Effectiveness of Information Education Communication on Drug Compliance among hypertensives in rural field practice area of Vydehi Institute of Medical Sciences and Research Centre Bengaluru

K Indumathi, Mangala Subramanian

Abstract


 Background: Hypertension is the most prevalent public health problem worldwide. Globally, the prevalence of high blood pressure in adults aged 18 years and above was 22% in 2015. In India, the prevalence of hypertension was 22.4% in 2015. Objectives: The present study was conducted to observe the drug compliance among study subjects and to assess the effectiveness of Information Education and Communication (IEC) on drug compliance among hypertensives. Materials and Methods: In the rural field practice area of Vydehi Institute of Medical Sciences and Research Center, Bengaluru, an interventional study was carried out on 140 hypertensives from May 2015 to April 2017. Sociodemographic profile, hypertension details, personal habits, treatment, and compliance to medications were obtained using a semi-structured pre-tested questionnaire. Anthropometry and clinical examination was also conducted. Intervention was given in the form of IEC every quarterly and the effectiveness was evaluated after each intervention. Results: Out of 1706 persons screened, prevalence of hypertension was 140 (8.27%). Majority 78 (55.7%) of them belonged to the age group of 40–59 years. There were 72 (51.5%) females and 68 (48.5%) males among the participants. The reduction in average systolic blood pressure was 17.9 mm Hg and the average reduction in diastolic blood pressure was 12.4 mm Hg following the three IEC interventions which were statistically significant. The overall adherence to medication increased from 55% at baseline to 77.1% at the end of the interventions and this was also statistically highly significant. Conclusion: The IEC interventions were effective in reducing the average systolic blood pressure by 17.9 mm Hg and average diastolic blood pressure by 12.4 mm Hg. The overall adherence to medication increased from 55% at baseline to 77.1% at the end of the three IEC interventions.

Key words: Hypertension, drug compliance, intervention, regular, blood pressure


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