The SINEMA model will be implemented in Nanhe County, China and be evaluated through a cluster-randomized control trial. Fifty villages with about 25 stroke patients per village will be recruited. After a baseline survey, these villages will be randomized in a 1:1 ratio to either the intervention group (SINEMA model) or the control group (usual care). Follow-up survey will be conducted in the same way in all villages at 3-month and 12-month after the initial of the study. The primary outcome is systolic blood pressure and a number of secondary and exploratory outcomes will be collected. Process evaluation and economic evaluation will also be conducted.