The George Institute For Global Health
United Kingdom

Systematic Medical Appraisal, Referral and Treatment (SMART) Health in rural India

Project status: 
Start date: 
Fact sheet

The overall objective of this research is to investigate the 10 years cardiac risk assessment for high risk patients and effectiveness of an innovative and multi-disciplinary program addressing blood pressure (BP) control in rural India.

The specific aims are:

  • To develop a multifaceted primary healthcare worker intervention that utilises a smartphone clinical decision support system to improve optimal BP control in high risk individuals.
  • To evaluate this program utilising a mixed methods evaluation in a cluster randomised trial involving villages in rural Andhra Pradesh.


A cRCT will be done where 54 villages will be randomized at different times to receive the intervention which will comprise of:

  • Provision of smartphones, BP monitors and other diagnostic tools (eg glucometers), and access to the CDSS via the Sanamobile platform for all ASHAs and PHC doctors in the intervention period
  • Workforce capacity building for ASHAs and PHC doctors


Study has ended, data analysis ongoing. More than 54,000 subjects aged 40 years and above in 54 villages have been screened.