Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives

Background: Hypertension is a significant cardiovascular disease (CVD) and driver to CVD disorders in sub-Saharan Africa. It is a major independent risk factor for heart failure, stroke, and kidney failure. Persons living with hypertension attend to many aspects of self-care to manage their conditio...

Descripción completa

Guardado en:

Detalles Bibliográficos
Autores principales:	Josephine Nambi Najjuma, Laura Brennaman, Rose C. Nabirye, Frank Ssedyabane, Samuel Maling, Francis Bajunirwe, Rose Muhindo
Formato:	article
Lenguaje:	EN
Publicado:	Ubiquity Press 2020
Materias:	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/bd9624f74c814bb1a6f4ba3354e8a484
Etiquetas:	Agregar Etiqueta Sin Etiquetas, Sea el primero en etiquetar este registro!

id	oai:doaj.org-article:bd9624f74c814bb1a6f4ba3354e8a484
record_format	dspace
spelling	oai:doaj.org-article:bd9624f74c814bb1a6f4ba3354e8a4842021-12-02T12:26:33ZAdherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives2214-999610.5334/aogh.2904https://doaj.org/article/bd9624f74c814bb1a6f4ba3354e8a4842020-06-01T00:00:00Zhttps://annalsofglobalhealth.org/articles/2904https://doaj.org/toc/2214-9996Background: Hypertension is a significant cardiovascular disease (CVD) and driver to CVD disorders in sub-Saharan Africa. It is a major independent risk factor for heart failure, stroke, and kidney failure. Persons living with hypertension attend to many aspects of self-care to manage their condition, including high blood pressure medication adherence to control of blood pressure. Rates of medication non-adherence, and thus uncontrolled hypertension, remain high and contribute to poor health outcomes. Understanding barriers and facilitators to adherence to hypertension therapies can help improve health outcomes. Objective: The aim of the study was to describe the common reasons for adherence and non-adherence to antihypertensive medication from patients’ perspectives. Methods: A qualitative study engaged clients of an out-patient clinic of a regional referral hospital in southwestern Uganda who were living with hypertension as participants. One-on-one in-depth interviews provided the narrative data. The interview transcripts were analyzed using thematic analysis. Findings: Sixteen participants provided the data for the findings. The themes identified as facilitators for adherence to antihypertensive medication were patients’ understanding of prescribed medication, availability of medication for hypertension, family support for patients living with hypertension, and regular review appointments at the hypertensive clinics. Conversely, lack of supply in government dispensaries, use of self-prescribed analgesic medication, and stigma were identified as barriers and challenges of adherence to antihypertensive medication. Conclusions: There is an urgent need for the health ministry to improve availability of high blood pressure medication and for health care providers to deliver individualized patient centered care, and sensitization on danger of self-prescription and measures that reduce stigma. These strategies may improve adherence to high blood pressure medication.Josephine Nambi NajjumaLaura BrennamanRose C. NabiryeFrank SsedyabaneSamuel MalingFrancis BajunirweRose MuhindoUbiquity PressarticleInfectious and parasitic diseasesRC109-216Public aspects of medicineRA1-1270ENAnnals of Global Health, Vol 86, Iss 1 (2020)
institution	DOAJ
collection	DOAJ
language	EN
topic	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270
spellingShingle	Infectious and parasitic diseases RC109-216 Public aspects of medicine RA1-1270 Josephine Nambi Najjuma Laura Brennaman Rose C. Nabirye Frank Ssedyabane Samuel Maling Francis Bajunirwe Rose Muhindo Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives
description	Background: Hypertension is a significant cardiovascular disease (CVD) and driver to CVD disorders in sub-Saharan Africa. It is a major independent risk factor for heart failure, stroke, and kidney failure. Persons living with hypertension attend to many aspects of self-care to manage their condition, including high blood pressure medication adherence to control of blood pressure. Rates of medication non-adherence, and thus uncontrolled hypertension, remain high and contribute to poor health outcomes. Understanding barriers and facilitators to adherence to hypertension therapies can help improve health outcomes. Objective: The aim of the study was to describe the common reasons for adherence and non-adherence to antihypertensive medication from patients’ perspectives. Methods: A qualitative study engaged clients of an out-patient clinic of a regional referral hospital in southwestern Uganda who were living with hypertension as participants. One-on-one in-depth interviews provided the narrative data. The interview transcripts were analyzed using thematic analysis. Findings: Sixteen participants provided the data for the findings. The themes identified as facilitators for adherence to antihypertensive medication were patients’ understanding of prescribed medication, availability of medication for hypertension, family support for patients living with hypertension, and regular review appointments at the hypertensive clinics. Conversely, lack of supply in government dispensaries, use of self-prescribed analgesic medication, and stigma were identified as barriers and challenges of adherence to antihypertensive medication. Conclusions: There is an urgent need for the health ministry to improve availability of high blood pressure medication and for health care providers to deliver individualized patient centered care, and sensitization on danger of self-prescription and measures that reduce stigma. These strategies may improve adherence to high blood pressure medication.
format	article
author	Josephine Nambi Najjuma Laura Brennaman Rose C. Nabirye Frank Ssedyabane Samuel Maling Francis Bajunirwe Rose Muhindo
author_facet	Josephine Nambi Najjuma Laura Brennaman Rose C. Nabirye Frank Ssedyabane Samuel Maling Francis Bajunirwe Rose Muhindo
author_sort	Josephine Nambi Najjuma
title	Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives
title_short	Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives
title_full	Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives
title_fullStr	Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives
title_full_unstemmed	Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives
title_sort	adherence to antihypertensive medication: an interview analysis of southwest ugandan patients’ perspectives
publisher	Ubiquity Press
publishDate	2020
url	https://doaj.org/article/bd9624f74c814bb1a6f4ba3354e8a484
work_keys_str_mv	AT josephinenambinajjuma adherencetoantihypertensivemedicationaninterviewanalysisofsouthwestugandanpatientsperspectives AT laurabrennaman adherencetoantihypertensivemedicationaninterviewanalysisofsouthwestugandanpatientsperspectives AT rosecnabirye adherencetoantihypertensivemedicationaninterviewanalysisofsouthwestugandanpatientsperspectives AT frankssedyabane adherencetoantihypertensivemedicationaninterviewanalysisofsouthwestugandanpatientsperspectives AT samuelmaling adherencetoantihypertensivemedicationaninterviewanalysisofsouthwestugandanpatientsperspectives AT francisbajunirwe adherencetoantihypertensivemedicationaninterviewanalysisofsouthwestugandanpatientsperspectives AT rosemuhindo adherencetoantihypertensivemedicationaninterviewanalysisofsouthwestugandanpatientsperspectives
_version_	1718394476338085888

Adherence to Antihypertensive Medication: An Interview Analysis of Southwest Ugandan Patients’ Perspectives

Ejemplares similares