Table 5.

Barriers to CVD risk reduction: a conceptual framework.

Contextual conditions
• Rural settings
Causal conditions	Phenomenon	Action/interaction strategy	Consequences
• Misconceptions	Poor management of diabetes and hypertension	• Seeking treatment from indigenous practitioners	• Complications
• Nature of the disease	• Neglect	• Poor Quality of Life
• Attitude of the patient	• Financial drain	• Poverty
• Inadequate information sharing
Non compliance
Intervening conditions
• Education of the patients