SAM OTI Implementation, outcomes and associated costs of a community- based intervention for hypertension management in an urban slum in Kenya

Intro There is convincing evidence that the burden of hypertension and CVD are on the rise in urban slums

Aim To describe a multi- component community- based intervention aiming to reduce CVD risk through screening and treatment of hypertension among adults > 35 years in a large Nairobi slum

Methods Descriptive process evaluation (inputs, outputs and outcomes) Top-down costing in US$2013 per unit outcome

The Intervention

Results - Outcomes

Results - Costs

Conclusions Awareness and treatment levels possible within reasonable costs Retention in care and blood pressure control remain a challenge (rule of halves). Patient-related costs and accessibility are key barriers that require public health intervention

Questions?