Patient pathways and perceptions of hypertension treatment, management, and control in rural Bangladesh: a qualitative study.

Patient Preference and Adherence
Aliya NaheedHelena Legido-Quigley

Abstract

Hypertension is an increasing threat to global public health, a leading cause of premature death, and an important modifiable risk factor for cardiovascular and cerebrovascular disease. Despite evidence on the efficacy of antihypertensive medication for blood-pressure control and mortality prevention, a large proportion of individuals are undiagnosed and untreated, especially in resource-constrained settings. This qualitative study explored patient pathways to care, as well as knowledge of and adherence to hypertension care. We conducted in-depth interviews with 20 hypertensive patients in two rural districts in Bangladesh. Interviews were conducted and transcribed in Bangla and translated to English. QSR NVivo 10 software was used for analyses. We mapped patient pathways and report here on patient experiences accessing care from local pharmacies, the government, and private clinics. Overall, most patients reported hypertension awareness prior to diagnosis and were conscious about consequences of hypertension. However, patients had little knowledge about prevention and treatment strategies. Most patients considered hypertension an important disease, albeit reporting taking medication only when symptomatic. Patients were aware o...Continue Reading

Citations

Jun 10, 2021·International Journal of Nursing Knowledge·Rafaella Pessoa MoreiraTahissa Frota Cavalcante

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Clinical Trials Mentioned

NCT02657746

Software Mentioned

QSR NVivo

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