg/dl, fasting glucose >126 mg/dl, or hemoglobin A1c >6.5% on two or more occasions (when available)
Patients taking glucose lowering medications
Disqualifiers
Individuals who are not yet adults (minors): i.e. infants, children, or teenagers <18 years old, or
Prisoners or other detained individuals.
Trial design
Treatments tested in this trial
- Implementation of program based on WHO HEARTS-D guidelines
- Metformin
- Glimepiride
- Point-of-care blood glucose monitor (glucometer) and compatible test strips
- HEARTS-D training and quarterly supportive supervision for community health extension workers (CHEWs)
Treatment groups
Locations
Sponsors and collaborators
Washington University School of Medicine
Lead sponsor
National Heart, Lung, and Blood Institute (NHLBI)
Collaborator
University of Abuja Teaching Hospital
Collaborator