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Community health worker-led versus facility-based type 2 diabetes care in rural Lesotho: a cluster-randomized trial within the ComBaCaL cohort study - PubMed

3 hours ago
  • #Community Health Workers
  • #Low-Resource Settings
  • #Diabetes Care
  • This study evaluated community health worker-led diabetes care using a digital clinical decision support system compared to facility-based care in rural Lesotho.
  • At 12 months, glycated haemoglobin was lower in the intervention arm (6.5%) than in the control arm (7.1%), with an adjusted mean difference of -0.46%.
  • Engagement in care was higher in the CHW-led intervention arm, with no significant difference in safety outcomes observed.