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May 31, 2026Diabetes/Metabolism Research and Reviews

Medication Adherence in Diabetes Management in Sub‐Saharan Africa: A Systematic Review of Determinants and Strategies for Improvement

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Authors

RMRoland MuyisaEWEmile Justin WatumwaASAmos Kaghoma Sivulyamenge

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Overview

Systematic review identifies determinants of medication adherence in diabetes management, highlighting strategies for improvement.

Key Points

  • This review aims to identify determinants of medication adherence and suggest strategies for improvement in diabetes management in Sub-Saharan Africa.
  • Conducted a systematic review following PRISMA 2020 guidelines.
  • Included studies on diabetic patients in SSA assessing medication adherence published between January 2015 and May 2025.
  • Assessed methodological quality using the Newcastle–Ottawa Scale.
  • Included 26 studies with over 6500 participants from 10 SSA countries.
  • Adherence rates ranged from 13.9% to 84.5%, with most settings reporting moderate to low adherence.
  • Key determinants of non-adherence included socioeconomic barriers, therapy-related factors, health system limitations, and sociocultural influences.

Cite This Study

Muyisa et al. (2026) studied this question.

synapsesocial.com/papers/6a1bd2675783ba022b6fded7https://doi.org/10.1002/dmrr.70183
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