DOI: 10.5061/dryad.63xsj3vdj
title: Data from: Health services intervention integrating HTN and HIV care improves long-term blood pressure control among people living with HIV in Uganda

description: Globally, the prevalence of hypertension (HTN) among people with HIV (PWH)
 has increased dramatically over the last decade. In a cluster randomized
 trial, we evaluated the effect of a multicomponent intervention model on
 blood pressure (BP) control among PWH in rural Uganda. The integrated
 HIV/HTN trial enrolled adults (≥18-years) with HIV from 52 health centres
 in 26 districts of rural Southwestern Uganda. The intervention included:
 1) health-worker training on integrating HTN care into HIV services, 2)
 promoting HTN screening and treatment among providers; 3) availing
 essential equipment and consumables; and 4) WhatsApp messaging for
 coordination. Among intervention participants with previously diagnosed
 HTN (defined as BP measurement &gt;140/90mmHg), we evaluated
 longitudinal changes in the proportion with World Health Organization
 (WHO) defined control (&lt;140/90mmHg) from trial baseline to
 12-months of follow-up. We further reported the proportions that achieved
 BP reduction by ≥10mmHg. Of the 1200 intervention participants with HTN,
 60% were female, with a median age of 49 years. At trial baseline, only
 3.6% of participants had controlled BP.  After 12 months of the
 intervention, 36.7% had achieved control, corresponding to an absolute
 increase of 33.1% (95%CI: 25.3-41.0%; p&lt;0.001). Significant
 improvements in BP control were observed across subgroups of age, sex and
 level of health centre. In addition, after 12 months, 70% of all
 participants had achieved at least 10mmHg reduction in their BP, including
 74% of participants with baseline Grade 2 HTN (160-179/100-109 mmHg) and
 79% of participants with Grade 3 HTN (≥180/110 mmHg). Among participants
 without WHO-level control at 12-months, 54% achieved at least 10mmHg
 reduction in BP. This health services intervention to integrate HTN and
 HIV care in rural primary care facilities improved long-term BP control by
 30% and most participants with baseline Grade 2 and 3 HTN achieved
 &gt;10mmHg reduction in their BP over the 12-month follow-up.
description: # Data from: Health services intervention integrating HTN and HIV care
 improves long-term blood pressure control among people living with HIV in
 Uganda Dataset DOI: [10.5061/dryad.63xsj3vdj](10.5061/dryad.63xsj3vdj) ##
 Description of the data and file structure Data to support the analyses
 conducted in "Health services intervention integrating HTN and HIV
 care improves long-term blood pressure control among people living with
 HIV in Uganda" by Dr. Okello et al. The dataset contains the sex, age
 group, health center level, and hypertension stage over time (0, 3, 6, 9,
 12 months) of 1200 persons with HIV from Uganda.  ### Files and variables
 #### File: int_htn_long_dd.csv **Description:** data dictionary  ####
 File: int_htn_long_shared.csv **Description:** data - see data dictionary
 for variable definition #### File: CONSORT__2025_editable_checklist.docx
 **Description:** CONSORT checklist available in the supplementary
 materials ## Human subjects data To follow best practices for sharing
 human subjects data, we have removed direct identifiers, limited the
 number of direct identifiers, and provided aggregated data (e.g.,
 categories of hypertension severity, instead of raw blood pressure
 measures).