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. 2021 Mar 10;87(8):3056–3068. doi: 10.1111/bcp.14768

TABLE 4.

Sub‐Saharan African studies of patients' self‐reported adherence to anticoagulation

Study Setting, sample Adherence measure Outcome
Chalachew29

Addis Ababa, Ethiopia, 2019

Children and young adults (11‐25 yr) with prosthetic valves on anticoagulation at a teaching hospital

Not reported

30/73 (41%) reported perfect adherence, 34/73 (47%) missed 1‐2 doses per week. 9/73 (12%) missed >2 doses per week

Most common reasons were forgetfulness (30%) and unavailability of warfarin (23%)

Association between adherence and INR control not reported

Mariita115

Nairobi, Kenya, 2015

Consecutive sample at cardiac, cardiothoracic and haemato‐oncology clinics of a teaching hospital

MMAS‐8117

High adherence if score = 8, moderate adherence if score 6 or 7, low adherence if score <5

77/147 (52%) high adherence, 53/147 (36%) moderate adherence, 17/147 (12%) low adherence

Association between adherence and INR control not reported

Iqbal118

Nairobi, Kenya, 2017

Convenience sample at cardiac, cardiothoracic haemato‐oncology and DVT clinics of a teaching hospital

MMAS‐8117

High adherence if score = 8, moderate adherence if score 6 or 7, low adherence if score <5

13/45 (29%) high adherence, 32/45 (71%) low adherence

Association between adherence and INR control not reported

Eltayeb119

Khartoum, Sudan, 2017

Convenience sample at cardiothoracic clinic of a teaching hospital

Four‐item MMAS120

Considered adherent if score = 0, nonadherent if score >0

5/93 (5.4%) adherent

Association between adherence and INR control not reported

INR, international normalised ratio; MMAS‐8, eight‐item Morisky medication adherence scale.