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Table 5 Factors facilitating compliance with behavioral measures: thematic matrix of categories, subcategories and concepts (n = 40)

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

A) Salt reduction
Category Sub-category Concepts
1) Health education Multiple educational channels Information from extra channels (radio, church, mosque) reinforces Doctor’s effort [n = 9]*
  Relevance and local content of education messages Counseling on available suitable local substitutes for salt, maggi – Iru ‘Locust beans’ paste [n = 9]
Counseling on ‘saltiness’ of meals not self-prepared – (food from canteens, social ‘parties) [n = 4]
2) Local practices Compliance easy with substitutes ‘Iru’ cheap, easy to find [n = 9]
3) Social support factors Family cooperation Readiness of other family members to adjust to meals prepared with less salt [n = 26]
B) Weight control   
Category Sub-category Concepts
1) Local practices Perception of body size; weight and beauty Societal view that being too fat means ugliness, sexual unattractiveness [n = 5]
  Perception of body size; weight and body smartness Perception that being too fat leads to physical unfitness (can’t lift body) [n = 3]
  Vegetable gardening and farming practice Vegetables cheaply available and easily grown [n = 4]
  Possibility and practice of fishing (from local rivers) Fish easily available and more consumed than meat [n = 7]
C) Exercising   
Category Sub-category Concepts
1) Social support factors Awareness that exercise requires not much extra effort such as: Possible to exercise using everyday activities [n = 11]
  using household chores to exercise Sweeping, washing clothes, Pulling water from well [n = 10]
  farming to exercise Hoeing, shoveling, clearing bush, harvesting, gardening [n = 4]
  transporting to exercise Canoe paddling, bicycling, walking [n = 23]
  preparing food to exercise Mortar grinding/pounding, wood axing [n = 11]
  exercising during religious worship practice/meetings Clapping, dancing, singing, jumping, bending & rising [n = 5]
  using leisure to exercise Drumming, cultural dancing [n = 11]
2) Patient related factors Perceived influence of exercise on hypertension Exercising makes body light and good for BP control [n = 27]
3) Health education Reinforcement through education Exposure to regular counseling on need to exercise [n = 19]
D) Quitting/not using tobacco, alcohol, stimulants
Category Sub-category Concepts
Religion related factors Faith based support (health counseling) Abhorrence of ‘ungodly’ (unhealthy) social habits (smoking, alcohol use) by Islam and Christianity [n = 2]
Social support factors Gender based support (societal view) African society frowns at the habit of women smoking or using alcohol [n = 2]