Effectiveness of Home-Based Blood Pressure Monitoring in Improving Hypertension Outcomes in Enugu State

Background: Home-based blood pressure monitoring has demonstrated effectiveness in improving hypertension control in high-income settings, and its potential within sub-Saharan African primary care merits investigation. This study evaluates the effectiveness of home-based blood pressure monitoring on hypertension control outcomes among patients managed in family medicine clinics in Enugu State, South East geopolitical zone. Methods: A quasi-experimental study enrolled 140 hypertensive patients who were randomly assigned to home monitoring plus usual care versus usual care alone over a six-month period. Blood pressure control and medication adherence were the primary outcomes. Results: Patients in the home monitoring group demonstrated significantly greater reductions in systolic and diastolic blood pressure. Medication adherence was higher in the intervention group. Self-efficacy for hypertension management was significantly improved. Device affordability and battery replacement were reported as implementation challenges. Conclusion: Home-based blood pressure monitoring is an effective adjunct to routine hypertension management in family medicine clinics in Enugu State. Scale-up requires affordable device access programmes and patient training in self-measurement techniques within primary care frameworks. Keywords: home blood pressure monitoring, hypertension control, family medicine, Enugu State, self-management