Barriers and Facilitators of Hypertension Care Among PLHIV at Yaoundé Central Hospital, Cameroon. Qualitative Research 2024

Journal article

Background: In Cameroon, people living with HIV (PLHIV) receiving antiretroviral therapy (ART) have a high prevalence of hypertension (HTN) and an increased risk of cardiovascular mortality. Managing HTN in this population is a major challenge. This qualitative study, conducted at the Yaoundé Central Hospital, Cameroon, in 2024, explored the barriers and facilitators to hypertension management in PLHIV. Methods: The study involved 15 participants, including 9 PLHIV diagnosed with hypertension, 03 healthcare providers, and 03 psychosocial agents. A quota sampling approach was used to recruit participants. Data was collected through 12 in-depth interviews and a focus group with 3 psychosocial agents. Data collection took place over a period of 5 months, from January to May 2024. A semistructured interview guide was used to explore participants’ perceptions of hypertension management. Data analysis was based on the COM-B model to interpret the results, using NVivo software. Results: Identified barriers included a lack of knowledge about hypertension, difficulties in accessing medications due to high costs, and psychosocial issues such as family stress affecting treatment adherence. Additionally, cultural and religious beliefs, such as a preference for traditional treatments and miraculous healings, limited engagement with conventional medicine. However, facilitators included regular visits for ART follow-up, which allowed for hypertension screening, and financial support from families that facilitated access to treatment. The proactive involvement of healthcare providers and continuous communication also contributed to treatment adherence. Conclusion: The study highlights the need for interventions that address socio-economic, cultural, and medical barriers to improve hypertension management in PLHIV, particularly through enhancing access to care and raising awareness.

Authors: Nang Nang, FD; Kuate Mfeukeu, L; Ifoue, RM; Kengne, AP; Cheubo, PJ

• Publication status: Published
• Peer review status: Peer reviewed
• Publisher: SAGE Publications
• Journal: Journal of the International Association of Providers of AIDS Care
• Volume: 24
• Pages: 23259582251383981-23259582251383981
• Article number: 23259582251383981
• Publication date: 2025-10-09
• Acceptance date: 2025-09-10
• DOI: 10.1177/23259582251383981
• EISSN: 2325-9582
• ISSN: 2325-9574
• Language: English
• Keywords: PLHIV; hypertension care; Cameroon; qualitative research; barriers and facilitators