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Matão Controlling Hypertension (MatCH) project: Rationale and design

Cesar Minelli1,2, Norberto Cabral3, Ariany de Souza Leite1

  • 1Hospital Carlos Fernando Malzoni, Rua Sinharinha Frota, 556 - Centro, Matão, SP, 15990-060, Brazil.

Contemporary Clinical Trials Communications
|April 27, 2018
PubMed

Insights

This study implemented a community-based hypertension control program in Brazil, integrating Family Health Strategy and Popular Pharmacy Program services. Early detection and treatment of high blood pressure (BP) are crucial for reducing cardiovascular disease burden.

Area of Science:

  • Cardiology
  • Public Health
  • Community Medicine

Background:

  • Hypertension is a primary risk factor for cardiovascular diseases.
  • Integrated health strategies, like Brazil's Family Health Strategy (FHS) and Popular Pharmacy Program (PPP), can improve blood pressure (BP) control.
  • The Matão Controlling Hypertension (MatCH) project aimed to implement such a coordinated program.

Purpose of the Study:

  • To actively identify, treat, and follow-up hypertensive individuals within the Matão community.
  • To assess the effectiveness of an integrated FHS and PPP approach for hypertension management.
  • To correlate hypertension prevalence, awareness, and risk factors with BP control outcomes.

Main Methods:

  • A community-based, interventional, four-year follow-up study involving approximately 18,600 subjects aged 40+.
  • Monthly BP assessments by Community Health Agents during home visits.
  • Referral of identified hypertensive individuals to FHS physicians for treatment, with medications largely supplied by the PPP.

Main Results:

  • Data on prevalence, awareness, demographics, and risk factors were collected and correlated with BP control.
  • The study focused on achieving large-scale BP control within the target population.

Conclusions:

  • Early detection and treatment of hypertension are essential for reducing BP-related mortality and morbidity.
  • Successful implementation of the MatCH program could serve as a model for hypertension control in other developing countries.
Abstract

Keywords:
AwarenessBlood-pressure controlHypertensionPopulation community-based study

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