HIV Patients in Tanzania See Big Health Improvements

In Tanzania, a big health challenge has been quietly growing. Many people living with HIV also struggle with uncontrolled hypertension. A recent pilot program called COACH aimed to change that by integrating hypertension management into HIV care. This program was tested in two public HIV clinics in Moshi, Tanzania, from December 2024 to September 2025.

The COACH program took a comprehensive approach. It included education sessions delivered by community health workers, regular blood pressure checks, and care coordination. Participants also received subsidized antihypertensive medications and followed a standardized treatment plan. Healthcare providers received training to ensure they could effectively manage hypertension in HIV patients.

The results were impressive. Of the 100 participants, 96 completed the six-month program. At the end, 76% had their blood pressure under control. On average, systolic blood pressure dropped from 159.6 mm Hg to 130.8 mm Hg, and diastolic blood pressure decreased from 100.8 mm Hg to 85.5 mm Hg. These changes were statistically significant, with p-values less than 0.001.

The program also had a positive impact on patients' knowledge and behavior. The Hypertension Knowledge Level Scale scores increased significantly, from 15.0 to 20.4. Self-reported medication adherence improved dramatically, from 14.0% to 95.0%. Additionally, participants saw a reduction in body mass index, from 27.0 to 26.6 kg/m2, and a decrease in 5-year cardiovascular risk, from 33% to 7%.

The success of the COACH program suggests that integrating hypertension management into HIV care can have a significant impact on patients' health outcomes. By taking a comprehensive approach and engaging community health workers, it's possible to improve blood pressure control, medication adherence, and overall cardiovascular health in people living with HIV in Tanzania.