Abstract
BackgroundPersonal hypertension management is a cornerstone in the prevention of hypertension complications. In Eritrea, the increase in the national life expectancy rate has been accompanied by an increase in hypertension complications such as stroke. Hence, this study was designed to identify barriers and facilitates to hypertension management from the perspective of the patients.MethodsThis was a qualitative study of a total of 48 individual in-depth interviews and two focus group discussions. It was conducted among hypertensive patients who were attending outpatient services at two hospitals in Asmara, Eritrea.ResultsThis study identified barriers and facilitators of hypertension management related to the individual patient, family and community, and healthcare system. With respect to individual factors, economic barriers, stress, non-adherence to medications due to the use of traditional remedies, and difficulties and misconceptions about following physical activity guidelines were mentioned as barriers to hypertension management. Related to the community and healthcare system, low community awareness, community stigma, and inadequate health promotion materials were stated as barriers. Individual knowledge, family, and government support were reported as very important factors to the patient’s success in the personal hypertension management.ConclusionsCounseling patients about adherence to medication, strengthening family and government support, and empowering families and the community with appropriate knowledge of hypertension management could potentially help in an individual’s adherence.
Highlights
Personal hypertension management is a cornerstone in the prevention of hypertension complications
We identified a total of nine barriers and six facilitators
Individual barriers and facilitators An individual facilitator of effective hypertension management was that participants had a good understanding of what they needed to do
Summary
Personal hypertension management is a cornerstone in the prevention of hypertension complications. The estimated prevalence of hypertension among the adult world population was 26.4% (972 million) in 2000 with an estimated prevalence of 29.2% (1.5 billion) in 2025 [2]. It is becoming a global public health threat, consuming a large percentage of public health expenditures [3]. In the African continent, the overall prevalence of hypertension has been difficult to determine because a Patients with hypertension are at increased risk of cardiovascular- and cerebrovascular-related deaths. Hypertension management is critical to the prevention of cardiovascular and cerebrovascular events
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