Factors influencing treatment compliance in type 2 diabetes mellitus clients at the Komfo Anokye Teaching Hospital diabetic clinic.

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Diabetes mellitus (DM) is a life-long advancing metabolic disorder delineated by an increase in blood glucose level. One of the three major types of diabetes is type 2 diabetes and it’s the most common type. In this condition there is a high level of sugar (glucose) in the blood as a result of absolute or relative deficiency of insulin hormone. Available evidence suggests that, vigorous management of type 2 diabetes mellitus can reduce the morbidity and mortality of the disease by decreasing the chronic complications that come along with it. However, research suggests that compliance to therapy is low among clients with type 2 DM. As a result, the study aimed at assessing the factors that influence compliance to treatment in clients with type 2 diabetes at the Komfo Anokye Teaching Hospital (KATH) Diabetic Center. Descriptive cross-sectional study design was used to conduct the study and the study population included type 2 diabetes mellitus clients who visited the diabetic clinic of Komfo Anokye Teaching Hospital during the period of the study. Data were gathered using structured questionnaire and systematic random sampling technique was adopted to administer the structured questionnaire to 400 diabetic patients. The data were entered into Microsoft Access 2013 and was transported to Stata version 12.0 for analysis. Statistical significant was set at 0.05 xiv Majority of the respondents (99.0%) acknowledged the fact that type 2 DM can be managed by treatment compliance with medications, diet planning, exercises, monitoring and injury prevention management. Also, most of the clients mentioned factors such as accessibility of KATH (28.5%), registration with NHIS (94.3%), medications covered by NHIS (62.2%), ability to afford medications not covered by the NHIS (26.1%) as perceived factors influencing treatment compliance. Finally, there was a significant relationship between socio-demographic characteristics such as educational level of the respondents and their compliance to diet (pvalue= 0.03), medication (0.01) and injury prevention (p-value=0.03). Also the relationship between occupational status of the diabetics (p-value=0.01) as socio-demographic characteristic and compliance to medication was statistically significant. Accessibility of KATH, registration with NHIS, medications covered by NHIS, clients’ ability to afford medications not covered by NHIS were found to be factors influencing treatment compliance from the perspective of clients. Therefore, the need to create support fund by the support organizations to assist diabetes patients in the purchase of non-insured medications.
A thesis submitted to the Department of Health Promotion and Education College of Health Sciences, School of Public Health, in partial fulfilment of the requirements for the degree of Master of Public Health in Health Education and Promotion,