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Co-developing a community health worker-led hypertension control intervention in Peru through a human-centered design
Kendra N Williams1, Karina Campos-Blanco2, Lindsay J Underhill3
1Department of International Health Bloomberg School of Public Health Johns Hopkins University Baltimore, MD United States of America Department of International Health, Bloomberg School of Public Health, Johns Hopkins University, Baltimore, MD, United States of America.
Summary
Community health workers (CHWs) in Peru can improve hypertension care by enhancing patient behaviors and facility-level support. Co-designed strategies ensure culturally relevant interventions aligned with the HEARTS Initiative.
Area of Science:
- Public Health
- Global Health
- Health Systems Research
Background:
- Hypertension management remains a global health challenge, particularly in resource-limited settings.
- Community Health Workers (CHWs) are vital in extending healthcare services, yet their role in hypertension support requires clear definition.
- The HEARTS Initiative provides a framework for improving cardiovascular health, emphasizing integrated care delivery.
Purpose of the Study:
- To define essential content and design elements for CHW-led hypertension support in Puno, Peru.
- To align hypertension interventions with the HEARTS Initiative's global standards.
- To co-create culturally responsive strategies for CHW-delivered hypertension care.
Main Methods:
- A human-centered design approach was employed, involving interactive workshops.
- Participants included 24 CHWs, 32 healthcare workers, and 18 community members with hypertension.
- Co-creation of intervention strategies focused on practical implementation and local context.
Main Results:
- Five key recommendations emerged: improving patient behaviors, enhancing facility-level care, integrating CHWs into the formal health system, training and equipping CHWs, and developing culturally relevant educational materials.
- CHWs can address care gaps, promote healthy lifestyles, and improve medication adherence.
- Effective integration requires joint training, clear communication, and addressing CHW resource needs.
Conclusions:
- Human-centered design facilitated the co-development of a culturally responsive, CHW-led hypertension support intervention.
- The co-created intervention operationalizes HEARTS principles for effective hypertension management.
- This approach ensures interventions are tailored to local needs and enhance healthcare delivery by CHWs.
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