The Status of Non-Communicable Disease Prevention  and Control in the Philippines: A Systematic Revie

Pinlac, Paul Adrian V.; Castillo, Eleanor C.; Guevarra, Jonathan P.; Escartin, Ivanhoe C.; Caluag, Ma. Elizabeth I.; Granada, Carmela N.; Tagunicar, Luz B.; Banda, Aurora D.; Go, John Juliard; Kim, Jae Kyoun; Sy, Christopher Allu S.; Maceda, Arvin A.

doi:10.47895/amp.v49i3.925

Cited by 4 publications

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“…Thus raising the question if there culturally or uniquely Filipino characteristics or factors that contribute to phenomenon of non-adherence beyond barriers of access. Moreover, the Philippine government in the last 10 years have medicine access programs to respond to the persistently high out of pocket spending and barriers to access to essential drugs [ 17 – 19 ]. While there are weaknesses in the implementation of these program it is still worth exploring if there are other factor beyond medicine access that contribute to medication adherence [ 19 ].…”

Section: Introductionmentioning

confidence: 99%

Factors associated with medication adherence of hypertensive patients in the Philippines: a systematic review

Gutierrez

Sakulbumrungsil

2021

Clin Hypertens

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Background Diseases of the heart and vascular system are the leading cause of mortality in the Philippines. Hypertension, the most important modifiable risk factor, has a prevalence rate of 28% and a control rate of 20%. Despite the proven efficacy of pharmacologic treatment, medication adherence is reported to be as low as 66%. While there are publications that reported factors that affect adherence in Filipinos, there are no existing research that evaluated them systematically. This review is conducted to present and synthesize findings of published literatures. Methods Databases—PubMed, Scopus, Wiley Online library, Science Direct, JSTOR, Web of Science, SAGE journals, and Cochrane—were used to search for articles published from 2000 to 2020 that studied medication adherence in adult Filipino hypertensive population. Out of the initial 1514 articles, 15 articles met the criteria and were included in the analysis. The evidence from the included studies was summarized and discussed in a narrative review using the World Health Organization framework for adherence to long-term therapies as the framework. Result The factors that were positively associated with adherence were health care system-related factors: good patient-health provider relationship, accessibility of health services, use of specialty clinics and programs for hypertension, and health insurance. The factors found to be negatively associated with adherence are (1) social economic factors: younger age, single civil status, low educational attainment, and unemployment; (2) patient-related factors: low in health literacy and awareness, knowledge on hypertension, attitude towards hypertension, self-efficacy, and social support; (3) therapy-related factors: inconsistent drug regimen schedule, use of Thiazide and complementary and alternative medicines; (4) condition-related factors: low illness perception, and absence of comorbidities. Conclusions Findings should be interpreted with caution because of methodological limitations. Despite this, given that health systems related factors are modifiable, they can be the focus of interventions and future researches to increase medication adherence. Clinicians may also want to screen their Filipino hypertensive patients for factors that are associated to low adherence in order to provide a tailored advice. Longitudinal research studies with heterogeneous samples of hypertensive Filipinos are imperative so that targeted interventions can be developed for the population.

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Section: Introductionmentioning

confidence: 99%

Factors associated with medication adherence of hypertensive patients in the Philippines: a systematic review

Gutierrez

Sakulbumrungsil

2021

Clin Hypertens

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“…This rise in NCDs has been driven by changing lifestyles coupled with rapid urbanization [2]. Previous studies have reported that LMICs have a high burden of undiagnosed and poorly controlled NCDs, unhealthy lifestyles, and under-resourced and inaccessible health care [3][4][5]. Primary health care (PHC), as the cornerstone in health systems, is regarded as the most inclusive, equitable and cost-effective approach to achieve health for all [6].…”

Section: Introductionmentioning

confidence: 99%

“…In the Philippines, a low-income country in Asia, NCDs are responsible for 70% of all deaths [5]. The high mortality and morbidity from NCDs are associated with health care systems and services and socioeconomic conditions [12][13][14].…”

Section: Introductionmentioning

confidence: 99%

The Experiences of Community Health Workers in Preventing Noncommunicable Diseases in an Urban Area, the Philippines: A Qualitative Study

Yamaguchi,

Palileo-Villanueva,

Tubon

et al. 2023

Healthcare

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(1) Background: Barangay health workers (BHWs) play important roles as community health workers in preventing noncommunicable diseases (NCDs), where the shortage of health professionals is felt more acutely in the Philippines. However, there is little research on the experiences of BHWs as community health workers in preventing NCDs. This study aimed to clarify the roles and difficulties of BHWs in conducting activities for the prevention of NCDs. (2) Methods: Qualitative data were collected from 25 BHWs. (3) Results: The mean age of the participants was 50.4 ± 9.5 years, 23 were women, and the mean length of time as a BHW was 9.1 ± 7.7 years. Three major themes about the role of BHWs in preventing NCDs—“screening for NCDs”, “assisting patients with management of their conditions”, and “promoting healthy behaviors”—and four major themes about the difficulties—“insufficient awareness of preventative behaviors”, “economic burdens”, “lack of resources for managing NCDs”, and “difficulty of access to medical care facilities”—were identified. (4) Conclusions: Through the findings of this study, focusing interventions aimed at addressing the difficulties for the prevention of NCDs among BHWs may help reduce health inequities.

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(De)constructing ‘therapeutic itineraries’ of hypertension care: A qualitative study in the Philippines

Mendoza

Lasco

Renedo

et al. 2022

Social Science & Medicine

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The Status of Non-Communicable Disease Prevention and Control in the Philippines: A Systematic Revie

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Cited by 4 publications

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Factors associated with medication adherence of hypertensive patients in the Philippines: a systematic review

Factors associated with medication adherence of hypertensive patients in the Philippines: a systematic review

The Experiences of Community Health Workers in Preventing Noncommunicable Diseases in an Urban Area, the Philippines: A Qualitative Study

(De)constructing ‘therapeutic itineraries’ of hypertension care: A qualitative study in the Philippines

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