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1) Healthcare related factors
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Inflexible clinic hours
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Clinic visits always coincide with religious worship time [n = 3]*
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Works/farm during clinic hours [n = 10]
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Difficult to refill drugs for longer periods when travelling out of town [n = 6]
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Long waiting time
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Less time available for business or other important activities [n = 31]
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Logistics/ travel costs constraints
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Residence too far from clinic [n = 4]
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Medications out of stock
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Under dispensed prescriptions [n = 11]
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Prescribed pills not dispensed [n = 3]
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2) Patient related factors
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Poor knowledge about hypertension
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Hypertension is curable, transient [n = 23]
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Feels well, no symptoms, so don’t use pills [n = 3]
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3) Medication related factors
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Adverse effects, side effects
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Abandon pills to avoid intolerable effects [n = 7]
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Complexity of prescription regimes
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Too many pills prescribed, too frequent dosing to follow [n = 6]
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Substitution/supplementation of prescribed medicines
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Takes herbal drugs alongside prescribed pills [n = 5]
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Takes herbal drugs in place of prescribed pills [n = 2]
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4) Religion related factors
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Medication use discouraged by faith practice
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Believes in faith healing [n = 2]
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Dosing frequency incompatible with faith practice (fasting) [n =13]
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5) Social factors
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None or poor social support
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Wife lacks husband’s approval (which is) mandatory for outings – clinic visits [n = 1]
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