Factors Influencing Medication Adherence among Patients With Diabetes Mellitus And Hypertension In Nigeria (Published)
Medication non-adherence results in increased morbidity, mortality and financial loss. Reasons for medication non-adherence are multifactorial. This cross-sectional study was conducted to determine the prevalence of, and factors contributing to medication non-adherence among patients with diabetes mellitus and hypertension attending some secondary and tertiary health care facilities in Lagos, Nigeria. Of the 100 patients, 32% were compliant with their medications. Most (39%) respondents were noncompliant because of lack of funds and cost of medication, 19% due to forgetfulness, 16% because they felt well, and 15% due to non-availability of drugs at the pharmacy. Other reasons for non-compliance include illnesses (9%), side effects of medications (1%) and misinterpretation of prescription (1%). Among the socio-demographic variables studied, only male gender was positively associated with medication compliance. Adherence to anti-diabetics and anti-hypertensives was low. Both health system and patients’ related issues contributed to poor compliance and these should be addressed to improve medication adherence.
Evaluation of The Program for Early Detection of Hypertension and Type 2 Diabetes Mellitus in Primary Health Care Centers in wassit Governorate. (Published)
Background: Over the past decade it has been clear that the prevalence of hypertension and type 2 diabetes is increasing rapidly. Only around one half are aware of their condition and other of them have asymptomatic stage, presence of screening and diagnostic tools this make diseases suitable for early detection will improve the outcome of people with HTN and T2DM , aiming to control of both of them. Objective: To evaluate the program for early detection of HTN& T2DM in PHC centers, and compare between Primary Health Care Centers which applied the program? Subject and methods: This study was a descriptive, cross-sectional study which represents multistage sampling of 22 PHCCs in Wassit governorate, selected randomly from 44 primary health centers distributed in 6 primary health Care Sectors according to ballot technique. Results: The results showed that only (2794) clients represent 25.1% of study samples from 11140 target population within catchment areas of study centers were covered by program for early detection. Total number of +Ve patients (HTN+T2DM) in diagnostic test was (47) from total +Ve patients in screening test (542). 54.5% of study centers have a convenient place for early detection program. Good scores regarding to standard structural staff but shows that poor to acceptable scores regarding presence of doctor. The current study showed that there are clear deficiencies of all information were recording in the file of patient that have been detected by the program, Most of important poor scores for early detection program showed in current study at rural area of PHC centers. Conclusions and Recommendation: In spite of the presence of poor indicators, the early detection program services achievement in wassit governorate was acceptable according to the guideline of Iraqi MOH indicators. There is no application for referral and feedback system regarding program’s patients. The current study showed clear deficiency in total information required in early detection records and patients file and there is clear deficiency in different testing for patients that detection by program (laboratory test, ECG, X-ray). Through effective health education, patients can learn primary and secondary prevention strategies, decrease their risk status and make better lifestyle choices in order to optimize their health and wellbeing.