TY - JOUR
T1 - Medication adherence and blood pressure control
T2 - A preliminary assessment of the role of health insurance in Nigeria and Ghana
AU - Oseni, Tijani Idris Ahmad
AU - Blankson, Paa Kwesi
AU - Dele-Ojo, Bolade Folasade
AU - Duodu, Fiifi
AU - Echieh, Chidiebere Peter
AU - Alabi, Sulyman Biodun
AU - Tayo, Bamidele O.
AU - Sarpong, Daniel F.
AU - Amoakoh-Coleman, Mary
AU - Boima, Vincent
AU - Ogedegbe, Gbenga
N1 - Publisher Copyright:
© The Author(s) 2023.
PY - 2023
Y1 - 2023
N2 - 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.
AB - 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.
KW - Ghana
KW - Hypertension
KW - medication adherence
KW - NHIA
KW - Nigeria
UR - http://www.scopus.com/inward/record.url?scp=85147383233&partnerID=8YFLogxK
U2 - 10.1177/20503121231152324
DO - 10.1177/20503121231152324
M3 - Article
AN - SCOPUS:85147383233
VL - 11
SP - 1
EP - 7
JO - SAGE Open Medicine
JF - SAGE Open Medicine
M1 - doi.org/10.1177/20503121231152324
ER -