Drug adherence behavior among hypertensive out-patients at a tertiary health institution in Manicaland province, Zimbabwe, 2011

Mukora-Mutseyekwa, Fadzai; Chadambuka, Elizabeth

doi:10.2147/ppa.s40295

Cited by 13 publications

(14 citation statements)

References 11 publications

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“…Based on the literature evidence, individual-level factors that may have constituted a bottleneck in achieving optimal BP control in our study included ignorance of the complications of high BP 38 ; obesity and physical inactivity 39 ; poor adherence to pharmacological 40 , 41 and nonpharmacological treatment; and low socioeconomic status. 41…”

Section: Discussionmentioning

confidence: 99%

Effectiveness of an Integrated Approach to HIV and Hypertension Care in Rural South Africa: Controlled Interrupted Time-Series Analysis

Ameh

Klipstein‐Grobusch

Musenge

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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Section: Discussionmentioning

confidence: 99%

Effectiveness of an Integrated Approach to HIV and Hypertension Care in Rural South Africa: Controlled Interrupted Time-Series Analysis

Ameh

Klipstein‐Grobusch

Musenge

et al. 2017

JAIDS Journal of Acquired Immune Deficiency Syndromes

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“…The level of adherence reported in this study among the attendants at GOPD is similar to what has been reported from other family practice reports. [ 20 21 ] Mukora-Mutseyekwa and Chadambuka reported adherence rate of 40.2% in a study in a family practice clinic in Zimbabwe while Lee et al reported a prevalence of good adherence of 65.1%. [ 21 22 ] The study by Lee et al included those with medium adherence as it was dichotomized into two variables of adherence level.…”

Section: Discussionmentioning

confidence: 99%

“…Many studies have reported that adherence improves with increasing age. [ 21 22 23 ] Why advanced age might be associated with higher adherence level may be due to many reasons. Advanced age might likely be associated with presence of comorbid cardiovascular risk factors, which might make the subjects felt sicker and therefore be more committed to taking their medication much more regularly.…”

Section: Discussionmentioning

confidence: 99%

Antihypertensive medications adherence among Nigerian hypertensive subjects in a specialist clinic compared to a general outpatient clinic

Akintunde¹,

Akintunde²

2015

Ann Med Health Sci Res

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Background:Poor adherence to antihypertensive medications has been linked with increased cardiovascular risk and mortality in many population. Africans have been shown to have a worse prognosis from hypertension, poorer blood pressure control, and increased risk of complications arising from hypertension compared to Caucasians.Aim:The aim was to describe the level of adherence to antihypertensive medications, its determinants and whether any difference exist between those attending specialty clinic or general outpatient department (GOPD) Clinic in a Nigerian University Teaching Hospital.Subjects and Methods:An analytical cross-sectional study. The Morisky scale was used to assess for adherence to antihypertensive medications. Clinical and demographic data were taken. Statistical analysis was performed using SPSS 17.0. (Chicago, IL, USA). P < 0.05 was taken as statistically significant.Results:A total of 114 hypertensive subjects were recruited for this study. Seventy-nine were from the cardiology clinic whereas 35 were from the GOPD. They consisted of 60 males (52.6%, 60/114) and 54 females (47.4%, 54/110). The mean age was 63.6 (14.1) years. High adherence, low adherence and medium adherence as defined by Morisky scale was found in 36.8% (42/114), 23.9% (27/114) and 39.5% (45/114), respectively. Adherence level was higher among those attending specialty clinic despite shorter duration of hypertension and use of more medications. More than four-fifth of those attending cardiology clinic had at least medium level of adherence compared to a little bit over half of those attending GOPD clinic. Those with good adherence were likely to be older, had a higher level of education and higher average monthly income than those with poor adherence.Conclusion:Poor adherence to medications is very common in the hypertensive Nigerians. Hypertensive subjects attending specialty clinic seems to have a better adherence to antihypertensive medications possibly due to the level of health education and information provided to patients. Effective health education and regular screening for compliance and adherence is a potential way to reduce cardiovascular risk associated with uncontrolled hypertension.

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“…Optimal BP control is difficult to achieve [39][40][41][42][43][44]. Although there was a very small improvement in BP control, the suboptimal (<50%) control of BP observed in the pilot facilities implies that the purpose of introducing the integrated model is yet to be achieved.…”

Section: Changes In Patients' Health Outcomes Attributable To the Intmentioning

confidence: 99%

Evaluation of an integrated HIV and hypertension management model in rural South Africa: a mixed methods approach

Ameh

2020

Global Health Action

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Background: A summary of Soter Ameh's PhD thesis titled, 'An integrated HIV and hypertension management model in rural South Africa: A mixed methods approach' is presented here. In responding to the dual high burden of non-communicable diseases (NCDs) and HIV in South Africa, the national government initiated an integrated chronic disease management (ICDM) model in health facilities as a pilot programme. The aim of the ICDM model is to leverage the successes of the innovative HIV treatment programme for NCDs to improve the quality of care and health outcomes of adult patients. Objectives: The specific objectives of this study were to: (1) determine the quality of care provided in the integrated model in 2013, (2) describe patients' and operational managers' perceptions of quality of care in the integrated model in 2013, and (3) assess effectiveness of the integrated model in controlling CD4 counts (>350 cells/mm3) and blood pressure (<140/ 90 mmHg) of patients from 2011 to 2013. Methods: A combination of quantitative and qualitative methods was used to assess and describe the quality of care in the model. Effectiveness of the model in controlling patients' blood pressure (BP) and CD4 counts was assessed in selected PHC facilities in the Bushbuckridge municipality in Mpumalanga province, South Africa. Results: The findings showed the suboptimal quality of care in five of the eight priority dimensions of care used as leverage for the NCD programme. The ICDM model had a small but significant effect on BP control for hypertension patients receiving treatment. Conclusions: The HIV programme needs to be more extensively leveraged for hypertension treatment to achieve an optimal BP control in the study area. These findings could have policy relevance for low-and middle-income countries currently undertaking proof of concept studies to demonstrate the feasibility of implementing an integrated chronic disease care model.

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Drug adherence behavior among hypertensive out-patients at a tertiary health institution in Manicaland province, Zimbabwe, 2011

Cited by 13 publications

References 11 publications

Effectiveness of an Integrated Approach to HIV and Hypertension Care in Rural South Africa: Controlled Interrupted Time-Series Analysis

Effectiveness of an Integrated Approach to HIV and Hypertension Care in Rural South Africa: Controlled Interrupted Time-Series Analysis

Antihypertensive medications adherence among Nigerian hypertensive subjects in a specialist clinic compared to a general outpatient clinic

Evaluation of an integrated HIV and hypertension management model in rural South Africa: a mixed methods approach

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