Surya Devkota|Raja Ram Dhungana|Achyut Raj Pandey|Bihungum Bista|Savyata Panthi|Kartikesh Kumar Thakur|Ratna Mani Gajurel
Barriers to Treatment and Control of Hypertension among Hypertensive Participants: A Community-Based Cross-sectional Mixed Method Study in Municipalities of Kathmandu, Nepal
Tribhuvan University|Nepal Family Development Foundation|Nepal Health Research Council|Nepal Health Research Council|Tribhuvan University|Tribhuvan University
despite established evidence benefits controlling raised blood pressure development several guidelines detection management hypertension people often untreated uncontrolled hypertension context undertook study identify barriers existing hypertension treatment control municipalities kathmandu district nepalthis community based crosssectional mixed method study conducted municipalities kathmandu district nepal january july 2015 among 587 randomly selected participants aware hypertensive participants assessed treatment control hypertension qualitative component 20 participants uncontrolled hypertension took part two focused group discussions two cardiac physicians participated indepth interviewsout 587 participants screened 191 325 identified hypertensive among 191 hypertensive participants 118 618 aware problem 118 aware hypertensive participants 93 788 taking medicines among treated 46 496 controlled hypertension proportions participants taking antihypertensive medications varied significantly age groups ethnicity occupation income hypertension control significantly associated use combination therapy adherence medication followup care counseling healthcare providers waiting time hospital worried medicine needs taken lifelong perceived side effects drugs nonadherence medication lost followup inadequate counseling physician lack national guidelines hypertension treatment commonly cited barriers treatment control hypertension qualitative component researchlarge proportion hypertensive population untreated uncontrolled hypertension efforts dispel dismantle myths barriers related hypertension treatment control warranted reduce consequences uncontrolled hypertension