ArticleJournal of hypertension2019
Patients' and healthcare providers' perceptions and practices regarding hypertension, pharmacy-based care, and mHealth in Lagos, Nigeria: a mixed methods study.
Article in Journal of hypertension, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 of them syntheses that pooled it.
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Who cites it
21 citing papers in PubMed, 2 syntheses or guidelines pooled it.
- Health seeking behaviours and private sector delivery of care for non-communicable diseases in low- and middle-income countries: a systematic review.BMC health services research · 2024Pooled it
- Use of technology to prevent, detect, manage and control hypertension in sub-Saharan Africa: a systematic review.BMJ open · 2022Pooled it
- Knowledge on hypertension among hypertensive stroke survivors in Ghana: A cross-sectional, multicenter study.Equity neuroscience · 2026Article
- Mobile health interventions for African adults with hypertension: Evidence from a systematic review of implementation research outcomes.PLOS digital health · 2026Article
- Patients' perceptions of the role of community pharmacists in the prevention and control of cardiovascular diseases: a qualitative investigation.African health sciences · 2026Article
- Telepharmacy in Nigeria: a narrative review.Frontiers in public health · 2026Review
- Models of care for noncommunicable diseases in primary care: key elements and design in low- and middle-income countries - a scoping review.Global health action · 2025Article
- Digital health tools in hypertension management in sub-Saharan Africa: a scoping review of barriers and facilitators of adoption into mainstream healthcare.BMJ health & care informatics · 2025Article
- Integrating digital health technologies into the healthcare system: Challenges and opportunities in Nigeria.PLOS digital health · 2025Article
- A study protocol to engage religious leaders to reduce blood pressure in Tanzanian communities: A cluster randomized trial.Contemporary clinical trials · 2025Article
- Discrete choice modelling of hypertension patients' preferences for attributes of a public medical facility in Ibadan, Nigeria.BMC health services research · 2025Article
- 'Canadian liver journal · 2024Article
- Home-based blood pressure monitoring using the AHOMKA care model: a longitudinal single-group pilot study in Accra.Health sciences investigations journal · 2024Article
- Measurement Tools and Utility of Hair Analysis for Screening Adherence to Antihypertensive Medication.Global heart · 2023Review
- A Systematic Review of Patient Preferences, Expectations, and Values for the Management and Treatment of Hypertension.Patient preference and adherence · 2022Review
- Religious Leaders as Trusted Messengers in Combatting Hypertension in Rural Tanzanian Communities.American journal of hypertension · 2021Article
- Expanding telemedicine to reduce the burden on the healthcare systems and poverty in Africa for a post-coronavirus disease 2019 (COVID-19) pandemic reformation.Global health journal (Amsterdam, Netherlands) · 2021Review
- A qualitative inquiry of access to and quality of primary healthcare in seven communities in East and West Africa (SevenCEWA): perspectives of stakeholders, healthcare providers and users.BMC family practice · 2021Article
- Hypertension and Diabetes Management Practices Among Healthcare Workers in Imo and Kaduna States, Nigeria: An Exploratory Study.Risk management and healthcare policy · 2020Article
- Pharmacy-based hypertension care employing mHealth in Lagos, Nigeria - a mixed methods feasibility study.BMC health services research · 2018Article
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Authors and funding
7 authors.
Funding
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Abstract
backgroundIn sub-Saharan Africa, cardiovascular disease is becoming a leading cause of death, with high blood pressure as number one risk factor. In Nigeria, access and adherence to hypertension care are poor. A pharmacy-based hypertension care model with remote monitoring by cardiologists through mHealth was piloted in Lagos to increase accessibility to quality care for hypertensive patients.
objectivesTo describe patients' and healthcare providers' perceptions and practices regarding hypertension, pharmacy-based care, and mHealth and explore how this information may improve innovative hypertension service delivery.
methodsThis study consisted of observations of patient-pharmacy staff interactions and hypertension care provided, four focus group discussions and in-depth interviews with 30 hypertensive patients, nine community pharmacists, and six cardiologists, and structured interviews with 328 patients.
resultsMost patients were knowledgeable about biomedical causes and treatment of hypertension, but often ignorant about the silent character of hypertension. Reasons mentioned for not adhering to treatment were side effects, financial constraints, lack of health insurance, and cultural or religious reasons. Pharmacists additionally mentioned competition with informal, cheaper healthcare providers. Patients highly favored pharmacy-based care, because of the pharmacist-patient relationship, accessibility, small-scale, and a pharmacy's registration at an association. The majority of respondents were positive towards mHealth.
conclusionFacilitating factors for innovative pharmacy-based hypertension care were: patients' biomedical perceptions, pharmacies' strong position in the community, and respondents' positive attitude towards mHealth. We recommend health education and strengthening pharmacists' role to address barriers, such as misperceptions that hypertension always is symptomatic, treatment nonadherence, and unfamiliarity with mHealth. Future collaboration with insurance providers or other financing mechanisms may help diminish patients' financial barriers to appropriate hypertension treatment.
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