Acceptability of patient education for hypertension self-management among healthcare providers and beneficiaries in South Africa, 2024: A qualitative study

Abstract

Background: The prevalence of hypertension (HTN) is increasing among people living with human immunodeficiency virus (HIV). Self-management is vital for improving health outcomes and preventing disease progression. While education for HTN self-management has been implemented in South Africa, little is known about its acceptability.

Aim: The study aims to explore the acceptability of patient education for self-management of HTN among people living with HIV (PLWH) and HTN, and healthcare providers in Integrating HIV and hEART health in South Africa (iHEART-SA) intervention clinics.

Setting: The study was conducted in six primary health care facilities in Johannesburg.

Methods: A qualitative study design using in-depth interviews (IDIs) was conducted with 18 healthcare providers and 13 PLWH and HTN. Data were gathered using a semi-structured interview guide. Interviews were conducted in English and audio recorded for transcription and analysis. MAXQDA was used for analysis.

Results: The use of simple language, empowerment through knowledge and perceived health improvements were identified as facilitators of acceptability. Emotional discomfort attributable to booklet colours, diagnosis denial and staff shortages, were barriers. Ongoing training was the preferred strategy to enhance acceptability.

Conclusion: Acceptability of patient education among participants was high and can be enhanced via continuous trainings. Future research should further explore these aspects to refine and tailor interventions for diverse populations.

Contribution: The study contributes to the body of literature about the acceptability of patient education for HTN self-management among healthcare providers and people with HIV and HTN. Findings can be used in improving education interventions using innovative approaches.