A Pilot Project on a Community-Supported Approach to Blood Pressure Management to Improve Sustainability in a Rural Community in Bangladesh

A Pilot Project on a Community-Supported Approach to Blood Pressure Management to Improve Sustainability in a Rural Community in Bangladesh | Research Square window.SnipcartSettings = { analytics: { enabled: false } }; (function() { var accessVector = localStorage.getItem('access_vector') || ''; window.dataLayer = window.dataLayer || []; if (accessVector) { window.dataLayer.push({ user: { profile: { profileInfo: { snid: accessVector } } } }); } })(); (function(w,d,s,l,i){w[l]=w[l]||[];w[l].push({'gtm.start':new Date().getTime(),event:'gtm.js'});var f=d.getElementsByTagName(s)[0],j=d.createElement(s),dl=l!='dataLayer'?'&l='+l:'';j.async=true;j.src='https://www.googletagmanager.com/gtm.js?id='+i+dl;f.parentNode.insertBefore(j,f);})(window,document,'script','dataLayer','GTM-K279D39R'); Browse Preprints In Review Journals COVID-19 Preprints AJE Video Bytes Research Tools Research Promotion AJE Professional Editing AJE Rubriq About Preprint Platform In Review Editorial Policies Our Team Advisory Board Help Center Sign In Submit a Preprint Cite Share Download PDF Research Article A Pilot Project on a Community-Supported Approach to Blood Pressure Management to Improve Sustainability in a Rural Community in Bangladesh Abdullah Noor, Sanjit Karmokar, Mst. Ferdousi Yasmin, Mumtahenah Razul Mouree, and 13 more This is a preprint; it has not been peer reviewed by a journal. https://doi.org/ 10.21203/rs.3.rs-5282728/v2 This work is licensed under a CC BY 4.0 License Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Abstract Background: The long-term nature of chronic diseases, such as hypertension, necessitates exploring sustainable approaches to management in resource-limited settings. Objectives: The objective of the pilot study is to apply design ethnography and door-to-door community organization strategy to facilitate community support for sustainable hypertension management. Methods: Design ethnography facilitated describing the community and identifying local resources. Community organization involved forming health and inclusion committees through a door-todoor approach, with health workers selected based on key informant preferences. All residents aged ≥30 years within the community boundary were screened for hypertension, defined as systolic blood pressure ≥140 mmHg or diastolic ≥90 mmHg on two readings taken three minutes apart using an automatic bicep cuff. Screen-positive individuals received biweekly follow-up via an internet-based system using local resources and committee support. Results: Ethnographic insights highlighted limited access to healthcare, education, and nutrition while identifying resources, such as technological familiarity, interpersonal networks, and community spaces. The inclusion committee played an important role in resolving early conflicts associated with preferential worker selection. A total of 260 individuals were screened, of whom 20 met the hypertension criteria. From October 2020 to December 2022, mean systolic blood pressure decreased by 27 mmHg and diastolic by 9.9 mmHg (both p < 0.05). The resources and committees supported the ongoing project implementation. Conclusions: This project underscores the value of integrating ethnography and door-to-door community organization to foster sustainable hypertension management in resource-limited settings. Community support Chronic disease Ethnography Community organization Hypertension Pilot study Full Text Additional Declarations The authors declare no competing interests. Supplementary Files SupplementaryMaterials.docx Cite Share Download PDF Status: Posted Version 2 posted You are reading this latest preprint version Show more versions Research Square lets you share your work early, gain feedback from the community, and start making changes to your manuscript prior to peer review in a journal. As a division of Research Square Company, we’re committed to making research communication faster, fairer, and more useful. We do this by developing innovative software and high quality services for the global research community. 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Also discoverable on Platform About Our Team In Review Editorial Policies Advisory Board Help Center Resources Author Services Accessibility API Access RSS feed Manage Cookie Preferences © Research Square 2026 | ISSN 2693-5015 (online) Privacy Policy Terms of Service Do Not Sell My Personal Information {"props":{"pageProps":{"initialData":{"identity":"rs-5282728","acceptedTermsAndConditions":true,"allowDirectSubmit":true,"archivedVersions":[],"articleType":"Research Article","associatedPublications":[],"authors":[{"id":455486559,"identity":"5d6e3fbe-e56d-449a-80b7-090c1cc75fa5","order_by":0,"name":"Abdullah Noor","email":"data:image/png;base64,iVBORw0KGgoAAAANSUhEUgAAAZAAAAAyAQMAAABI0h/eAAAABlBMVEX///8AAABVwtN+AAAACXBIWXMAAA7EAAAOxAGVKw4bAAAA2klEQVRIiWNgGAWjYFAD5oOND4AUDx/xWtiSmw1AWthI0JLeJgGmCSk0Z28+9oGh5rA9fxtjW+XXHDsZNgbmh49u4NFi2XMseQbDscOJM44xtt2W3ZYMdBibsXEOHi0GN3KMgY65ncBwv7HttuQ2ZqAWHjZpwlr+3baXB9pSLLmtnkgtQCcxbgBqYfy47TARWs4cS2ZI7PufuPEYY7M047bjPGzMhPxyvPkww4dvafZyx9gffvy5rdqen7354WN8WsAgAUoz84BJQsqRAeMPUlSPglEwCkbBiAEAktpFqbd3aDYAAAAASUVORK5CYII=","orcid":"","institution":"Bangladesh Medical Association of North America-Louisiana Chapter","correspondingAuthor":true,"prefix":"","firstName":"Abdullah","middleName":"","lastName":"Noor","suffix":""},{"id":455486560,"identity":"cada02e9-7b1a-4749-9f3c-e298a8efed5f","order_by":1,"name":"Sanjit Karmokar","email":"","orcid":"","institution":"Bangladesh police","correspondingAuthor":false,"prefix":"","firstName":"Sanjit","middleName":"","lastName":"Karmokar","suffix":""},{"id":455486561,"identity":"73bbaca8-cdf3-4fb0-b7bc-21ef7e965b2b","order_by":2,"name":"Mst. 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study","lastPublishedDoi":"10.21203/rs.3.rs-5282728/v2","lastPublishedDoiUrl":"https://doi.org/10.21203/rs.3.rs-5282728/v2","license":{"name":"CC BY 4.0","url":"https://creativecommons.org/licenses/by/4.0/"},"manuscriptAbstract":"\u003cp\u003eBackground: The long-term nature of chronic diseases, such as hypertension, necessitates exploring sustainable approaches to management in resource-limited settings. Objectives: The objective of the pilot study is to apply design ethnography and door-to-door community organization strategy to facilitate community support for sustainable hypertension management.\u003c/p\u003e\n\u003cp\u003eMethods: Design ethnography facilitated describing the community and identifying local resources. Community organization involved forming health and inclusion committees through a door-todoor approach, with health workers selected based on key informant preferences. All residents aged ≥30 years within the community boundary were screened for hypertension, defined as systolic blood pressure ≥140 mmHg or diastolic ≥90 mmHg on two readings taken three minutes apart using an automatic bicep cuff. Screen-positive individuals received biweekly follow-up via an internet-based system using local resources and committee support.\u003c/p\u003e\n\u003cp\u003eResults: Ethnographic insights highlighted limited access to healthcare, education, and nutrition while identifying resources, such as technological familiarity, interpersonal networks, and community spaces. The inclusion committee played an important role in resolving early conflicts associated with preferential worker selection. A total of 260 individuals were screened, of whom 20 met the hypertension criteria. From October 2020 to December 2022, mean systolic blood pressure decreased by 27 mmHg and diastolic by 9.9 mmHg (both p \u0026lt; 0.05). The resources and committees supported the ongoing project implementation.\u003c/p\u003e\n\u003cp\u003eConclusions: This project underscores the value of integrating ethnography and door-to-door community organization to foster sustainable hypertension management in resource-limited settings.\u003c/p\u003e","manuscriptTitle":"A Pilot Project on a Community-Supported Approach to Blood Pressure Management to Improve Sustainability in a Rural Community in Bangladesh","msid":"","msnumber":"","nonDraftVersions":[{"code":2,"date":"2025-05-19 17:50:48","doi":"10.21203/rs.3.rs-5282728/v2","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}},{"code":1,"date":"2024-10-30 01:46:32","doi":"10.21203/rs.3.rs-5282728/v1","editorialEvents":[{"type":"communityComments","content":0}],"status":"published","journal":{"display":true,"email":"[email protected]","identity":"researchsquare","isNatureJournal":false,"hasQc":true,"allowDirectSubmit":true,"externalIdentity":"","sideBox":"","snPcode":"","submissionUrl":"/submission","title":"Research Square","twitterHandle":"researchsquare","acdcEnabled":true,"dfaEnabled":false,"editorialSystem":"","reportingPortfolio":"","inReviewEnabled":false,"inReviewRevisionsEnabled":true}}],"origin":"","ownerIdentity":"d6482be4-d74d-4d57-a3a0-20495884ef12","owner":[],"postedDate":"May 19th, 2025","published":true,"recentEditorialEvents":[],"rejectedJournal":[],"revision":"","amendment":"","status":"posted","subjectAreas":[],"tags":[],"updatedAt":"2025-02-10T13:45:58+00:00","versionOfRecord":[],"versionCreatedAt":"2025-05-19 17:50:48","video":"","vorDoi":"","vorDoiUrl":"","workflowStages":[]},"version":"v2","identity":"rs-5282728","journalConfig":"researchsquare"},"__N_SSP":true},"page":"/article/[identity]/[[...version]]","query":{"redirect":"/article/rs-5282728","identity":"rs-5282728","version":["v2"]},"buildId":"8U1c8b4HqxoKbykW_rLl7","isFallback":false,"isExperimentalCompile":false,"dynamicIds":[84888],"gssp":true,"scriptLoader":[]}