Factors Influencing Adherence to Hypertension Medication

Nuwahereza Innocent
June 2020
Accreditation Project
Ishaka Adventist Hospital

High blood pressure is a huge problem in Uganda. It affects almost every family and the financial strain that it puts on individual incomes is quite high.


Medication adherence is a complex multidimensional phenomenon involving various personal, social, economic and cultural factors which are not clearly understood. It is important that health care professionals and medical sociologists understand the factors that affect compliance in their own context in order to manage the disease effectively. This study had focused on the factors influencing adherence to hypertension medication. The study relates to hypertension patients at Ishaka Adventist Hospital Bushenyi district, western Uganda.

Statement of the problem

A number of reviews have found that in developed countries, compliance/adherence to long term medical therapies including hypertension medication in the population is around 50% and is assumed to be much lower in low-income countries including Uganda WHO (2003).

Results and Conclusion

The study revealed that 63% of the patients attending clinic Ishaka Adventist Hospital, Bushenyi district Western Uganda have the knowledge and are aware that hypertension is a serious disease and uncontrolled hypertension can lead to complications and later instant death or permanently being disabled, however, 37% do not have the correct knowledge and the consequences of non-adherence to hypertension medication.

75.7% of the respondents reported that they frequently stopped medication because they could not afford to take the medication as prescribed on a daily basis due to financial constrain. The study established that the hospital had 68.38% of its patients strictly adhering to their medication as prescribed by the health care provider, While 31.62% of the patients were not following their medication as prescribed by their service providers.

The study concludes that (50.5%) of the respondents reported perceiving adherence to hypertension medication as important as shown by their response that adherence to hypertension medication improves the quality of life and protect against other complications. 64% of the respondents also reported perceiving that adherence to medication keeps their blood pressure under control while 68.4% had the perception that adherence to medication decreases their chance of dying.

Finally, the study revealed that socio-cultural factors had an insignificant influence on the adherence to conventional medicine among the patients attending Ishaka Adventist Hospital, Bushenyi district western Uganda with (95.8%) stating that they adhered to their medications without using traditional medicine while ( 4.2%) stated they rarely used traditional medicine and also (98%) stated that they adhered to their medication without any influence by their religious belief.

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