TABLE 1.

Facilitators and barriers of hypertensive patients and healthcare providers that may influence expanding the pilot program of the care model

Themes	Facilitators	Barriers
Perceptions of hypertension	Mainly mentioning of biomedical hypertension cause, such as hereditary, pregnancy, stress, and overthinking	General belief in symptoms of hypertension
	Belief in efficacy of biomedical treatment for hypertension	Rejection of cheaper local hypertensive drug
	Awareness of hypertension's chronic nature and necessity of continuous drug-intake	Patients’ reasons for nonadherence: feeling healthy, being tired of drugs, side effects, not taking health too serious, religious factors
Pharmacy as primary hypertension care provider	Five-year training of pharmacists is of high quality	Double expectations of patients towards role pharmacist: expecting good care, but often refusing hospital referral
	Patients appreciate pharmacist: trusted relationship, small community, respect, expertise, credibility, trust, registration, small-scale, accessible, proximity, time-efficient, good quality drugs, drugs on credit	Tension for pharmacists: satisfying clientele by not referring too fast to hospitals, delivering good quality care, and functioning as gateway to hospital
	Patients consider pharmacists better option than medical doctors or next best thing, reluctance towards hospitals and unregistered pharmacists, chemists, market salesmen selling fake or low-quality drugs (’chalk’)	Half of the patients experienced financial constraints, for some aggravated by the recession in Nigeria and almost no patients having health insurance
	Task shifting from medical doctors towards pharmacists reduces costs for public healthcare system and for patients (less travel time, as majority of patients can go by foot and can avoid expensive transport modes, less costs of care)	Competition with cheaper, informal, and often untrained healthcare providers, such as PPMVs, chemists, labs, often providing low-quality hypertension care
	Nigerian government and various associations in place that regulate pharmacists to warrant quality care
Perceptions of mHealth	mHealth enables improved blood pressure monitoring, controlling of nonadherent patients	mHealth is a new thing in Nigeria
	Bridges the gap between pharmacists and cardiologists	Need for stable internet connection
	Combination remote monitoring through mHealth and task-shifting to pharmacies leads to cheaper, faster, and accessible hypertension care for patients	Technology may increase insecurity among some (older) patients