Original Research

Blood pressure control amongst patients living with hypertension presenting to an urban district hospital outpatient clinic in Kwazulu-Natal

Folafolu A. Adebolu, Mergan Naidoo
African Journal of Primary Health Care & Family Medicine | Vol 6, No 1 | a572 | DOI: https://doi.org/10.4102/phcfm.v6i1.572 | © 2014 Folafolu A. Adebolu, Mergan Naidoo | This work is licensed under CC Attribution 4.0
Submitted: 28 June 2013 | Published: 28 July 2014

About the author(s)

Folafolu A. Adebolu, Department of Family Medicine, University of Kwazulu-Natal, South Africa
Mergan Naidoo, Department of Family Medicine, University of Kwazulu-Natal, South Africa


Background: The prevalence of hypertension in South Africa has been estimated to be 20% of the adult population with over six million people being affected. Poor adherence to treatment plans lead to inadequate blood pressure control and high morbidity. Many studies have looked at factors contributing to poor blood pressure control in South Africa but few studies actually focus on district hospitals in Kwazulu-Natal in particular, despite the fact that the province has the most heterogeneous population in South Africa.

Method: The study was a descriptive cross-sectional study conducted at the chronic out patient clinic of an urban district hospital involving 370 participants aged 18–90 years.

Result: The study showed poorly controlled blood pressure in 58% of the participants. Only 35% knew their blood pressure results on the day of interview and 19.2% were aware of their target blood pressure. Good adherence was self-reported by 95% of the participants, whist 51.4% reported significant side-effects to medication.

Conclusion: The majority of patients had poor knowledge about blood pressure and little awareness of their blood pressure reading. These may be precursors to poor blood pressure control and this needs further investigation. A high level of self-reported adherence to medication did not translate into effective blood pressure control. A significant number reported medication side-effects which may have contributed to the poor blood pressure control. The high adherence rate may therefore have been over reported. An objective way tomeasure adherence will be necessary for future research.


Hypertension, Adherence, Target Blood Pressure, Uncontrolled Blood Pressure, Drug Side effects


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Crossref Citations

1. Determinants of blood pressure and blood glucose control in patients with co-morbid hypertension and type 2 diabetes mellitus in Ghana: A hospital-based cross-sectional study
Yakubu Alhassan, Adwoa Oforiwaa Kwakye, Andrews K. Dwomoh, Emmanuella Baah-Nyarkoh, Vincent Jessey Ganu, Bernard Appiah, Irene A. Kretchy, Tilahun Haregu
PLOS Global Public Health  vol: 2  issue: 12  first page: e0001342  year: 2022  
doi: 10.1371/journal.pgph.0001342