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CARDIOVASCULAR JOURNAL OF AFRICA • Volume 31, No 3, May/June 2020

e6

AFRICA

our study also has limitations, including: lack of prospective

registration, small study size, unconventional randomisation

approach and open study design. However, the primary purpose

of our study was to demonstrate feasibility, which we were

able to accomplish. Furthermore, our co-primary outcome

assessment was objectively measured and defined and therefore

less susceptible to detection bias.

We aim to use these data to catalyse a large-scale, multi-

level interventional study in Nigeria that tests the effects of

community health worker support and home blood pressure

monitoring together, rather than separately, to improve

hypertension treatment and control rates and reduce the burden

of hypertension-related diseases in Nigeria.

Study medications were donated by Micro nova Pharmaceuticals Nigeria Ind,

Limited as part of their educational grant.

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