📖 ABSTRACT/OVERVIEW
Background: Medication adherence is a critical determinant of blood pressure control among hypertensive patients. Faith-based hospitals in Nigeria serve a large proportion of the population and often integrate spiritual care with medical management, creating a distinct patient interaction context. This study assessed medication adherence among hypertensive patients at a faith-based hospital in Akure, Ondo State. Methods: A cross-sectional study was conducted among 220 hypertensive outpatients. Adherence was measured using the Hill-Bone Compliance Scale. Sociodemographic characteristics, medication knowledge, health beliefs, and presence of spiritual counselling were assessed. Association between variables was tested using chi-square. Results: Satisfactory adherence was recorded in 55 percent of patients. Predictors of poor adherence included low income (p less than 0.01), side effect experience (p less than 0.05), and perceived divine healing as sufficient (p less than 0.01). Patients who received pharmacist counselling alongside spiritual support showed the highest adherence rates. Conclusion: Hypertension adherence at faith-based hospitals in Ondo is influenced by spiritual health beliefs and socioeconomic factors. Integrating pharmaceutical care within faith-based health delivery models can bridge gaps in adherence support. Keywords: medication adherence, hypertension, faith-based hospital, Ondo, health beliefs
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