Table 2. Codes and themes building process.

Codes	Basic themes	Organising themes	Global themes
➢ Efficacy	No sign of relief during medication-taking	Negative perception of medication	Perception of medication efficacy
➢ Trust	Medication not effective
➢ Ineffective
➢ Relief
➢ Herbal medicine	Trust in herbal medicine effectiveness	Herbal medicine work better	Recourse to herbal medicine
➢ Available	Native doctors cures proximal causes of conditions
➢ Affordable
➢ Native doctors
➢ Curses and witchcraft
➢ Prayers	Recourse to healing through prayers and fasting	Spiritual healers offer effective therapy	Recourse to spiritual or divine healing
➢ Fasting and prayers	Spiritual healers have power to heal
➢ God can cure
➢ Spiritual healer
➢ Spiritual healing
➢ Experienced disorders	Purchase of over-the-counter drugs	Negative effect of regime combination	Interaction effect of polypharmacy practice
➢ Purchased drugs	Regime combination
➢ Offered drugs from relatives
➢ Additional drugs
➢ Work	Routine work schedules	Heavy work demands	Work and routine busy schedules
➢ Poor memory	Frequent and overstayed travels
➢ Forgetfulness
➢ Overstayed travels
➢ Work related travels
➢ Not a serious condition	Social pressure to stop medication-taking	Family and community norms discouraging medication taking	Societal norms
➢ Derisive comments	Norms used to discourage medication taking
➢ Medication not the solution
➢ Understanding	Poor explanation of dosage	Self-dosing schedule due to poor instructions and explanation	Poor understanding of prescriber instruction
➢ Poor explanation ➢ Handwriting ➢ Instruction	Unclear instruction of medication taking
➢ Side effects	Previous experience of medication	Fair idea of medication	Knowledge and experience of medication
➢ Unpleasant	Knowledge of medication side effect
➢ knowledge
➢ Experience