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Choosing the optimal method of blood pressure measurement for limited‐resource rural communities in the “Community Health Assessment Program—Philippines”
Authors:Dale Guenter MD  MPH  Ricardo Angeles MD  MPH   MHPEd  PhD  Janusz Kaczorowski BA  MA   PhD  Gina Agarwal MBBS  PhD  Fortunato L. Cristobal MD  MPH   MHPEd  Rosemarie Arciaga MD  MSc  John F. Smith PhD  Pattapong Kessomboon MD  PhD  Faical Jarraya MD  Rodelin Agbulos MD  MPH  Floro Dave Arnuco MD  MPH  Jerome Barrera MD  Susan Dimitry BA  Elgie Gregorio MD  MPH  Servando Halili PhD Jr  Norvie T. Jalani MD  MPH  Nusaraporn Kessomboon BScPharm  MSc   PhD  Maita Ladeza MD  Lisa Dolovich BScPhm  PharmD   MSc
Affiliation:1. Family Medicine, McMaster University, Hamilton, Ontario, Canada;2. Universite de Montreal, Hamilton, Ontario, Canada;3. Ateneo de Zamboanga University, Zamboanga City, Philippines;4. Faculty of Public Health & Research and Training Center for Enhancing Quality of Life of Working Age People, Khon Kaen University, Khon Kaen, Thailand;5. Community Medicine, Khon Kaen University, Khon Kaen, Thailand;6. Universite de Sfax, Sfax, Tunisia;7. City Health Office, City of Zamboanga, Zamboanga City, Philippines;8. Khon Kaen University, Khon Kaen, Thailand
Abstract:The Community Health Assessment Program—Philippines (CHAP‐P) is an international collaboration of investigators whose aim is to adapt a previously proven Canadian community‐based cardiovascular awareness and prevention intervention to the Philippines and other low‐middle–income countries. Choosing a method of blood pressure measurement for the research program presents a challenge. There is increasing consensus globally that blood pressure measurement with automated devices is preferred. Recommendations from low‐middle–income countries, including the Philippines, are less supportive of automated blood pressure devices. The value placed on factors including device accuracy, durability, cost, energy source, and complexity differ with local context. Our goal was to support the progress of local policy concerning blood pressure measurement while testing a comprehensive approach to community‐based screening for cardiovascular risk. The authors describe the challenges in making a choice of blood pressure device and the approach to determine optimal method of measurement for our research program.
Keywords:BP measurement     CHAP     hypertension     LMIC     Philippines
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