LINKAGE Assessment

How would you rate the personal manner(courtesy, respect,sensitivity, friendliness, and attitude) of the health care provider you see at your usual health facility? *

How would you rate the health care provider's explanation of your high blood pressure and the treatment you need in a way that you understand?*

Part B: Perceived Risks/Severity

Have you ever been told by a health care provider that you might have high blood pressure or hypertension? *

Do you believe that you might have high blood pressure? *

What is your perception of high blood pressure? *

Do you know any signs and symptoms of high blood pressure? *

If you have high blood pressure and you don't seek care, do you think you are at risk of...

Having a stroke*

Yes

Refused/No Answer

Develop kidney failure*

Yes

Refused/No Answer

Develop heart disease*

Yes

Refused/No Answer

Part C: Perceived Barriers
Have you delayed or not sought care for your high blood pressure for any of the following reasons:

You lacked fare*

Yes

Refused/No Answer

You lacked the mode of transportation*

Yes

Refused/No Answer

You didn’t have someone to take you*

Yes

Refused/No Answer

You thought seeking health care would cost too much (e.g. medical procedure fee/drug expense fee/etc.)*

Yes

Refused/No Answer

You thought it was more important to spend your money on school fees, food, or farm inputs*

Yes

Refused/No Answer

You thought there would be limited services at the health facility*

Yes

Refused/No Answer

You thought there would be long queues at the health facility*

Yes

Refused/No Answer

You thought there would be corruption (taking bribes, favoritism in queues, denial of service) at the health facility*

Yes

Refused/No Answer

You were not so sick to the extent of needing to lie down*

Yes

Refused/No Answer

Seeking care may not be that helpful/may not make any difference*

Yes

Refused/No Answer

You didn't have time/You could not take time off from the responsibilities you have*

Yes

Refused/No Answer

You could not find someone to watch over your children*

Yes

Refused/No Answer

You preferred traditional herbal medicine*

Yes

Refused/No Answer

You received medication from your friend or family member*

Yes

Refused/No Answer

You believe your faith will heal you*

Yes

Refused/No Answer

Part D: Emotional Factors

Have you ever not sought care for your high blood pressure because of one or more or the following reasons

You were afraid of the outcome of blood pressure screening*

Yes

Refused/No Answer

You were afraid of being screened for other disease*

Yes

Refused/No Answer

You were scared of the chronic nature of high blood pressure*

Yes

Refused/No Answer

You were afraid of taking drugs for high blood pressure*

Yes

Refused/No Answer

You were afraid of the stigma associated with high blood pressure*

Yes

Refused/No Answer

You were afraid of being seen at the AMPATH facility because of possible HIV stigma*

Yes

Refused/No Answer

Have you ever been treated rudely/shouted at by your health care provider*

For what reason were you treated rudely by your health care provider? (Check all that apply)*

Being late

Not showing up for appointment

Not taking medications

Other

Specify*

Refused/No Answer

Part E: Motivation

What encourages you to seek hypertension care? (Please do not read the options aloud to the patient, select only those that the patient mentions on her own accord)*

None

Improved health

High blood pressure being a manageable disease

Follow-up by CHWs

Friendliness of the health facility staff

Family and/or peer support/encouragement

Response to medication

Other

Specify*

Refused/No Answer

Part F: Confidence

How sure are you that you will be able to follow instructions provided by your health care provider, such as taking your medications?*