Table 2 Reasons of hypertensive patients' failure to utilize CHCs’ services from the perspective of the staff of health centers and the patients (individual problems)
Main theme | Category | Code | Semantic units |
|---|---|---|---|
Individual problems | Attitudinal obstacles | Not receiving the expected results | • Not receiving the expected results in the short term due to the chronic course of the disease • Not receiving the expected results in the short term due to long-term treatment of the disease |
Cultural flaws of the target population and low sensitivity to the disease | • Underestimation of the disease by patients' families • Some patients’ ignorance of the disease and not being worried about its progression • Ignoring the follow-up care and refusing to go to the center due to fear of getting COVID-19 | ||
Misconception | • Some patients' availing themselves of self-medication • The misconception of male patients that CHCs are only for women and children • Clients' misconception that the purpose of referral and receiving care is only to receive the pills for free | ||
Occupational obstacles | Busy schedule of patients | • Highly busy schedule of patients • Prioritizing work over care due to official working hours | |
Economic obstacles | Low income of patients | • Inability to afford the commuting expenses for referring to CHCs • Inability to afford the possible care costs |