Access to medicines for asthma, diabetes and hypertension in eight counties of Kenya

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dc.contributor.authorWirtz, Veronika J.
dc.contributor.authorTurpin, Kristen
dc.contributor.authorLaing, Richard O.
dc.contributor.authorMukiira, Carol K.
dc.contributor.authorRockers, Peter C.
dc.date.accessioned2018-11-09T07:23:44Z
dc.date.available2018-11-09T07:23:44Z
dc.date.issued2018
dc.description.abstractOBJECTIVES: To assess access to noncommunicable diseases (NCD) medicines in Kenya for patients diagnosed and prescribed treatment for asthma, diabetes and hypertension. METHODS: Households in eight purposively chosen counties were randomly selected. To be eligible, a household needed to have at least one member aged 18 years or older who had been previously diagnosed and prescribed medicines for one of the following NCDs: asthma, diabetes or hypertension. Using a logistic regression model, we explored the relationship between patient characteristics and the probability that patients had the medicines available at the time of the survey visit. RESULTS: A total of 627 individuals were included in the analysis. The highest percentage of medicines availability was in households with diabetes patients (83.1%), followed by hypertension (77.1%) patients. The lowest availability of medicines was found in households with asthma patients (53.1%). The median household expenditure on medicines per month was US$7.00 for households with diabetes patients; it was US$4.00 for asthma. In general, strong predictors of having medicines at home was being older, having some education compared to no education, few household members, wealth, being diagnosed at private nonprofit facilities and having only one patient with NCDs in the household. CONCLUSIONS: Our study found that nearly three-quarters of patients diagnosed and prescribed a medicine for hypertension, asthma or diabetes had the medicine available at home. Access challenges remain, in particular for patients from low-income households and for those diagnosed with asthma.en_US
dc.identifier.citationWirtz, V.J. et al. (2018). Access to medicines for asthma, diabetes and hypertension in eight countries of Kenya. Tropical Medicine and International Health, 23(8): 879 – 885.en_US
dc.identifier.issn1360-2276
dc.identifier.urihttp://dx.doi.org/10.1111/tmi.13081
dc.identifier.urihttp://hdl.handle.net/10566/4196
dc.language.isoenen_US
dc.privacy.showsubmitterFALSE
dc.publisherWileyen_US
dc.rightsThis is the author-version of the article published online at: http://dx.doi.org/10.1111/tmi.13081
dc.status.ispeerreviewedTRUE
dc.subjectNoncommunicable diseasesen_US
dc.subjectAccess to careen_US
dc.subjectDiabetesen_US
dc.subjectAsthmaen_US
dc.subjectHypertensionen_US
dc.subjectKenyaen_US
dc.titleAccess to medicines for asthma, diabetes and hypertension in eight counties of Kenyaen_US
dc.typeArticleen_US

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