الفهرس 
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Abstract
M
edication adherence is the extent to which a person’s behavior corresponds with agreed recommendations from health care provider. Poor adherence to medications is a major public health problem. Because the magnitude of non-adherence and the scope of its sequelae are so alarming, more health benefits worldwide would result from improving adherence to existing treatments than by developing new medical treatments.
The aim of this study is to measure prevalence of non adherence to medications among T2DM patients attending PHC center of Saraya El Quobba and identifying factors affecting non-adherence to medications among them. To find an agreement between MTA and ARMS questionnaires as tools of measurement treatment adherence.
The current study was a Cross sectional study, conducted on 131 participants attending PHC centre of Saraya El Quobba. The data was collected using Structured questionnaires.
The current study showed higher level of adherence among patients attending primary health care centre of Saraya El Quobba (65.6%).
This higher level of adherence can be attributed to regular follow up visit (66.4%), regular monitoring of blood glucose level (68.7%) and presence of family support.
Other factors were found to be associated with medication adherence including lower monthly income and the highest and lowest educational level.
Agreement between agreement between MTA and ARMS questionnaires as tools of measurement treatment adherence was (r=-0.8644, p<0.0001).
We recommend further studies to measure association between medication adherence and control of diabetes (measured by HbA1c).
Positive modifiable factors like regular follow up visit, regular monitoring of blood sugar level and presence of family support should be encouraged through implanting health educational program about adherence.
LIMITATIONS
Use of self reporting questionnaires might lead to recall bias and overestimation of medication adherence among participants.
Only one primary health care center involved in the study so the results of the study can’t be generalized.
CONCLUSION
The level of adherence was high among patients attending primary health care centre of Saraya El Quobba 65.6%.
Several factors were found to positively affect medication adherence among T2DM patients including regular monitoring of blood glucose level, regular follow up visit, presence of family support.
Other factors were found to be associated with medication adherence including lower monthly income and the highest and lowest educational level.
Agreement between MTA and ARMS scales was (r=-0.8644, p<0.0001).
RECOMMENDATIONS
Positive modifiable factors like regular follow up visit, regular monitoring of blood sugar level and presence of family support should be encouraged through implanting health educational program about adherence.
We recommend further studies to measure association between medication adherence and control of diabetes (measured by HbA1c).