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Effect of a one-time financial incentive on linkage to chronic hypertension care in Kenya and Uganda: A randomized controlled trial

Author

Listed:
  • Matthew D Hickey
  • Asiphas Owaraganise
  • Norton Sang
  • Fredrick J Opel
  • Erick Wafula Mugoma
  • James Ayieko
  • Jane Kabami
  • Gabriel Chamie
  • Elijah Kakande
  • Maya L Petersen
  • Laura B Balzer
  • Moses R Kamya
  • Diane V Havlir

Abstract

Background: Fewer than 10% of people with hypertension in sub-Saharan Africa are diagnosed, linked to care, and achieve hypertension control. We hypothesized that a one-time financial incentive and phone call reminder for missed appointments would increase linkage to hypertension care following community-based screening in rural Uganda and Kenya. Methods: In a randomized controlled trial, we conducted community-based hypertension screening and enrolled adults ≥25 years with blood pressure ≥140/90 mmHg on three measures; we excluded participants with known hypertension or hypertensive emergency. The intervention was transportation reimbursement upon linkage (~$5 USD) and up to three reminder phone calls for those not linking within seven days. Control participants received a clinic referral only. Outcomes were linkage to hypertension care within 30 days (primary) and hypertension control

Suggested Citation

  • Matthew D Hickey & Asiphas Owaraganise & Norton Sang & Fredrick J Opel & Erick Wafula Mugoma & James Ayieko & Jane Kabami & Gabriel Chamie & Elijah Kakande & Maya L Petersen & Laura B Balzer & Moses R, 2022. "Effect of a one-time financial incentive on linkage to chronic hypertension care in Kenya and Uganda: A randomized controlled trial," PLOS ONE, Public Library of Science, vol. 17(11), pages 1-15, November.
    • Handle: RePEc:plo:pone00:0277312
    DOI: 10.1371/journal.pone.0277312
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    References listed on IDEAS

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    1. de Walque, Damien, 2020. "The use of financial incentives to prevent unhealthy behaviors: A review," Social Science & Medicine, Elsevier, vol. 261(C).
    2. de Walque, Damien & Chukwuma, Adanna & Ayivi-Guedehoussou, Nono & Koshkakaryan, Marianna, 2022. "Invitations, incentives, and conditions: A randomized evaluation of demand-side interventions for health screenings," Social Science & Medicine, Elsevier, vol. 296(C).
    3. Margaret L McNairy & Matthew R Lamb & Averie B Gachuhi & Harriet Nuwagaba-Biribonwoha & Sean Burke & Sikhathele Mazibuko & Velephi Okello & Peter Ehrenkranz & Ruben Sahabo & Wafaa M El-Sadr, 2017. "Effectiveness of a combination strategy for linkage and retention in adult HIV care in Swaziland: The Link4Health cluster randomized trial," PLOS Medicine, Public Library of Science, vol. 14(11), pages 1-20, November.
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