Factors and conditions that influence noncompliance to medical regimen among diabetic patients treated in federal medical centre Owerri


  • Ezeama Matina Chikodi Department of Public Health, Faculty of health Sciences, PMB, Imo State University Owerri, Nigeria
  • Iwu A. Olivia Department of Public Health, Faculty of health Sciences, PMB, Imo State University Owerri, Nigeria
  • Ezinna Ezinne Enwereji Department of Public Health, College of Medicine, Abia State University, Uturu, Nigeria




Compliance, Medical regimen, Diabetic patients, Monitoring


Background: Diabetes mellitus poses a major global health threat worldwide. Compliance to prescribed regimen helps to reduce complications and death, but the rate of compliance has been consistently low in developing countries. This study therefore identified factors and conditions that influence compliance to medical regimen among diabetic patients treated in federal medical centre Owerri.

Methods: Descriptive survey design was adopted. A convenience sampling technique was used to recruit all the 68 diabetic patients receiving treatment in the out-patients’ male and female wards. Data were collected using administered questionnaire. Data were analyzed and presented with percentages, tables and graphs.

Results: The result showed low level of compliance among 37 (54.4%) of the diabetic patients treated in federal medical center Owerri. Factors that influenced compliance as indicated by the respondents include; drugs that are taken for a long time 23 (33.8%), long waiting time before seeing a doctor as well as the distance covered to the facility and diet restriction 22 (32.3%) respectively. Other factors that contributed to poor compliance included: inability to afford monitoring machine 16 (23.5%), and unaffordability of diabetic drugs 15 (23.5%). Majority (73.5%) of the patients suggested good communication as the best measure to promote patient’s compliance.

Conclusions: This study identified that several factors contributed to lack of diabetic patients’ compliance to medical regimen and that only good communication can encourage patients’ compliance. Therefore, good communication between the health care givers and diabetic patients should be encouraged.  


American Diabetes Association. Standard of medical care in diabetes. Diabet Care, 2009;13:113-61

Attyia A, Bahnasy R, Abu Salem M, Batanony M, Ahamed A. Compliance of Diabetes Patients with the Prescribed Medical Regimen in Gharbia Governorate, Egypt. Menouf Medic J. 2014;26(1):54-7

Bazeyo J, Bononazaz E, Rutebemberwa E. Adherence to Anti Diabetics Medication among patients with Diabetes in Eastern Uganda: A Cross Sectional Study. Brit Med Cent Heal Serv Resear. 2015;168.

Chinyere N, Biskash N, Benjamin O. Factors Influencing Diabetes Management outcome among Patients attending Government Health Facilities in South East, Nigeria. Int J Trop Medic. 2010;5:28-36.

Diabetes Health Centre. Diabetes Mellitus: Types, Symptoms, Causes, Treatments. Available at: www.wed.med,conl diabetes/types of diabetes mellitus 2015. Accessed on 10 May 2020.

Folaranmi B. Factor Influencing Compliance to Dietary Regimen among Diabetic Patients in Ladoke Akintola University of Technology, Teaching Hospital Osogbo. 2013.

Hsu C, Lemon J, Wong E, Perkins CE, Nordstorm M, Liu C, et al. Factors affecting medication adherence: Patient perspectives from five veterans affairs facilities. 2014.

International Diabetes Federation update. Diabetic Compliance: A Qualitative study from the Patient’s Perspective in Developing Countries. 2014.

Jing J, Sklar GE, MinSen OH, Chuen L. Factor Affecting Therapeutic Compliance: Review from the Patient’s Perspective, the Clinical Risk Management. 2011;4:269.

Khan AAl, Abdul LAl. Non - compliance Among Diabetics Attending Primary Health of Saudi Arabia. 2012;19:(1):26-32.

El-minia Egypt, Department of Public Health Faculty of Medicine El-minia University Egypt. Europ J Pub Heal. 2014;19:(1):35-41.

Nwaokoro J, Okokon B, Nwaokoro A, Emeroele O, Ibe O, Onwuliri V, et al. Problem Associated with Treatment Compliance Among type 2 Diabetic Patients at Tertiary Health Institution in Nigeria. Afric J Diabet Medic. 2014;(1):22.

Merrinar AA. Guide to Nursing Management Mosby Company Toronto. Americ Diabet Assoc. 2008;(6):137.

Pender NJ. Health Promotion in Nursing Practice, 2nd Edition. Appleton Lange 1987;Norwalk, Connecticut.

Poretsky L. Principles of Diabetes Mellitus, 2nd Edition. New York: Springer Riseuns, U, Willett WC. HUF.B. Dietary fats and Prevention of type 2 Diabetes. Prog Lip Resea. 2009;48(1):44-51.

Shoback G. Greenspan’s Basic and Clinical Endocrinology 9th Edition 2011; New York: MeGraw Hill Medical.

Stoppler MC. Diabetes: Symptoms and Causes of Diabetes Mellitus 2014. Available at: www.medicinenet.com/diabetesmellitus. Accessed on 05 May 2020.

World Health Organization A Report on Chronic Diseases-poor Compliance of patients with drugs treatment (on line) 2010; Available at: http:/www.bromedicine.org/medicine-news/in Chronic – diseases 2097- 1. Accessed on 10 May 2020.

World Health Organization. The Top 10 Causes of Death: Fact Sheet N 310”. 2013.

Yuankai HUF. The Global Implications of Diabetes and Cancer. Lanc. 2010;383(9933):1947-8.




How to Cite

Chikodi, E. M., Olivia, I. A., & Enwereji, E. E. (2020). Factors and conditions that influence noncompliance to medical regimen among diabetic patients treated in federal medical centre Owerri. International Journal of Research in Medical Sciences, 8(12), 4191–4196. https://doi.org/10.18203/2320-6012.ijrms20205287



Original Research Articles