Effects of Training Community Health Workers and Their Interventions on Cardiovascular Disease Risk Factors among Adults in Morogoro, Tanzania

Conditions

Circulatory System Cardiovascular Disease Risk Factors

Alfa Muhihi, Amani Anaeli, Marina Njelekela, Rose Mpembeni, David Urassa

Journal of Interventional Epidemiology and Public Health2026-01-02

Enhancing Public Knowledge of Risk Factors and Warning Signs for Stroke and Heart Attack Through Home-Based Community Health Worker Interventions: A Cluster Randomized Trial.

Muhihi A, Njelekela MA, Anaeli A, Mruma HA, Sunguya B, Kakoko D, Kessy AT, Mpembeni R, Urassa DP.

2025-12-16

10.2147/ijgm.s570125

Effect of training community health workers and their interventions on cardiovascular disease risk factors among adults in Morogoro, Tanzania: study protocol for a cluster randomized controlled trial.

Muhihi AJ, Urassa DP, Mpembeni RNM, Leyna GH, Sunguya BF, Kakoko D, Kessy AT, Njelekela MA.

2018-10-119 citations

10.1186/s13063-018-2924-9

Interventions

Standard of care

CHW home screening, health education and healthy lifestyle promotion

Eligibility

Sex/Gender

All

Inclusion criteria

Inclusion criteria: Resident of study village Age: 25 - 64 years Provided informed consent for participation

Exclusion criteria

Exclusion criteria: Non-resident of study village Age: 64 years Bed-ridden Mental ill-health Inability or refusal to provide informed consent

Design outcomes

Primary

Measure	Time frame
Change in knowledge about hypertension and other CVDRFs among CHWs;Change in knowledge about hypertension and other CVDRFs in the community;The difference in changes in mean knowledge score about hypertension and other CVDRFs between baseline and end-line surveys for intervention and control villages.;The difference in changes in proportion of elevated blood pressure between baseline and end-line surveys for intervention and control villages. ;The difference in change in the proportion of individuals at high risk for CVD (10-year risk for CVD >30%) between baseline and end-line surveys for intervention and control villages.	—

Measure

Time frame

Change in knowledge about hypertension and other CVDRFs among CHWs;Change in knowledge about hypertension and other CVDRFs in the community;The difference in changes in mean knowledge score about hypertension and other CVDRFs between baseline and end-line surveys for intervention and control villages.;The difference in changes in proportion of elevated blood pressure between baseline and end-line surveys for intervention and control villages. ;The difference in change in the proportion of individuals at high risk for CVD (10-year risk for CVD >30%) between baseline and end-line surveys for intervention and control villages.

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Secondary

Measure	Time frame
Proportion of elevated blood glucose in the intervention and control villages;Proportion of overweight and obesity in the intervention and control villages;Proportion of smoking in the intervention and control villages;Proportion of alcohol drinking in the intervention and control villages;Proportion of physical inactivity in the intervention and control villages;Proportion of unhealthy dietary habits in the intervention and control villages	—

Measure

Time frame

Proportion of elevated blood glucose in the intervention and control villages;Proportion of overweight and obesity in the intervention and control villages;Proportion of smoking in the intervention and control villages;Proportion of alcohol drinking in the intervention and control villages;Proportion of physical inactivity in the intervention and control villages;Proportion of unhealthy dietary habits in the intervention and control villages

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Countries

United Republic of Tanzania

Contacts

Public ContactAlfa Muhihi

Management and Development for Health (MDH)

selukundo@gmail.com255784270590

Outcome results

None listed