Perceptions of inhibitors and facilitators for adhering to hypertension treatment among insured patients in rural Nigeria: a qualitative study

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]*
1) Healthcare related factors		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]
	Approachability of healthcare provider	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]

*n refers to the number of respondents whose perceptions contribute to the corresponding concepts.