A cluster-randomized trial in rural Lesotho demonstrated that minimally trained community health workers equipped with mobile decision support technology achieved superior hypertension control compared to traditional facility-based referrals. The intervention represents a significant departure from conventional healthcare delivery models that typically require specialized medical training and clinical infrastructure. This finding has profound implications for addressing the global hypertension crisis, particularly in resource-limited settings where specialist access remains severely constrained. The success of lay health workers using standardized mobile protocols suggests that effective blood pressure management can be democratized beyond traditional medical hierarchies. For health-conscious adults, this validates the potential of technology-assisted community care models that could eventually expand access to preventive cardiovascular interventions. However, the single-study design and specific rural African context limit immediate generalizability to developed healthcare systems. The approach appears most transformative for underserved populations where the alternative is often no care at all, rather than replacing existing quality clinical services. This represents an incremental but important advance in task-shifting strategies for chronic disease management.