M. M. Nashilongo|Bonifasius Siyuka Singu|Francis Kalemeera|Mwangana Mubita|Ester Naikaku|A S Baker|Alessandra Ferrario|Brian Godman|Loice Achieng|Dan Kibuule
Assessing Adherence to Antihypertensive Therapy in Primary Health Care in Namibia: Findings and Implications
University of Namibia|University of Namibia|University of Namibia|University of Namibia|University of Namibia|University of Strathclyde|London School of Economics and Political Science|University of Strathclyde|University of Nairobi|University of Namibia
namibia highest burden incidence hypertension subsahara africa though nonadherence antihypertensive therapy important cardiovascular risk factor little known potential ways improve adherence namibia following universal access objective study validate hillbone compliance scale determine level predictors adherence antihypertensive treatment primary health care settings suburban townships windhoek namibiareliability determined cronbachs alpha principal component analysis pca used assess construct validitythe pca consistent three constructs 12 items explaining 241 167 108 variance cronbachs alpha 0695 none 120 patients perfect adherence antihypertensive therapy less half acceptable levels adherence 80 mean adherence level 767 81 three quarters patients ever missed scheduled clinic appointment family support system 54 95 ci 1687276 p 0045 attendance followup visits 31 95 ci 1187 p 003 significant predictors adherence hivaids lower adherencethe modified namibian version hillbone scale reliable valid assessing adherence antihypertensives namibia suboptimal adherence antihypertensive therapy among primary health cares namibia needs standardized systems strengthen adherence monitoring well investigation factors including transport take full advantage universal access