Indian Journal of Community Health

Permanent URI for this collection

https://imsear.searo.who.int/handle/123456789/149599

Editor: Dr Pradeep Aggarwal

ISSN: 0971-7587; (Print)

Frequency: 4 issues a year

Language: English

An Official Publication of Indian Association of Preventive and Social Medicine Uttar Pradesh & Uttarakhand Chapter

Open Access Peer-reviewed journal

Web site: https://www.iapsmupuk.org/journal/index.php/IJCH/index

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Browsing Indian Journal of Community Health by Subject "Adherence"

Now showing 1 - 2 of 2
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    Compliance to medical advice among patients having non-communicable disease in Jamnagar, Gujarat
    (Indian Association of Preventive and Social Medicine, 2018-09) Bhagora, HD; Unadkat, SV; Parmar, DV
    Background: The low compliance by patients with non-communicable diseases to treatment and medical advice is a major therapeutic challenge. WHO study estimates that only 50% of patients suffering from chronic diseases in developed countries follow treatment recommendations. Aims & Objective: To estimate compliance to medical advice among patients with non-communicable diseases and to find out association between various socio-demographic factors and compliance to medical advice. Materials & Methods: It was a community based cross sectional study. Total 450 subjects (225 each from Urban and rural areas of the district) were studied using pre-tested and semi-structured questionnaire. Result: Medicines were taken as prescribed by 71.78% participants. Dose was missed on previous day and once in previous week by 26% and 35.78% participants respectively. Adherence to medical advice was found among 43.33% participants. Proportion of adherence was significantly low among participants more than 50 years of age (38.40%), among males (35.74%), among financially dependent (39.30%) and those having disease since 6years or more (36.92%). Conclusion: Large number of study subjects were found to be non-compliant to medical advice and also the compliance was lower in participants more than 50 years of age, among males and among those who were financially dependent. These risk groups may be targeted through counselling or health education sessions to increase compliance.
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    Drug adherence to anti-tubercular treatment during COVID-19 lockdown in Haldwani block of Nainital district
    (MRI Publication Pvt. Ltd., 2022-12) Maroof, M; Pamei, G; Bhatt, M; Awasthi, S; Bahuguna, SC; Singh, P.
    Background: India saw one of the stringent lockdowns during the COVID-19 pandemic. In the wake of this period, the normal functioning of medical services was affected. People were reluctant to seek medical attention and notification of Tuberculosis dipped. The aim of the study was to estimate the proportion of non-adherence to anti-tubercular treatment and to identify the factors affecting the non-adherence to treatment. Methods: A retrospective community-based study was conducted among 284 tuberculosis patients. They were interviewed using a pre-designed questionnaire consisting of WHO dimensions of non-adherence and lockdown related questions. Results: The proportion of non-adherence to treatment was found to be 5.3%. Factors like chronic diseases, depression, without knowledge on how the disease is transmitted and that medication can be discontinued once the symptoms subsided, alcohol consumption, and trouble accessing medicine were found to be the determining factors in non-adherence to the treatment. Conclusions: Non-adherence to anti-tuberculosis treatment in our study was low but the various dimensions of adherence along with lockdown related factors had significant impact on it. To further minimize non-adherence during emergency like the lockdown due to COVID-19 pandemic, corrective measures must be explored and implemented.