Table 3 Healthcare Provider Perceived Barriers for Patient Antihypertensive Medication Adherence from KII (n = 10)
Category | Sub-Category | Concepts |
|---|---|---|
1. Healthcare Related Factors | Counseling Physician Training Physician Access Healthcare Costs Screening Access | Need more physician education surrounding hypertension diagnosis and medications (n = 2) Takes too much time to counsel (n = 1) No official hypertension training (n = 6) Lack of follow-up care (n = 1) Infrastructure is lacking, especially in rural areas (n = 2) Screening is too expensive (n = 1) Not enough patients diagnosed (n = 2) |
2. Patient Related Factors | Adherence Lifestyle Factors Disease Knowledge Refusal | Forget to take medication (n = 1) Busy lifestyle causes people to forget (n = 5) Unwilling to change lifestyle (n = 5) Do not realize they are sick (n = 6) Do not understand the disease (n = 7) Unaware of long-term complications (n = 1) Unable to read education materials (n = 3) Refuse to take medications (n = 4) |
3. Medication Factors | Side Effects Affordability | Side effects feel harmful (n = 2) Concern about long-term effects (n = 2) Pill Burden (n = 5) Medications are too expensive (n = 9) |
4. Religion | Medication use discouraged Higher trust in religious leaders | Pastors advise to stop taking medicines (n = 2) Belief that traditional medicine is better (n = 4) Trust in traditional medicine leads to false belief in cure (n = 5) |