Overview

The purpose of the second phase of the Hypertension Treatment in Nigeria (HTN 2.0) Program is to build upon the success of the first phase of the HTN Program (2020-2023), which implemented the WHO HEARTS package across 60 primary healthcare centers (PHCs) in the Federal Capital Territory, Nigeria. This program demonstrated significant improvements in hypertension treatment and control. HTN 2.0 will expand implementation of the HEARTS bundle to 5 new states in 5 geopolitical zones in Nigeria (Abia, Delta, Gombe, Jigawa, and Oyo) while also evaluating sustainment of hypertension control in the Federal Capital Territory.

Eligibility

Inclusion Criteria:

• Adults (≥18 years old),
• Elevated blood pressure (SBP ≥ 140 mmHg or DBP ≥ 90 mmHg) documented or measured by a health care professional (e.g., physician, community health extension worker, or community health officer) on two separate occasions or taking a BP-lowering medication, or a history of hypertension.
• Pregnant women are eligible for this program, or
• Cognitively impaired adults are eligible for this program..

Exclusion Criteria:

This program will not include any of the following special populations:

• Individuals who are not yet adults (minors): i.e. infants, children, or teenagers \<18 years old, or
• Prisoners or other detained individuals.