Health belief and operational models are important in contextualizing enablers and barriers to a given health care process or health intervention in a specific or diverse setting. The purpose of the study is to appraise from patients’ perspectives the approach of care and follow up for hypertensive patients in Fako Division in the Southwest Region of Cameroon, its suitability and recommending for a more comprehensive and adaptable approach. Concerning the theoretical scope, the study was guided by The Health Belief Model (HBM), The Theory of Human caring and the Theory of Health Promotion Model. It was a hospital-based cross-sectional study that employed concurrent triangulation mixed methods combining qualitative and quantitative survey approaches. All hypertensive patients (out and inpatients) and their care givers visiting the hospital during the study period as well as all health care providers and managers in the study setting were involved conveniently. Two hospitals were randomly selected; one public and one faith based hospital from among all the hospitals in the 4 main subdivisions of Fako, making a total of 8 hospitals of secondary and or tertiary levels of health facilities. Data were collected using a semi-structured questionnaire. An application to carry out the research was sent to the ethical review board of the University of Bamenda. Upon approval, Data were collected while abiding to the necessary ethical requirements. Data were digitalized with the support of EpiData version 3.1, and analyzed descriptively and inferentially using SPSS 21.0. As for the textual data (qualitative data), their abstraction was reduced following the process of thematic analysis with the support of Atlas Ti .2. The findings unfold that Hypertension was mostly perceived to be controlled not treated with major emphasis placed on prevention. It was recommended the complementarity between pharmacological and non-pharmacological approaches of treatment, with particular attention paid to prevention. It was generally perceived that prescription was by the doctor or physician though few acknowledged prescription by nurses. Number of barriers were identified and urged to be resolved. Compliance to treatment as well as treatment outcome were hindered by several factors, notably the diversity of treatment guidelines, the high cost of treatment, the inadequate availability of drugs, the ineffectiveness of drugs, resistance to drugs, inadequacy of staff and motivation, inadequate competent staff, poverty of patients, inadequacy of equipment notably BP machines that equally hinder self-monitoring by patients, non-compliance to treatment by patients, challenging home follow-up, enslavement of some areas, poor mobile network coverage in some areas, socio-political crisis, and psychological problems such as medication phobia and defection / pessimism.
Hypertension, Patients, Care, Follow-up, Model
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