Photovoice: medical residents reflecting on poverty.

following: non-adherence to antihypertensive therapy; recent history of hospitalisation for HBP, and use of tobacco. Home visits identified potential PD individuals, for whom data characterising their family and social inter-relationships were obtained by interviews. Thus, criteria that characterised positive deviants were identified and all such individuals were invited to participate in the intervention. What lessons were learned? Of the 218 patients diagnosed with hypertension, only 85 (39.0%) presented with controlled BP and 31 (14.2%) were characterised as potential PD individuals. Nine (4.1%) individuals fulfilled the criteria and were considered highly motivated and therefore were selected as positive deviants. Despite living in resource-poor settings, these individuals presented significant leadership qualities, were motivated and were able to take an active role in maintaining control of their BP. We believe that the small number of patients selected partially reflects the complexity of hypertension control. Future studies should involve positive deviants in groups with other hypertensive patients in order to encourage improved new behaviours and practices. It is possible to work with PD within the FHS. Our future goal is to insert the PD model into the routine work of health professionals. Furthermore, PHC offers a positive environment in which skills and knowledge relevant to specific population needs can be improved, which is valuable in graduate medical education.