scholarly journals Patient and Health System Related Factors Associated with Non-Adherence to Antihypertensive Medication among Patients at Chuka Referral Hospital, Kenya

2021 ◽  
Vol 11 (02) ◽  
pp. 19-46
Author(s):  
Charity Gikunda ◽  
Lucy Gitonga ◽  
Paul Kamweru
Keyword(s):  
Health System ◽  
Antihypertensive Medication ◽  
Referral Hospital ◽  
Related Factors ◽  
Factors Associated

scholarly journals Factors Affecting Adherence to Antihypertensive Medication: Results from a Rural Population Study in East of Iran

2016 ◽  
Vol 9 (5) ◽  
pp. 286 ◽  
Author(s):  
Reza Esmaeili ◽  
Mohammad Matlabi ◽  
Abduljavad Khajavi ◽  
Ehsan Aliasghari ◽  
Moosa Sajjadi
Keyword(s):  
Medication Adherence ◽  
Health System ◽  
Rural Population ◽  
Antihypertensive Medication ◽  
Cross Sectional Study ◽  
Time Interval ◽  
Chi Square ◽  
Related Factors ◽  
Cross Sectional ◽  
Medication Therapy

<p><strong>INTRODUCTION: </strong>Medication therapy is one of the most important interventions for the control of hypertension and its complications, but patient nonadherence to prescribed antihypertensive medication is a challenge. This study was conducted to measure medication adherence and examine its determinants in patients with hypertension in a rural population of Iran.</p><p><strong>METHODS: </strong>This cross-sectional study was conducted on 422 patients with hypertension covered by the healthcare network of Bajestan, Razavi Khorasan Province, Iran. Medication adherence was measured by using the Persian version of the 8 items Morisky Medication Adherence Scale (MMAS-8). The Chi-square test and Spearman’s correlation coefficient were used to examine the relationship between the determinants of medication adherence in SPSS.</p><p><strong>RESULTS: </strong>The mean age of the patients was 65.02±8.88 years. Of the total of 422 patients, 299 (70.9%) were female. Based on the MMAS-8, medication adherence was high in 39.6% of the patients, moderate in 10.9% and low in 49.5%. The variables that correlated significantly with the level of medication adherence included age (P=0.032), education (P=0.022), income (P=0.001), the satisfaction of patients-physician communication (P=0.006), physician based education (P= 0.003), occupation, time interval of physician’s consultation (P=0.001), medication regime complexity (P=0.001), medications meals frequency (P=0.001), side effects (P=0.081) duration of the disease (P=0.015), comorbidities (P=0.001), smoking (P=0.047), patient’s ability to read medication instruction (P=0.011), the patient’s beliefs about the effectiveness of medications (P=0.001) and the patient’s beliefs about the effectiveness of health system (P=0.001). The variables of gender (P=0.147), marital status (P=0.054), and distance problems to the health center (P=0.181) were not significantly correlated with the level of medication adherence.</p><p><strong>CONCLUSION:</strong> The results of the present study revealed a low medication adherence in half of the patients with hypertension due to various personal and socioeconomic determinants as well as factors associated with the health system, therapy-related factors, disease-related factors and patient-related factors. Purposeful interventions therefore appear essential to improving medication adherence in rural populations with a focus on the effect of each determinant of medication adherence.</p>

scholarly journals Factors associated with delayed uptake of cataract surgery among adult patients at Mulago National Referral Hospital, Uganda

2021 ◽  
Vol 21 (3) ◽  
pp. 1259-1265
Author(s):  
Francis O Sebabi ◽  
Walter O Okello ◽  
Faith Nakubulwa ◽  
Rogers Sempindu ◽  
Catherine Driciru ◽  
...  
Keyword(s):  
Cataract Surgery ◽  
Cross Sectional Study ◽  
Referral Hospital ◽  
Adult Patients ◽  
Sub Saharan Africa ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Mulago National Referral Hospital ◽  
National Referral Hospital

Background: Cataract is the leading cause of blindness globally. Many patients with cataract in developing countries delay to come for cataract surgery. Objectives: This study aimed to determine the factors associated with delayed uptake of cataract surgery among adult pa- tients seen at Mulago National Referral Hospital eye clinic in Uganda. Methods: Employing a hospital based cross-sectional study, adult patients with cataract and having moderate visual impair- ment or blindness were recruited. Patient-related factors for delayed surgery were assessed using a predetermined question- naire. Data was analyzed using stata version 14.2. Logistic regressions were used to determine the factors associated with delayed uptake of cataract surgery among these patients. Results: Eighty two participants with operable cataract were evaluated. Females were 44 (54%) and the mean age of partic- ipants was 67 years. Fifty three (65%) had delayed uptake of cataract surgery. The factors associated with delayed uptake of cataract surgery among patients with cataract were financial constraint, felt no need for surgery and good unilateral vision. Conclusions: Financial constraints, no felt need for cataract surgery and having good unilateral vision are the factors asso- ciated with delayed uptake of cataract surgery among cataract patients. We recommend cataract surgical outreach to remote areas and health education. Keywords: Risk factors; operable cataract; cataract; surgery; Uganda; sub-Saharan Africa.

scholarly journals Factors Associated with Non-adherence to Anti-Retroviral Therapy among Clients in Lodwar County and Referral Hospital, Turkana County, Kenya

2020 ◽  
pp. 10-26
Author(s):  
Nadio Etabo Clement ◽  
Peter Edome Akwee ◽  
Josephat Bitok ◽  
Peterson Kariuki
Keyword(s):  
Health Facility ◽  
Referral Hospital ◽  
Health Issues ◽  
Community Members ◽  
Related Factors ◽  
Cross Sectional ◽  
Factors Associated ◽  
Patient Health ◽  
Adherence Counseling ◽  
Poor Management

Patient, Health-facility and Socio-cultural related factors associated with non-adherence have contributed to poor management of ART among HIV/AIDS clients. In Lodwar County and Referral Hospital, Turkana County, a significantly high number of clients on ARV therapy have defaulted treatment. The purpose of this study was to investigate the factors associated with non-adherence to anti-retroviral treatment in Lodwar County and Referral Hospital (LCRH), Turkana, Kenya. The study was guided by cross sectional descriptive study design where qualitative and quantitative data were collected. The research instruments used for data collection consisted of structured questionnaires, interview schedules among clients on ARV therapy and documents analysis. The sample size was obtained using the modified Fishers formula at 95% level of confidence. The Statistical package for Social Sciences (SPSS) and descriptive statistics were used to analyze the data. The findings in the study revealed that there are many patient, health system and socio-cultural related factors associated with non-adherence. From the study document analysis at LCRH there should be 5243 people on ARVs, however, as at January 2018 there were 1551 (30%) who were actively on ARVs this shows that there is 70 % default rate. The study found that, Patients’ related factors that are causing non-adherence include; lack of education, lack of support, the distance to facility, lack of food, the side effects, alcohol use among many others. The study concluded that, health facility should improve their service delivery to the patients, change attitude and conduct adherence counseling. There is need to sensitize the community members to accept the HIV+ people to enable them express their health issues. They should support them and ensure that they are trained on how to use ARVs and not seek the tradition herbs and medicine men.

Prevalence and Factors Associated with Chronic Diabetic Complications in Ayder Referral Hospital, North Ethiopia

2019 ◽  
Author(s):  
Solomon Hintsa ◽  
Mebrahtu Abay ◽  
Teklit Grum ◽  
Teklit Angesom ◽  
Gebremedhin Hagos ◽  
...  
Keyword(s):  
Diabetic Complications ◽  
Referral Hospital ◽  
Factors Associated ◽  
Ayder Referral Hospital

scholarly journals Dynamics of the seroprevalence of SARS-CoV-2 antibodies among healthcare workers at a COVID-19 referral hospital in Milan, Italy

2021 ◽  
pp. oemed-2020-107060
Author(s):  
Laura Milazzo ◽  
Alessia Lai ◽  
Laura Pezzati ◽  
Letizia Oreni ◽  
Annalisa Bergna ◽  
...  
Keyword(s):  
Healthcare Workers ◽  
Referral Hospital ◽  
Control Measures ◽  
Referral Centre ◽  
Single Centre ◽  
Factors Associated ◽  
Infection Control Measures ◽  
Professional Exposure ◽  
First Time ◽  
Time Point

ObjectivesHealthcare workers (HCWs) are at high risk of developing SARS-CoV-2 infection. The aim of this single-centre prospective study was to evaluate the trend of SARS-CoV-2 seroprevalence in HCWs working at the primary referral centre for infectious diseases and bioemergencies (eg, COVID-19) in Northern Italy and investigate the factors associated with seroconversion.MethodsSix hundred and seventy-nine HCW volunteers were tested for anti-SARS-CoV-2 antibodies three times between 4 March and 27 May 2020 and completed a questionnaire covering COVID-19 exposure, symptoms and personal protective equipment (PPE) training and confidence at each time.ResultsSARS-CoV-2 seroprevalence rose from 3/679 to 26/608 (adjusted prevalence: 0.5%, 95% CI 0.1 to 1.7% and 5.4%, 95% CI 3.6 to 7.9, respectively) between the first two time points and then stabilised, in line with the curve of the COVID-19 epidemic in Milan. From the first time point, 61.6% of the HCWs had received training in the use of PPE and 17 (61.5%) of those who proved to be seropositive reported symptoms compatible with SARS-CoV-2 infection. Contacts with ill relatives or friends and self-reported symptoms were independently associated with an increased likelihood of seroconversion (p<0.0001 for both), whereas there was no significant association with professional exposure.ConclusionThe seroprevalence of SARS-CoV-2 among the HCWs at our COVID-19 referral hospital was low at the time of the peak of the epidemic. The seroconversions were mainly attributable to extrahospital contacts, probably because the hospital readily adopted effective infection control measures. The relatively high number of asymptomatic seropositive HCWs highlights the need to promptly identify and isolate potentially infectious HCWs.

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