IN CONVERSATION WITH Sr (Sister) Lesedi Nai Gladys Makgalatiba -Clinical
Loading player...
The study, reported by Spotlight NSP (10 November 2025), involved
over 770 adults with hypertension in KwaZulu-Natal. Participants
were split into three groups: standard clinic care, home-monitoring
with CHW support, and home-monitoring with digital BP devices that
transmit readings.
After six months, the clinic-only group saw an average BP reduction
of 1.9 mm Hg, while the home-monitoring groups achieved 9–10.5
mm Hg reductions.
BP control rates were 32% for clinic care versus 57–61% for home-
based monitoring.
Home monitoring works because it improves patient engagement,
adherence to medication, and timely intervention, addressing many
barriers of clinic-only care.
This approach is particularly relevant for patients with diabetes, who
are at higher risk of cardiovascular complications when blood
pressure is uncontrolled.
Implementing this model could improve patient outcomes, reduce
clinic congestion, and empower communities through CHW
engagement.
over 770 adults with hypertension in KwaZulu-Natal. Participants
were split into three groups: standard clinic care, home-monitoring
with CHW support, and home-monitoring with digital BP devices that
transmit readings.
After six months, the clinic-only group saw an average BP reduction
of 1.9 mm Hg, while the home-monitoring groups achieved 9–10.5
mm Hg reductions.
BP control rates were 32% for clinic care versus 57–61% for home-
based monitoring.
Home monitoring works because it improves patient engagement,
adherence to medication, and timely intervention, addressing many
barriers of clinic-only care.
This approach is particularly relevant for patients with diabetes, who
are at higher risk of cardiovascular complications when blood
pressure is uncontrolled.
Implementing this model could improve patient outcomes, reduce
clinic congestion, and empower communities through CHW
engagement.
