Factors influencing adherence to diabetes treatment recommendation among diabetic clients at Kampala international university teaching hospital Bushenyi District

Abstract

Poor adherence to treatment of chronic diseases is a worldwide problem of particular concern. Globally, studies have indicated that recommended glycemic control is achieved by less than 50% of patients on anti-diabetes treatment due to non-adherence this was contrary to the findings of across sectional study carried out in Iganga and Bugiri in Uganda between October 2012 and January 2013 where adherence rate was found out to be 83.3%. Therefore, to assess factors influencing adherence to diabetes treatment recommendations, a cross-sectional study design quantitative in nature was employed to recruit 61 respondents for the study out of whom 61 questionnaires were returned completely filled thus a response rate of 100%. The researcher found out that 72.1%, 80.3% and 70.5% of the respondents strongly agreed that level of income, route of drug administration and co morbidities respectively influence adherence to diabetes treatment recommendations. The researcher concluded that demographic factors influencing adherence to diabetes treatment recommendations include; Age, gender, occupation, education level and income level of the client. Therapy related factors influencing adherence to diabetes treatment recommendation include; Route of drug administration, complexity of treatment regimen, side effects, cormorbidities and other perceived barriers. Health care related factors influencing adherence to diabetes treatment recommendations include; Affordability, clinic attendance, health education, waiting time and accessibility.