Level of Medication Adherence and its Associated Factors among
Patients Receiving Antiretroviral Therapy at a Tertiary Care Hospital
in South India

Introduction: Anti-retro viral drugs are the corner stone of management of human immunodeficiency virus (HIV) infection. Anti-retro viral drugs have been consistently proven to reduce mortality due to HIV. The aim of this study was to identify the level of drug adherence and related challenges for adherence. Methods: A cross- sectional study was conducted in the antiretroviral therapy (ART) clinic of a tertiary care teaching hospital. Patients who were above 18 years of age, on ART for at least six months and underwent counselling before starting ART were included in the study (n = 143). Demographic variables and clinical profile were noted and level of drug adherence and associated factors were assessed using Morisky Green Levine test and check list respectively. Data was analysed in SPSS version 22. Results: Most of the study subjects (89.5%) had high level of medication adherence and 10.5% had medium level adherence. Factors contributing to high adherence level were confidentiality and trust among health workers, concerned about their own health, understanding about the prescribed drugs, idea about disease progression, effectiveness and knowledge of anti-retro viral drugs. Conclusion: Drug adherence was found to be high among HIV- infected patients in this study and various reasons contributed for the high adherence among the study subjects.

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Medication Adherence among Mentally Ill Patients with comorbid- Substance Use Disorder

KYAMC Journal ◽

10.3329/kyamcj.v6i2.33736 ◽

2017 ◽

Vol 6 (2) ◽

pp. 602-609

Author(s):

Nasim Jahan ◽

Mohammad Muntasir Maruf ◽

Md Faruk Hossain ◽

Md Waziul Alam Chowdhury ◽

Anwara Begum

Keyword(s):

Substance Use ◽

Medication Adherence ◽

Mentally Ill ◽

Substance Misuse ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Psychiatric Medication ◽

Cross Sectional ◽

Care Givers

Substance misuse is usually associated with poorer psychiatric medication adherence among mentally ill patients. Identifying proportion & predictors of medication adherence among patients with dual psychiatric and substance misuse problems is important because poor adherence is associated with relapse and re-hospitalization. This study was a descriptive cross sectional study conducted among the patients dually diagnosed with psychiatric and substance use disorders attending OPD in a tertiary care hospital of Dhaka city, during the period from May 2013 to November 2013. The main objective of the study was to explore the proportion of psychotropic medication adherence among the respondents who were on such medication for at least last 6 months (N=151). Respondents were selected purposefully. An informed consent was taken from the patients or care givers and data were collected using the questionnaire designed by the researcher based on Factors Influencing Neuroleptic Medication Taking Scale (FNIMTS). Diagnoses were done previously according to DSM-IV TR by psychiatrist appointed in inpatient and outpatient department. Questionnaire was filled up by the researcher by interviewing the patients and attending care givers as needed. Over half of the respondents (57.0%) admitted they had missed taking their medications on more than one occasion in the week prior to the interview. Thus this study found the proportion of medication adherence to be 43% among the respondents.KYAMC Journal Vol. 6, No.-2, Jan 2016, Page 602-609

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Cross sectional study on prevalence and medication adherence of hypertension and diabetes in a tertiary care hospital in Karimnagar, India

International Journal of Basic & Clinical Pharmacology ◽

10.18203/2319-2003.ijbcp20181191 ◽

2018 ◽

Vol 7 (4) ◽

pp. 807

Author(s):

S. Sre Akshaya Kalyani ◽

Srihitha Pendota ◽

Abhinay Sharma Katnapally ◽

Dharanija Porandla ◽

Sandeep Bheemreddy

Keyword(s):

Medication Adherence ◽

Health Care Professionals ◽

Past History ◽

Tertiary Care ◽

Previous History ◽

Individual Case ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional

Background: The study aimed to assess the prevalence of Hypertension (HTN), Diabetes mellitus(DM) and other diseases along with comorbid conditions, disease complications and also to assess medication adherence in a tertiary hospital in Karimnagar, Telangana, India.Methods: A Cross sectional study is performed by analysing a total of 500 patient’s individual case safety reports (ICSR). Prevalence of Hypertension and Diabetes along with most prescribed drugs are analysed. Medication adherence is analysed by using Morisky Medication adherence questionnaire scale (MMAS-4).Results: Patients with past history of DM, HTN and other diseases which was found to be 245 (49%) patients. Patients with highest disease prevalence were found to be with HTN (56.73%), DM (31.83%) followed by other diseases like asthma (8.57%), Cerebrovascular accident (4.89%) etc., Total of 66 Patients were ruled out with comorbid diseases. Patients with HTN+DM (47) were found to be highest followed by DM+HTN+CVA (4). MMAS-4 revealed 208 patients were using medication out of 245 patients with previous history. According to MMAS-4 most of the patients were with medium adherence (76). Prevalent drug used for HTN include Amlodipine and for DM Telmisartan+Hydrochlorthiazide.Conclusions: The study revealed that almost half of the admitted patients were with HTN and DM. The patients were counselled properly to adhere strictly to the prescription. Medication adherence to HTN and DM was found to be good in this study. Since the disease complications were also ruled out, the health care professionals are recommended to spread awareness on DM and HTN and disease management in order to control disease and improve health outcomes.

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A cross sectional study on needle stick injuries, its associated factors and prophylactic measures among nursing staffs and students of a tertiary care hospital in Chennai

Public Health Review: International Journal of Public Health Research ◽

10.17511/ijphr.2019.i2.01 ◽

2019 ◽

Vol 6 (2) ◽

pp. 41-52

Author(s):

Dr. Rajesh J. ◽

◽

Dr Mr. S.P. Thamizhmaran ◽

Keyword(s):

Associated Factors ◽

Tertiary Care Hospital ◽

Tertiary Care ◽

Cross Sectional Study ◽

Care Hospital ◽

Sectional Study ◽

Cross Sectional ◽

Needle Stick ◽

Prophylactic Measures ◽

Needle Stick Injuries

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A study to evaluate risk factors and factors associated with non-adherence to the prescribed treatment among essential hypertensive patients attending tertiary care hospital

International Journal of Community Medicine and Public Health ◽

10.18203/2394-6040.ijcmph20203933 ◽

2020 ◽

Vol 7 (9) ◽

pp. 3623

Author(s):

Venkat Sunil Bommishetty ◽

Suresh Keshav Kumbhar

Keyword(s):

Risk Factors ◽

Medication Adherence ◽

Life Style ◽

Tertiary Care ◽

Positive Family History ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Hypertensive Patients ◽

Factors Associated

Background: Prevalence of hypertension is on rising trend with rise in life style and behavioral changes. It is also a major risk factor for most of the dreadful conditions like coronary artery disease, stroke, etc. Medication adherence would help in reducing the chance of occurrence of such complications. Thus objectives of study are 1) to evaluate the risk factors of hypertension among the diagnosed essential hypertensive patients; and 2) to assess the magnitude and the factors associated with non-adherence to the prescribed treatment.Methods: A hospital based cross-sectional study among 71 participants was conducted, using a pre-structured questionnaire and physical examination to assess risk factors of hypertension and CULIG’s 16 questionnaire medication adherence scale to assess the non-adherence. Data analysed with proportions and Chi square test.Results: Out of 71 participants, 60 (84.5%) were found to be non-adherent to their anti-hypertensive medication and factors like being male (p=0.0055), alcohol consumption (p=0.0485) and paid medication (p=0.0091) were found to be significantly affecting the medication non-adherence. Positive family history, sedentary life style, preference of extra salt and smoking/tobacco products usage were the most common risk factors of essential hypertension observed along with others.Conclusions: The participants who experienced the complications/ill effects of hypertension were more adherent as compared to others. Factors which are responsible for non -adherence need to be addressed and appropriate interventions required to improve adherence by educating the people about its importance in prevention of complications.

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Contamination of Mobile Phones of Health Care Workers of PIMS Hospital Islamabad

10.53350/pjmhs211562138 ◽

2021 ◽

Vol 15 (6) ◽

pp. 2138-2141

Author(s):

Nida Khaliq ◽

Zille Huma Mustehsan ◽

Hania Rashid ◽

Shafaq Khadija ◽

Nazeeha Waseem ◽

...

Keyword(s):

Mobile Phone ◽

Mobile Phones ◽

Health Workers ◽

Tertiary Care ◽

Simple Random Sampling ◽

Cross Sectional Study ◽

Contamination Rate ◽

Care Hospital ◽

Cross Sectional ◽

High Contamination Rate

Introduction: Mobile phones are one of the most vital telecommunication devices and are used to stay in touch with both the social and professional aspects of our lives. They have also become an important tool for the rapid delivery of information in healthcare institutions, such as hospitals. However, with many benefits of mobile phone usage, also comes the drawbacks of hospital-associated pathogens surviving on these mobile phone screens. Objectives: To determine the frequency of contamination of healthcare worker’s mobile phones by different types of microorganisms. Methodology: A cross-sectional study was conducted from June 2020 till December 2020 at PIMS Hospital, a tertiary care hospital located in Islamabad, Pakistan. A total of 121 individual mobile phones were randomly sampled. A simple random sampling method was used. Informed consent was taken before taking a sample and a questionnaire was also utilized. Results: Among 121 samples collected from different department health workers mobile phone surfaces, 112 showed significant differences (92.56%) which were positively contaminated with microorganisms. Conclusion: To conclude, a high contamination rate of mobile phones was found with microorganisms. This could lead to serious nosocomial infections. Therefore, a standard guideline on the use of electronic devices and mobile phones should be implemented in hospitals and healthcare centres. Enforce the hygiene practices such as washing hands and cleaning mobile phones a few times a day. Keywords: Healthcare Worker, Mobile Phone, Microorganism, Contamination, Disinfectant

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Vitamin D Status and Associated Factors in Neonates in a Resource Constrained Setting

International Journal of Pediatrics ◽

10.1155/2018/9614975 ◽

2018 ◽

Vol 2018 ◽

pp. 1-6 ◽

Cited By ~ 1

Author(s):

Khadija Murtaza Bhimji ◽

Helga Naburi ◽

Said Aboud ◽

Karim Manji

Keyword(s):

Vitamin D ◽

Vitamin D Deficiency ◽

Associated Factors ◽

Tertiary Care ◽

Public Health Problem ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Vitamin D Levels ◽

Infant Birth

Vitamin D deficiency (VDD) is emerging as a serious public health problem globally; however due to lack of resources, vitamin D levels are not routinely measured among neonates. The study was conducted to determine vitamin D levels in neonates and factors associated with the same. A cross-sectional study was conducted among neonates admitted at neonatal ward of a tertiary care hospital. Means and proportions were calculated from summarized data in frequency tables. Chi square test was used to determine association between vitamin D and various associated factors such as sex, infant birth weight, gestation age, parity of the mother, maternal age, and HIV status of the mother. A total of 170 neonates were studied, out of which 80% had vitamin D deficiency. Neonates born to HIV-infected mothers were significantly less likely to have vitamin D deficiency (OR 0.21, 95% CI 0.06 – 0.77, p = 0.009). Subgroup analysis revealed the association to be stronger in terms neonates (p = 0.005). The association was not observed among preterm newborns. The prevalence of vitamin D deficiency in neonates was observed to be very high and needs more attention.

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Assessment of medication adherence in chronic diseases

International Journal of Research in Pharmaceutical Sciences ◽

10.26452/ijrps.v11i3.2376 ◽

2020 ◽

Vol 11 (3) ◽

pp. 2922-2927

Author(s):

Nikhitha K ◽

Sai kiran S ◽

Prasad M ◽

Chinni Eswaraiah M

Keyword(s):

Medication Adherence ◽

Chronic Diseases ◽

Tertiary Care ◽

Reliability And Validity ◽

Cross Sectional Study ◽

Care Hospital ◽

Cross Sectional ◽

Level Of Satisfaction ◽

Behavioural Characteristics ◽

Metabolic Conditions

Majority of people with chronic diseases have poor adherence to their therapeutic regimen. It can result in various complications physialogically with undesirable metabolic conditions. The main objective of this study is to assess the level of satisfaction attained after medication in comorbidities (either having diabetes only or having hypertension only or having Hypertension and Diabetes) and also focussed on creating awareness in patients who do not follow the medication. A prospective cross sectional study was conducted at tertiary care hospital, Khammam, Telangana. 200 patients were approached and were interviewed with their consent. The purpose of the same was to collect the information on socio demographics, medication that is followed, and behavioural characteristics. A structured questionnaire MMAS-8 an eight itemed scale was involved to identify individuals, determine their levels, the reliability and validity of the medication followed. The scrutiny of this study found that there is a better medication adherence in individual’s diseases (Hypertension, Diabetes) whereas in hypertension and diabetes condition high and low adherence were reported because of their awareness, negligence and risk factors respectively. The study concludes that there is an increase in Medication adherence in individual diseases whereas in hypertension and diabetes there are equal ranges of both low and high adherence.

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