Category | Sub-category | Concepts |
---|---|---|
1) Healthcare related factors | Inflexible clinic hours | Clinic visits always coincide with religious worship time [n = 3]* |
Works/farm during clinic hours [n = 10] | ||
Difficult to refill drugs for longer periods when travelling out of town [n = 6] | ||
Long waiting time | Less time available for business or other important activities [n = 31] | |
Logistics/ travel costs constraints | Residence too far from clinic [n = 4] | |
Medications out of stock | Under dispensed prescriptions [n = 11] | |
Prescribed pills not dispensed [n = 3] | ||
2) Patient related factors | Poor knowledge about hypertension | Hypertension is curable, transient [n = 23] |
Feels well, no symptoms, so don’t use pills [n = 3] | ||
3) Medication related factors | Adverse effects, side effects | Abandon pills to avoid intolerable effects [n = 7] |
Complexity of prescription regimes | Too many pills prescribed, too frequent dosing to follow [n = 6] | |
Substitution/supplementation of prescribed medicines | Takes herbal drugs alongside prescribed pills [n = 5] | |
Takes herbal drugs in place of prescribed pills [n = 2] | ||
4) Religion related factors | Medication use discouraged by faith practice | Believes in faith healing [n = 2] |
Dosing frequency incompatible with faith practice (fasting) [n =13] | ||
5) Social factors | None or poor social support | Wife lacks husband’s approval (which is) mandatory for outings – clinic visits [n = 1] |