| 6. Nsitou et al. 2013 [41] | Congo | To assess the level of compliance in hypertensive patients and identify patients-related predictors of MNA | N = 212 Eligible hypertensive patients of outpatient departments of three urban hospital | 57.5 | Prospective cross-sectional | 32.5/27.86 | Patient related predictors that could predict poor adherence by bivariate analysis: no Knowledge of the treatment (OR = 4.16; 95% CI; 2.25 - 7.68; p ≤ 10−5) no knowledge of high BP related complications (OR = 2.9; 95% CI: 1.61 - 5.29; p = 0.000), other pays for the medicine (OR = 2.17; 95% CI:1.20 - 3.92; p = 0.009), no Knowledge of the severity of hypertension (OR = 3.25; 95% CI: 1.5 - 7.02; p = 0.001), costly medication (OR = 0.42; 95% CI: 0.23 - 0.76; p =0 .004), no tensinometer for self-monitoring (OR = 3.16; 95% CI: 1.44 - 6.92; p = 0.002) and not existence of family member to remind to take medication (OR = 0.52 ; 95% CI: 0.29 - 0.93) p = 0.03. After adjustment by logistic regression, statistically significant association with poor compliance: knowledge of the treatment (p = 0.0170) and perception of the severity of complication (p = 0.0373) |
| 7. Fina Lubaki et al. 2009 [49] | Congo | To explore reasons for MNA among patients with hypertension | N = 3 focus groups. Purposive sampling from hypertensive patients of a cardiovascular clinic | - | Qualitative study/Focus group interviews |
| Major causes of MNA: side effects of the medications, lack of information and support, difficulty in obtaining the medication and fact that the disease is mainly silent. |