MEDICATION ADHERENCE AMONGST HYPERTENSIVE PATIENTS IN FEDERAL MEDICAL CENTRE, OWO, ONDO STATE. NIGERIA

*Folorunso Timothy Oluwarotimi, Adeniyi Kunle Ayomide

ABSTRACT

Background: Poor medication adherence is a major challenge among hypertensive patient. Objectives: We accessed the prevalence of poor medication adherence and factors responsible, amongst hypertensive patients in Federal Medical Centre, Owo. Ondo State. Nigeria. Method: This is a non-probability consecutive random sampling of all hypertensive patient accessing care in Federal Medical Centre for a minimum duration of 1 year. Recruitment in to the study was voluntary following obtaining their informed consent. Results: 400 hypertensive patients were recruited, of which poor adherence was 306(76.5) and good adherence was 94(23.5). Adherence to antihypertensive was influenced by monthly income (P<0.0001), SMBP (P<0.0001) and higher among married participants (P< 0.001). Duration of hypertension was negatively related to medication adherence (P<0.01) while adherence to medication was not influenced by age, sex, educational status, presence or absence of psychiatric illness, dementia, co morbidity, adverse reactions, NHIS or complications. Conclusion: Poor adherence to medications is common amongst hypertensive patients in Federal Medical Centre, Owo, Ondo State. Nigeria. Married patients who practices SMBP with regular monthly income have better adherence.

Keywords: Adherence, SMBP, Hypertension and Medication.