Observational stepped-wedge analysis of a community health worker-led intervention for diabetes and hypertension in rural Mexico.

ABSTRACT:

Objectives

There is emerging interest and data supporting the effectiveness of community health workers (CHWs) in non-communicable diseases (NCDs) in low/middle-income countries (LMICs). This study aimed to determine whether a CHW-led intervention targeting diabetes and hypertension could improve markers of clinical disease control in rural Mexico.

Design and setting

A prospective observational stepped-wedge study was conducted across seven communities in rural Chiapas, Mexico from March 2014 to April 2018.

Participants

149 adults with hypertension and/or diabetes.

Intervention

This study was conducted in the context of the programmatic roll-out of an accompaniment-based CHW-led intervention designed to complement comprehensive primary care for adults with diab

SUBMITTER: Worster DT 

PROVIDER: S-EPMC7064075 | biostudies-literature | 2020 Mar

REPOSITORIES: biostudies-literature