Abstract
The problem of therapeutic non-adherence is a serious issue adversely affecting the adequate control and management of Type2 Diabetes (T2D).This unwelcoming situation has been studied well on various spots on the globe, with diverse results. The present study, aimed at identifying the barriers to therapeutic adherence, was conducted on a set of proven cases of T2D, managed by primary healthcare providers. The adherence rate to medication alone was 42% while to medication plus lifestyle recommendations 27%. Whereas sub-optimal health literacy, complexity of prescription and socioeconomic aspects were the main determinants, lapse on the part of healthcare system cannot be underscored. The present qualitative study was a preliminary investigation on a small sample .The magnitude of the problem necessitates that a large scale multi-centre in-depth quantitative study in 5 dimensions (recommended by WHO): socio-economic factors, health care team and system related factors, condition related factors , therapy related factors and patient related factors, be done on priority basis. This would pave the way for planning a well-designed intervention programme.
Highlights
Diabetes mellitus is a group of metabolic disorders characterized by hyperglycaemia resulting from defects in insulin secretion, action or both [2]
An estimated 422 million adults were living with diabetes in 2014 compared to 108 million
Study Population: The present study was conducted on proven cases of uncomplicated type 2 diabetes (T2D), on oral anti-hyperglycaemic pills, diagnosed and managed by primary care providers
Summary
Diabetes mellitus is a group of metabolic disorders characterized by hyperglycaemia resulting from defects in insulin secretion, action or both [2]. The patients’ reasons for deviating from the agreed prescription are diverse and may be intentional or non-intentional [7].The intentional one refers to nonadherence that is deliberate and largely associated with patient’s motivation whereas unintentional one is largely driven by a lack of capacity or resources [8]. The latter may be because of forgetfulness [9] or not knowing exactly how to use medicines [10]. This is a preliminary investigation aimed at identifying the magnitude of the problem in local population
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