A community-based pilot in rural Ghana brought high-blood-pressure care closer to people's homes and villages. Community nurses and health workers offered counseling and medication, reducing the need to rely only on distant health centers.
Mount Sinai reported that 86 percent of 37 people with hypertension in the 90-day pilot reached normal blood pressure. A five-year, $3.3 million grant from the National Institutes of Health will support a larger test of the approach.
The planned randomized trial will involve 504 adults in 36 communities in northern Ghana and is expected to begin in fall 2027. The small pilot is an early result, and the larger study will test whether the model works as well as or better than clinic-based care.


