The Magnitude of Adherence Diabetic Patients Toward Their Anti-diabetic Medication and Associated Factors in Asmara, Eritrea
Daniel Tikue Asrat,
Robiel Ankeste,
Amanuel Tesfit,
Naod Fsseha,
Luwam Russom,
Ghirmay Yohannes,
Frezghi Hidray,
Hager Tesfaselassie
Issue:
Volume 6, Issue 4, December 2020
Pages:
39-46
Received:
29 August 2020
Accepted:
16 September 2020
Published:
16 December 2020
Abstract: Diabetes mellitus is a growing global health problem that affects individuals of all ages. Anti-diabetic medications are integral for glycemic control in diabetes. Lack of adherence to drugs can alter blood glucose levels and can lead to treatment failure, accelerated development of complications, and increased morbidity, mortality, and disability. In Eritrea, adherence to anti-diabetic medication is not well studied so far. The study aimed to assess the magnitude of adherence of diabetic patients toward their anti-diabetes medication and associated factors in the diabetic clinic of Halibut National Referral Hospital. A descriptive cross-sectional study was conducted in Asmara Halibet National Referral Hospital diabetic clinic from February 01 to May 31, 2019. Subjects of the study were all diabetic patients 16 years and above and had been on diabetic treatment for not less than six months. The sample size of this study was 205 determined using Crecy & Morgan formula and convenience non-probability sampling was used to select study participants. Data were collected through an interview questionnaire assessed using self-report which then, cleaned, coded, and entered to excel and exported to SPSS for Windows version 20.0. Descriptive and inferential statistics were done to determine adherence to anti-diabetic medication and the associated factors. A total of 205 study participants were interviewed with a response rate of 100%. The level of adherence was found to be 86.3%. Factors found to be significantly associated with anti-diabetes medication were duration of diabetes (P-value=0.001), Health education about DM and its medications (P-value=0.004), taking multiple medication (P-Value=0.018), forgetfulness (P-value=0.000), and monitoring of blood glucose level (p-value=0.06). In conclusion, the majority of respondents 86.3% in this study were found to be adherent to their anti-diabetic medications. Strategies that further improves anti-diabetic drug availability, provide health education, reduce the intervals of visits for follow-ups on diabetic care, and giving explicit information and persistent close family support for those taking multiple medications may help in improving adherence levels among patients with diabetes.
Abstract: Diabetes mellitus is a growing global health problem that affects individuals of all ages. Anti-diabetic medications are integral for glycemic control in diabetes. Lack of adherence to drugs can alter blood glucose levels and can lead to treatment failure, accelerated development of complications, and increased morbidity, mortality, and disability....
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Isolation of Mycotoxigenic Fungi, Detection and Quantification of Ochratoxin A from Coffee (Coffea arabica L.)
Legese Hagos,
Nagassa Dechassa,
Kifle Belachew,
Demelash Teferi,
Solomon Yilma,
Gabisa Gidisa
Issue:
Volume 6, Issue 4, December 2020
Pages:
47-52
Received:
30 December 2020
Accepted:
12 January 2021
Published:
22 January 2021
Abstract: Introduction. Successful prevention of mother-to-child transmission (PMTCT) of the human immunodeficiency virus (HIV) requires early diagnosis, consistent access to antiretroviral therapy (ART), and regular health care during and after pregnancy. This study assessed the determinants of early HIV diagnosis by children born to HIV-positive (HIV+) mothers in the Kongo Central Province, Democratic Republic of the Congo (DRC). Methodology. Data from 230 HIV+ mothers screened under the PMTCT program between July 2015 and December 2017 were extracted from the databases of 31 Health Zones (HZ) of Kongo Central province. Data detailing laboratory and anthropometric findings, morbidity, and mortality were collected from each exposed child. The determinants of inaccessibility to early diagnosis were identified using logistic regression. Results. The mothers' mean age was 32.4 years, and 90.9% were on ART; 68.8% of children were older than 12 months at diagnosis. Diagnosis during the first 6 months of the child’s life was critical. Malnutrition was found in almost 90% of the children. Determinants of non-access to an early diagnosis were mothers who attained a primary education level and did not disclose their HIV status. Conclusion. All possible interventions should be considered to prevent mother-to-child HIV transmission. To ensure a child’s survival to their first birthday, early diagnosis should be performed soon after birth to an HIV+ mother and ART should be initiated.
Abstract: Introduction. Successful prevention of mother-to-child transmission (PMTCT) of the human immunodeficiency virus (HIV) requires early diagnosis, consistent access to antiretroviral therapy (ART), and regular health care during and after pregnancy. This study assessed the determinants of early HIV diagnosis by children born to HIV-positive (HIV+) mot...
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