Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study
Background and Methods. Hypertension is a global public health challenge and a leading risk factor for cardiovascular morbidity and mortality. Hypertension control rates are low worldwide, and delay in seeking care is associated with increased mortality. Methods. In a qualitative study, known hypert...
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doaj-232d7e107f3c40fbbae82212d40046952020-11-24T23:22:38ZengHindawi LimitedInternational Journal of Hypertension2090-03842090-03922018-01-01201810.1155/2018/83075918307591Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative StudyGeofrey Musinguzi0Sibyl Anthierens1Fred Nuwaha2Jean-Pierre Van Geertruyden3Rhoda K. Wanyenze4Hilde Bastiaens5Department of Disease Control and Environmental Health, School of Public Health, Makerere University, Kampala, UgandaPrimary and Interdisciplinary Care, University of Antwerp, Antwerp, BelgiumDepartment of Disease Control and Environmental Health, School of Public Health, Makerere University, Kampala, UgandaInternational Health, University of Antwerp, Antwerp, BelgiumDepartment of Disease Control and Environmental Health, School of Public Health, Makerere University, Kampala, UgandaPrimary and Interdisciplinary Care, University of Antwerp, Antwerp, BelgiumBackground and Methods. Hypertension is a global public health challenge and a leading risk factor for cardiovascular morbidity and mortality. Hypertension control rates are low worldwide, and delay in seeking care is associated with increased mortality. Methods. In a qualitative study, known hypertensive patients were interviewed to explore factors influencing compliance and health seeking behaviour (HSB). Data was analyzed following a semantic thematic analysis approach. Results. Patients sought various channels of care for their hypertension. Self-medication and access to antihypertensive drugs with or without prescription were common as well as use of herbal remedies. Regular monitoring of blood pressure was not a common practice. Factors influencing HSB were related to health systems and the patient socioeconomic and structural environment. The main system issues were related to availability and attitudes of staff and shortage of supplies and medicines. The patient factors were related to awareness, perceived severity, perceived effectiveness of therapy, adverse effects, and perceived fears of lifelong dependence on medicines. The patient socioeconomic status played a role as did the marketing of traditional medicine. Conclusion. Patients seek varied channels of care for their hypertension. Strategies to address the multifactorial dimensions that affect HSB are needed to improve hypertension control in this population.http://dx.doi.org/10.1155/2018/8307591 |
collection |
DOAJ |
language |
English |
format |
Article |
sources |
DOAJ |
author |
Geofrey Musinguzi Sibyl Anthierens Fred Nuwaha Jean-Pierre Van Geertruyden Rhoda K. Wanyenze Hilde Bastiaens |
spellingShingle |
Geofrey Musinguzi Sibyl Anthierens Fred Nuwaha Jean-Pierre Van Geertruyden Rhoda K. Wanyenze Hilde Bastiaens Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study International Journal of Hypertension |
author_facet |
Geofrey Musinguzi Sibyl Anthierens Fred Nuwaha Jean-Pierre Van Geertruyden Rhoda K. Wanyenze Hilde Bastiaens |
author_sort |
Geofrey Musinguzi |
title |
Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study |
title_short |
Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study |
title_full |
Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study |
title_fullStr |
Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study |
title_full_unstemmed |
Factors Influencing Compliance and Health Seeking Behaviour for Hypertension in Mukono and Buikwe in Uganda: A Qualitative Study |
title_sort |
factors influencing compliance and health seeking behaviour for hypertension in mukono and buikwe in uganda: a qualitative study |
publisher |
Hindawi Limited |
series |
International Journal of Hypertension |
issn |
2090-0384 2090-0392 |
publishDate |
2018-01-01 |
description |
Background and Methods. Hypertension is a global public health challenge and a leading risk factor for cardiovascular morbidity and mortality. Hypertension control rates are low worldwide, and delay in seeking care is associated with increased mortality. Methods. In a qualitative study, known hypertensive patients were interviewed to explore factors influencing compliance and health seeking behaviour (HSB). Data was analyzed following a semantic thematic analysis approach. Results. Patients sought various channels of care for their hypertension. Self-medication and access to antihypertensive drugs with or without prescription were common as well as use of herbal remedies. Regular monitoring of blood pressure was not a common practice. Factors influencing HSB were related to health systems and the patient socioeconomic and structural environment. The main system issues were related to availability and attitudes of staff and shortage of supplies and medicines. The patient factors were related to awareness, perceived severity, perceived effectiveness of therapy, adverse effects, and perceived fears of lifelong dependence on medicines. The patient socioeconomic status played a role as did the marketing of traditional medicine. Conclusion. Patients seek varied channels of care for their hypertension. Strategies to address the multifactorial dimensions that affect HSB are needed to improve hypertension control in this population. |
url |
http://dx.doi.org/10.1155/2018/8307591 |
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