Fig. 1

Components of the HEARTS-based intervention for integrated management of HIV and hypertension. A Ccounseling and support on adherence to both hypertension and HIV medicines, side effects of medicines, implementation of physical exercise, healthy diet, salt reduction, weight reduction, and smoking cessation. B Simple, stepwise approach to titrate amlodipine, valsartan, and hydrochlorothiazide as the first-, second-, and third-line therapies, respectively. C Procured amlodipine, valsartan, and hydrochlorothiazide from a private not-for-profit access program and we gave medicines to patients at no cost. D Blood pressure (BP) measured by a peer educator using a validated Omron M6 BP machine. Clinicians repeated the BP measurement for patients with initial BP > 140/90 mmHg. E In addition to the aforementioned task shifting of measuring BP, we trained and mentored clinical officers and nurses to prescribe hypertension medications to reduce the burden on doctors. F Developed and shared quarterly targets on hypertension care indicators with healthcare providers. We adapted the HEARTS hypertension register and CVD patient cards and utilized them to record patient data. Conducted quarterly performance review meetings