by Mohan P. Joshi, Aubrey Clark, Malaïka Ludman
Systems for Improved Access to Pharmaceuticals and Services (SIAPS), November 2016
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.