Compliance with follow‐up and adherence to medication in hypertensive patients in an urban informal settlement in Kenya: comparison of three models of care

• DOI: 10.1111/tmi.13078
• Publication Date: 2018-05-20T01:19:47Z
• Authors: Ng'endo Kuria; Anthony Reid; Philip Owiti; Hannock Tweya; Caleb Kipkurui Kibet; Lilian Mbau; Marcel Manzi; Victor Murunga; Tecla Namusonge; Joseph Kibachio
• Keywords: Medication Adherence

Abstract Objective To determine and compare, among three models of care, compliance with scheduled clinic appointments adherence to antihypertensive medication patients in an informal settlement Kibera, Kenya. Methods Routinely collected patient data were used from health facilities, six walkway clinics one weekend/church clinic. Patients eligible if they had received hypertension care for more than 6 months. Compliance self‐reported determined records compared using the chi‐square test. Univariate multivariate logistic regression estimated odds overall medication. Results A total 785 treatment analysis, whom two‐thirds women. Between them, there 5879 visits 63%. was high facilities clinics, but men likely attend clinics. Self‐reported by those complying 94%. two times adhere at facility ( OR 1.97, 95% CI 1.25–3.10). Conclusion Walkway outperformed weekend The use multiple sites management hypertensive led good very a low‐resource setting.