Factors Influencing Patients’ Adherence to Medication Therapy for Type-2 Diabetes Mellitus in the WA Municipality of the Upper West Region, Ghana
Published: 2022-10-22
Page: 171-176
Issue: 2022 - Volume 5 [Issue 1]
Elizabeth Gyabea Twumasi *
Department of Pharmaceutical Sciences, Faculty of Applied Science and Technology, Dr Hilla Limann Technical University, Ghana.
Sixtus Bieranaye Bayaa Martin Saana
Department of Pharmaceutical Sciences, Faculty of Applied Science and Technology, Dr Hilla Limann Technical University, Ghana.
Ahmed Wahab Obeng
Department of Pharmaceutical Sciences, Faculty of Applied Science and Technology, Dr Hilla Limann Technical University, Ghana.
Mariam El Boakye-Gyasi
Department of Pharmaceutics, Faculty of Pharmacy and Pharmaceutical Sciences, Kwame Nkrumah University of Science and Technology, Ghana.
Frederick William Akuffo Owusu
Department of Pharmaceutics, Faculty of Pharmacy and Pharmaceutical Sciences, Kwame Nkrumah University of Science and Technology, Ghana.
*Author to whom correspondence should be addressed.
Abstract
Background: Diabetes Mellitus is a chronic condition that comes with life-threatening long-term complications due to defected Beta cells of the Islets of Langerhans; hence, adherence to medication plays a pivotal role to achieve a longer life expectancy among a population.
Objective: The aim of this study is to determine the factors that influence patients’ adherence to their anti-diabetic medication therapy within the Wa Municipality.
Methodology: This is a cross-sectional study conducted in four health centers within the Wa Municipality between March to August 2022. Eighty diabetic patients using the Andrew Fisher’s formula at 95% confidence interval were randomly selected, (35 men and 45 women; aged 15 years and above) administered questionnaires and the data obtained was analyzed.
Results: About 77.5% of participants adhered to their anti-diabetic medications while 22.5% did not adhere to their medications. Reasons cited for non-adherence included; lack of finance, feeling of drug being ineffective, taking a break from their antidiabetic medication after long periods of time, and also forgetting their medication while traveling.
Conclusion: Most of the participants adhered to their anti-diabetic medication therapy whiles factors such as lack of finance, forgetfulness, individual myths/beliefs, and inconsistent dosage regimen contributed to non-adherence.
Keywords: Adherence, anti-diabetic medication, type-2 diabetes mellitus, non-adherence
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References
Federation ID. IDF diabetes atlas, tenth. [Access on 2022 Sep 14].
Availabile:https://www.diabetesatlas.org/idfawp/resource files/2021/IDF_Atlas_10th _Edition_2021
World Health Organization. Towards the solution. In: Adherence to long-term therapies. Ninth edition. 2021;1–11.
Gould E, Mitty E. Medication adherence is a partnership, medication compliance is not. Geriatric Nursing. 2010;31(4):290-298.
Arifulla John M, Basha SA, Muttappallymyalil LJ, Sreedharan J. Patients’ adherence to anti-diabetic medications in a hospital at ajman, UAE. The Malaysian Journal of Medical Sciences: MJMS. 2014;21(1):44.
Bagonza J, Bazeyo W, Rutebemberwa E. Adherence to anti-diabetic medication among patients with diabetes in eastern Uganda; a cross-sectional study. BMC Health Services Research. 2015;15(1):1-7.
Boon H, Fenta TG, Habte BM, Kebede T. Barriers and facilitators to adherence to anti-diabetic medications: Ethiopian patients' perspectives. African Journal of Primary Health Care & Family Medicine. 2017;9(1):1-9.
Aslani P, Brien JA, Greenfield J, Sapkota S. A systematic review of interventions addressing adherence to anti-diabetic medications in patients with type 2 diabetes—impact on adherence. PloS One. 2015;10(2),e0118296.
Joseph BY, Obe O, Yusuff KB. Adherence to anti-diabetic drug therapy and self-management practices among type-2 diabetics in Nigeria. Pharmacy World & Science. 2008;30(6):876-883.
Amoabeng IA, Borquaye LS, Darko G, Otoo BA. Disposal of unused and expired medicines within the sunyani municipality of Ghana: A cross-sectional survey. Journal of Environmental and Public Health; 2022.
Rwegerera GM. Adherence to anti-diabetic drugs among patients with type 2 diabetes mellitus at muhimbili national hospital, dar es salaam, Tanzania-a cross-sectional study. The Pan African Medical Journal. 2014:17.
Abebaw A, Abebe D, Bahiru B, Belayneh A, Biyazin Y, Getachew M, Mengist HM, Mitiku Y, Kebede B, Tegegne BA. Prevalence of medication non-adherence and associated factors among diabetic patients in a tertiary hospital at debre markos, northwest Ethiopia. Ethiopian Journal of Health Sciences. 2022;32(4): 755.
Gashe F, Kassahun A, Mulisa E, Rike WA. Nonadherence and factors affecting adherence of diabetic patients to anti-diabetic medication in assela general hospital, oromia region, Ethiopia. Journal of Pharmacy & Bioallied Sciences. 2016; 8(2):124.
Bhattacharyya A, Das KK, Deb A, MuKherjee S, Sharma SARKAR B. Compliance to anti-diabetic drugs: Observations from the diabetic clinic of a medical college in kolkata, India. Journal of Clinical and Diagnostic Research: JCDR. 2013;7(4):661.
Boban B, Marimuthu K, Murali AB, Shanmughan AK, Sreelatha AR, Xavier A. Medication Therapy Management (MTM): An innovative approach to improve medication adherence in diabetics. Drug Metabolism and Personalized Therapy. 2016;31(3):151-155.
Acheampong F, Bruce SP, Kretchy I. Adherence to oral anti-diabetic drugs among patients attending a ghanaian teaching hospital. Pharmacy Practice. 2015;13(1).
Aminde LN, Aminde JA, Fondong AA, Ngwasiri CA, Njim T, Takah NF, Tindong M. Adherence to anti-diabetic medication and factors associated with non-adherence among patients with type-2 diabetes mellitus in two regional hospitals in Cameroon. BMC Endocrine Disorders. 2019;19(1):1-9.