Medication Adherence to Antidiabetic Agents in Selected Rural (Barangay Patubig, Marilao, Bulacan) and Urban Communities (Bagong Barangay, Pandacan, Manila)

INTRODUCTION

Diabetes mellitus (DM) is one of the leading causes of mortality in the Philippines. The World Health Organization has named it the 4th leading cause of death in the country in the year 2012. In a data presented by the International Diabetes Federation in 2015, there has been a Diabetes Mellitus prevalence of 6.1% in adults (20-79 years) in the Philippines, and a total of 51,127 deaths were caused by the disease. It is a national health issue that needs serious monitoring and control as it has caused substantial economic loss to citizens, health systems, and national economies through medical costs and loss of work and wages (IDF, 2015).
The Philippines is among the top 15 for diabetes prevalence worldwide. A comparison of the prevalence of pre-diabetes and diabetes in the urban and rural communities in the Philippines shows a greater number of both conditions in the urban areas (Jimeno, Kho, Matawaran, Duante, & Jasul, 2008). Most Filipinos would travel long distances to visit large scale hospitals to seek diabetes care and education and this brought about a health center project. This occurred in Davao City in 2013 that aimed to bring diabetes care more accessible. This expanded in local cities in the southern Philippines resulting to increased access to quality and multidisciplinary diabetes care (Carleton, 2015). (full download)