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

Josephine Nambi Najjuma1, Laura Brennaman2, Rose C Nabirye3

  • 1Department of Nursing, Mbarara University of Science and Technology, Mbarara, UG.

Annals of Global Health
|September 8, 2020
PubMed

Insights

Patient understanding, medication availability, family support, and clinic visits facilitate hypertension medication adherence. Barriers include drug shortages, self-prescribed pain relievers, and stigma.

Area of Science:

  • Cardiology
  • Public Health
  • Sub-Saharan Africa Health

Background:

  • Hypertension is a major cardiovascular disease and risk factor in sub-Saharan Africa.
  • Uncontrolled hypertension leads to severe health issues like heart failure, stroke, and kidney failure.
  • Medication non-adherence is a significant challenge impacting hypertension management and patient outcomes.

Purpose of the Study:

  • To explore patient perspectives on factors influencing adherence to antihypertensive medications.
  • To identify common reasons for both adherence and non-adherence to blood pressure medication.

Main Methods:

  • A qualitative study was conducted with hypertension patients at a regional referral hospital in southwestern Uganda.
  • Data were collected through one-on-one in-depth interviews.
  • Thematic analysis was used to analyze interview transcripts.

Main Results:

  • Key facilitators of adherence included understanding prescribed medication, medication availability, family support, and regular clinic reviews.
  • Barriers identified were medication stock-outs, use of self-prescribed analgesics, and social stigma.
  • Sixteen participants contributed data to the study's findings.

Conclusions:

  • Improving medication availability and providing patient-centered care are crucial.
  • Educating patients on the risks of self-prescription and reducing stigma can enhance medication adherence.
  • Interventions should focus on addressing identified barriers to improve hypertension management.
Abstract

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