Effect of a one-time financial incentive on linkage to chronic hypertension care in Kenya and Uganda: A randomized controlled trial

Matthew D Hickey, Asiphas Owaraganise, Norton Sang, Fredrick J Opel, Erick Wafula Mugoma, James Ayieko, Jane Kabami, Gabriel Chamie, Elijah Kakande, Maya L Petersen, Laura B Balzer, Moses R Kamya and Diane V Havlir

PLOS ONE, 2022, vol. 17, issue 11, 1-15

Abstract: Background: Fewer than 10% of people with hypertension in sub-Saharan Africa are diagnosed, linked to care, and achieve hypertension control. We hypothesized that a one-time financial incentive and phone call reminder for missed appointments would increase linkage to hypertension care following community-based screening in rural Uganda and Kenya. Methods: In a randomized controlled trial, we conducted community-based hypertension screening and enrolled adults ≥25 years with blood pressure ≥140/90 mmHg on three measures; we excluded participants with known hypertension or hypertensive emergency. The intervention was transportation reimbursement upon linkage (~$5 USD) and up to three reminder phone calls for those not linking within seven days. Control participants received a clinic referral only. Outcomes were linkage to hypertension care within 30 days (primary) and hypertension control

Date: 2022
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Persistent link: https://EconPapers.repec.org/RePEc:plo:pone00:0277312

DOI: 10.1371/journal.pone.0277312

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