Hypertension Treatment in Nigeria: Hypertension Diabetes Integration Study- Formative Aim 3

Trial statusNot yet recruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age18+
SponsorWashington University School of Medicine

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

2,800 Participants
are divided into 1 treatment group

Locations

This trial has no 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