Overview

The ADHINCRA Program is a bundle of multilevel evidence-based interventions that address multiple predictors of controlled hypertension, including patient-, provider-, and health system-level factors. The successful implementation of the ADHINCRA program will provide a rigorous and scalable model for improving hypertension control in Africa, which would ultimately reduce the risk of cardiovascular disease, stroke and kidney disease.

Eligibility

Inclusion Criteria:

• Aged 18 -70 years.
• Diagnosis of hypertension and elevated systolic blood pressure measure (≥140 mmHg) on the most recent clinic visit without a diabetes diagnosis.
• Hypertension treatment naive or on monotherapy.
• Receives primary care at one of the participating sites.
• Willing and able to provide informed consent in English, Twi, Dagbani, Ewe, Hausa, or Yoruba.
• Owns a smartphone (Android or iOS).

Exclusion Criteria:

• Age \<18 years or \>70 years.
• Severely elevated BP (≥180/110mmHg).
• Diagnosis of stroke, coronary artery disease, or kidney disease.
• Diagnosis of end-stage renal disease (ESRD) treated with dialysis.
• Serious medical condition which either limits life expectancy or requires active management (e.g., cancer).
• Cognitive impairment or other conditions preventing study participation
• Pregnant or currently nursing a child
• Unwilling to provide informed consent