Open AccessAdherence challenges encountered in an intervention programme to combat chronic non-communicable diseases in an urban black community, Cape Town
Author(s) -
Nasheetah Solomons,
Herculina S Kruger,
Thandi Puoane
Publication year - 2017
Publication title -
health sa gesondheid
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.247
H-Index - 12
eISSN - 2071-9736
pISSN - 1025-9848
DOI - 10.4102/hsag.v22i0.970
Subject(s) - intervention (counseling) , psychological intervention , focus group , medicine , public health , non communicable disease , environmental health , nursing , psychology , sociology , anthropology
Background: Chronic non-communicable diseases (CNCD) have become the greatest contributor to the mortality rate worldwide. Despite attempts by Governments and various non-governmental organisations to prevent and control the epidemic with various intervention strategies, the number of people suffering from CNCD is increasing at an alarming rate in South Africa and worldwide.Objectives: Study's objectives were to explore perceived challenges with implementation of, and adherence to health messages disseminated as part of a CNCD intervention programme; to gain an understanding of participants' expectations of CNCD intervention programmes;, and to explore the acceptability and preference of health message dissemination methods. In addition, participants' awareness of, and willingness to participate inCNCDs intervention programmes in their community was explored.Methods: Participants were recruited from the existing urban Prospective Urban Rural Epidemiology study site in Langa, Cape Town. Focus group discussions were conducted with 47participants using a question guide. Summative content analysis was used to analyse the data.Results: Four themes emerged from the data analysis: practical aspects of implementation and adherence to intervention programmes; participants' expectations of intervention programmes; aspects influencing participants' acceptance of interventions; and their preferences for health message dissemination. The results of this study will be used to inform CNCDs intervention programmes.Conclusions: Our findings revealed that although participants found current methods of health message dissemination in CNCDs intervention acceptable, they faced real challenges with implementing and adhering to CNCDs to these messages.