Browsing by Author "ErmiyasKuma"

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    The Magnitude of Antihypertensive Medications Adherence, Blood Pressure Control and Associated Factor Among Hypertensive Patients at Selected Health Center ,A.A, Ethiopia.
    (Addis Ababa University, 2024-02-08) ErmiyasKuma; AbenetTafesse; YaredZenebe; SebelewengelAsmare
    Background: Hypertension is a major risk factor for stroke, contributing to high mortality and morbidity, particularly in low-income countries like Ethiopia. Studies indicate a rising incidence of stroke in developing nations, with intracerebral hemorrhage disproportionately affecting low-income populations. Assessing blood pressure control, medication adherence, and associated factors is essential for identifying key contributors to the increasing stroke burden and guiding targeted interventions. While most existing data come from hospital-based studies, this research focuses on primary healthcare facilities, where a significant proportion of hypertensive patients receive follow-up care. Future studies can explore additional contributing factors to the growing burden of stroke in developing countries. Methods: Across-sectional study was conducted using multi-stage sampling at selected health centers from October to December 2024. Data were collected via structured questionnaires and analyzed using SPSS version 25. Multiple logistic regression model wasemployedtodetermine factors associated with BP control and medication adherence. Results: Of 348 patients, only 27.3% achieving the target Blood pressure of <130/80 mmHg,while 35.1% fellinto the category of 130/80-139/89 mmHgand 35.9% hadhigh BP(>139/89 mmHg),indicating poor control. High medication adherence was observed in 43.1%ofparticipants, 32.2% moderate adherence, but 24.7% had low adherence. Factors significantly associated with BP control included adherence levels, frequency of BPmonitoring, appointment frequency, education, income, and age. Medication adherence wasinfluenced by income, appointment frequency, blood pressure monitoring frequency, fruit consumption, and salt intake. Lifestyle modifications such as exercise and dietary habits showed concerning trends but were not significant predictors in the regression model. Significant proportion of the patients are on monotherapy. Conclusion: Poor blood pressure control and suboptimal medication adherence underscore the urgent need for targeted interventions to reduce the burden of stroke and other hypertension-related complications in Ethiopia. Key strategies include enhancing patient education, improving access to healthcare and strengthening healthcare systems through regular follow-up appointments and promoting home blood pressure monitoring. Additionally, promoting healthy lifestyle choices, addressing financial barriers, and optimization in treatment regimens to prevent therapeutic inertia are essential to improving hypertension management. These efforts can help mitigate the burden ofstroke and other cardiovascular diseases. Further research, including longitudinal and qualitative studies, is recommended to explore underlying barriers, identify effective intervention strategies, and investigate other contributing factors beyond hypertension-related issues.