Medication adherence and blood pressure control: A preliminary assessment of the role of health insurance in Nigeria and Ghana

Autor: Tijani Idris Ahmad Oseni, Paa-Kwesi Blankson, Bolade Folasade Dele-Ojo, Fiifi Duodu, Chidiebere Peter Echieh, Sulyman Biodun Alabi, Bamidele O Tayo, Daniel F Sarpong, Mary Amoakoh-Coleman, Vincent Boima, Gbenga Ogedegbe
Jazyk: angličtina
Rok vydání: 2023
Předmět:
Zdroj: SAGE Open Medicine, Vol 11 (2023)
Druh dokumentu: article
ISSN: 2050-3121
20503121
DOI: 10.1177/20503121231152324
Popis: Objectives: This study sought to assess the current impact of health insurance coverage on medication adherence and blood pressure control of patients being managed for hypertension in Ghana and Nigeria. Methods: The study was a prospective study among 109 patients with hypertension in two health facilities with similar population dynamics in Ghana and Nigeria. Patients were systematically selected, categorized as having health insurance coverage or not, and followed up monthly for 6 months. The outcome variables (medication adherence and blood pressure control) were then measured and compared at 6 months. Analysis was done using Stata with level of significance set at p ⩽ 0.05. Results: There was a 90% insurance coverage among participants from Ghana compared to 15% from Nigeria. National Health Insurance Authority enrolees in both countries had better blood pressure control and medication adherence compared to non-enrolees (adjusted odds ratio = 2.6 and 4.5, respectively). Conclusion: National Health Insurance Authority enrolment was found to be poor among respondents in Nigeria compared to Ghana. Enrolment into the National health financing schemes in both countries led to better blood pressure control and medication adherence among patients with hypertension at primary health facilities. There is therefore the need for system strengthening to improve their sustainability.
Databáze: Directory of Open Access Journals
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