- Keywords > adherence and compliance
- Keywords > adherence to antiretroviral therapy
- Keywords > Adherence to Antiretrovirals (IAA)
- Keywords > adherence to medication regimens
- Keywords > adherence to prescribed medication regimens
- Keywords > adherence to treatment
- Keywords > indicator-based approach
- Keywords > International Network for Rational Use of Drugs (INRUD)
- Keywords > medicine use - investigating
- Keywords > patients - treatment compliance
(2016; 72 pages)
Joshi MP, Clark A, Ludman M. 2016. Systems-based Approaches to Improving Medication Adherence. Submitted to the US Agency for International Development by the Systems for Improved Access to Pharmaceuticals and Services (SIAPS) Program. Arlington, VA: Management Sciences for Health.
With the shift from a disease landscape that focuses on the treatment of acute and short-term illnesses to one that faces an increasing burden of chronic diseases that may require life-long medicine use, the role of medicines in ensuring a healthy population is more important than ever.
However,even when medicines are available, patients may not take them as directed. In other words, they may not adhere to the treatment prescribed to them. This problem is surprisingly widespread. Several studies have estimated that in developed countries, only approximately 50% of patients who suffer from chronic diseases take their medicines as directed.
This document suggests a health systems strengthening (HSS) approach to addressing medication adherence issues, with a particular emphasis on its application in low- and middle-income settings. Chapter 2 reviews the importance of considering health systems in improving medication adherence and introduces a system-based framework, while Chapters 3–5 discuss approaches, interventions, and activities that span the health system as described at the macro, meso, and micro levels and provide implementation examples.