Original Research

Adherence challenges encountered in an intervention programme to combat chronic non-communicable diseases in an urban black community, Cape Town

Nasheetah Solomons, Herculina Salomé Kruger, Thandi Rose Puoane
Health SA Gesondheid | Vol 22 | a970 | DOI: https://doi.org/10.4102/hsag.v22i0.970 | © 2017 Nasheetah Solomons, Herculina Salomé Kruger, Thandi Rose Puoane | This work is licensed under CC Attribution 4.0
Submitted: 10 October 2017 | Published: 10 October 2017

About the author(s)

Nasheetah Solomons, Department of Dietetics and Nutrition, University of the Western Cape, South Africa
Herculina Salomé Kruger, Centre of Excellence for Nutrition, North-West University, South Africa
Thandi Rose Puoane, School of Public Health, University of the Western Cape, South Africa

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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.


Adherence; Chronic non-communicable; diseases; Focus group discussion; Intervention programme; Non-adherence


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