Village health workers take on high blood pressure in lesotho

NCT ID NCT05684055

First seen Jun 24, 2026 · Last updated Jun 27, 2026 · Updated 1 time

Summary

This trial tests whether trained village health workers, using a smartphone app, can effectively manage high blood pressure in rural Lesotho. About 1,350 participants with either uncontrolled or controlled hypertension will receive either community-based care (medication and monitoring by health workers) or standard referral to a clinic. The goal is to see if community care can achieve or maintain healthy blood pressure levels as well as clinic-based care.

What this could mean

Our plain-language read of the trial. This is informational only — not medical advice or a prediction.

Active substance
First-line antihypertensive single-pill combination (SPC)
What this could lead to
If successful, this could show that community-based care by lay health workers is an effective way to manage high blood pressure in remote areas, improving access to treatment.
What could go wrong
This is a pragmatic trial in a specific rural setting, so results may not apply elsewhere. The intervention relies on app-guided care, which could face technical or adherence challenges.

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Conditions

The condition(s) this trial relates to.

As listed by the trial registrant

The condition terms exactly as the trial's registrant entered them.

Contacts and locations

Locations

  • SolidarMed Lesotho

    Maseru, Lesotho

  • University Hospital Basel, Division of Clinical Epidemiology

    Basel, 4051, Switzerland

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