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Year : 2016  |  Volume : 9  |  Issue : 3  |  Page : 202-203
Economical aspects of adherence

Department of Pediatrics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi, India

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Date of Web Publication3-May-2016

How to cite this article:
Roy MP. Economical aspects of adherence. Ann Trop Med Public Health 2016;9:202-3

How to cite this URL:
Roy MP. Economical aspects of adherence. Ann Trop Med Public Health [serial online] 2016 [cited 2020 Jul 11];9:202-3. Available from:
Dear Sir,

I read with interest the study on adherence by Olowookere et al.[1] The authors discussed constrains for adherence to antihypertensive drugs in Nigeria. Lack of funds to purchase drugs has been cited as a reason for nonadherence in Nigeria in 27% of the patients. However, the study is silent about the cost of the drugs as well as the economic condition of the patients. The role of health insurance has not been taken into account. Was the compliance better in patients with insurance coverage? what was the adherence rate in patients who were economically well-off? What was the system of drug distribution at the public sector? Was there any provision for free drugs for the economically weaker population?

Some previous studies took these factors into consideration. Bello et al. gave a comprehensive picture of the cost of the medication on adherence.[2] Studies from Pakistan and Ethiopia as well put stress on the financial condition of the patients and the availability of medicines free of cost.[3],[4] As depicted by Kabira et al. earlier, compliance was more than double in the higher income groups than in the lower income groups.[5]

Discussion of these points would have brought more clarity to the article. In fact, this holds true for not only hypertension but any study pertaining to the adherence of patients in the developing world.

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Conflicts of interest

There are no conflicts of interest.

   References Top

Olowookere AJ, Olowookere SA, Talabi AO, Etonyeaku AC, Adeleke OE, Akinboboye OO. Perceived family support and factors influencing medication adherence among hypertensive patients attending a Nigerian tertiary hospital. Ann Trop Med Public Health 2015;8:241-5.  Back to cited text no. 1
  Medknow Journal  
Bello SI. Adherence and generic substitution among hypertensive patients in a specialist hospital. Glo Adv Res J Med Med Sci 2012;1: 8-16.  Back to cited text no. 2
Hashmi SK, Afridi MB, Abbas K, Sajwani RA, Saleheen D, Frossard PM, et al. Factors associated with adherence to anti-hypertensive treatment in Pakistan. PLoS One 2007;2:e280.  Back to cited text no. 3
Ali MA, Bekele ML, Teklay G. Antihypertensive medication non-adherence and its determinants among patients on follow up in public hospitals in Northern Ethiopia. Int J Clin Trials 2014;1:95-104.  Back to cited text no. 4
Kabir M, Iliyasu Z, Abubakar IS, Jibril M. Compliance to medication among hypertensive patients in Murtala Mohammed Specialist Hospital, Kano, Nigeria. J Community Med Prim Health Care 2004; 16:16-20.  Back to cited text no. 5

Correspondence Address:
Manas Pratim Roy
Department of Pediatrics, Vardhman Mahavir Medical College and Safdarjung Hospital, New Delhi - 110 029
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/1755-6783.179106

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