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Beliefs about hypertension among primary health care workers and clients in Nigeria: A qualitative study

Akinlua, JT; Meakin, R; Bashir, I; Freemantle, N; (2018) Beliefs about hypertension among primary health care workers and clients in Nigeria: A qualitative study. PLoS One , 13 (12) , Article e0209334. 10.1371/journal.pone.0209334. Green open access

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Abstract

Objective: The main objective of the study was to elicit beliefs about hypertension among Nigerian Primary Health Care clients and workers. Background: In many regions of Nigeria, the primary health care facility is usually the only source of formal health care available. Since hypertension is a chronic condition that requires lifelong life style modification and drug treatment, it is important to understand the context and background to the condition through the beliefs and perceptions among both lay persons and health care providers who manage the condition. Setting: Rural and urban primary health care facilities in the Federal Capital Territory Nigeria. Participants: A total of Eighty-one (81) primary health care clients and workers participated in the study. Methods and outcome measure A qualitative research using interviews, focus group discussions and reflective work as sources of data collection. The outcome measures were emerging themes from thematic framework analysis. Results: There were four themes that summarize beliefs of both PHC workers and clients namely: (1) Meaning of hypertension (2) causes of hypertension, (3) Consequences of hypertension (4) Perceptions of treatment, one additional distinct theme was elicited among PHC workers “contextual explanation”. However, under each of the shared four themes, there were both similarities and differences in beliefs expressed between PHC workers and clients. Conclusions: This study highlights important similarities and differences in beliefs about hypertension among primary health care clients and primary health care workers that have significant implications for management of hypertension in primary care settings in Nigeria.

Type: Article
Title: Beliefs about hypertension among primary health care workers and clients in Nigeria: A qualitative study
Open access status: An open access version is available from UCL Discovery
DOI: 10.1371/journal.pone.0209334
Publisher version: http://doi.org/10.1371/journal.pone.0209334
Language: English
Additional information: Copyright: © 2018 Akinlua et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
Keywords: Science & Technology, Multidisciplinary Sciences, Science & Technology - Other Topics, ILLNESS, MODELS
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > Inst of Clinical Trials and Methodology > Comprehensive CTU at UCL
URI: https://discovery.ucl.ac.uk/id/eprint/10066390
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