Cost-Effectiveness of Community-Based Strategies for Blood Pressure Control in a Low-Income Developing Country | Zendy

Tazeen H. Jafar | Zendy; Muhammad Shariful Islam | Zendy; Rasool Bux | Zendy; Neil Poulter | Zendy; Juanita Hatcher | Zendy; Nish Chaturvedi | Zendy; Shah Ebrahim | Zendy; Peter Cosgrove | Zendy

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Cost-Effectiveness of Community-Based Strategies for Blood Pressure Control in a Low-Income Developing Country

Author(s) -

Tazeen H. Jafar,

Muhammad Shariful Islam,

Rasool Bux,

Neil Poulter,

Juanita Hatcher,

Nish Chaturvedi,

Shah Ebrahim,

Peter Cosgrove

Publication year - 2011

Publication title -

circulation

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 7.795

H-Index - 607

eISSN - 1524-4539

pISSN - 0009-7322

DOI - 10.1161/circulationaha.111.039990

Subject(s) - medicine , confidence interval , blood pressure , randomized controlled trial , cost effectiveness , intervention (counseling) , demography , physical therapy , nursing , risk analysis (engineering) , sociology

Evidence on economically efficient strategies to lower blood pressure (BP) from low- and middle-income countries remains scarce. The Control of Blood Pressure and Risk Attenuation (COBRA) trial randomized 1341 hypertensive subjects in 12 randomly selected communities in Karachi, Pakistan, to 3 intervention programs: (1) combined home health education (HHE) plus trained general practitioner (GP); (2) HHE only; and (3) trained GP only. The comparator was no intervention (or usual care). The reduction in BP was most pronounced in the combined group. The present study examined the cost-effectiveness of these strategies.

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