Table 3 Factors facilitating adherence to medications: thematic matrix of categories, subcategories and concepts (n = 40)
Category | Sub-category | Concepts |
|---|---|---|
1) Healthcare related factors | Affordability of quality ‘Hygeia Community Health Care’ Plan | Free access to ‘good’ Hygeia community health care “obliges” and encourages compliance with pills [n = 30]* |
Free Hygeia community health care is timely blessing from God and conscientious pill use maximizes this blessing [n = 5] | ||
Appreciation of healthcare provider | Impressive professional and social reputation of Doctor stimulates compliance [n = 12] | |
Approachability of healthcare provider | The listening, concerned doctor [n = 29] | |
Doctor’s willingness to dose pills relevant to circumstances (e.g. fasting period) [n = 10] | ||
Availability of medication | Pills free and always available [n = 30] | |
2) Patient related factors | Perceived dreaded nature of hypertension | Hypertension is dangerous and can kill [n = 38] |
3) Medication related factors | Perceived efficacy of orthodox (western) medicines | White man’s pills work better than traditional medicines (herbs) [n = 20] |
4) Religion related factors | Faith related support | Prayer makes pills work well [n = 19] |
Motivation from health counseling at faith meetings/services [n = 6] | ||
5) Social support factors | Supportive and concerned family | Family members remind patient and monitor pill use [n = 10] |
Peer support | Motivation from other ‘positive living’ hypertensive patients [n = 4] |