The most frequently associated factors to non adherence in developing countries are:

1. Lack of use of case management guidelines

2. Overburdened health systems with low patient education

3. Illiteracy

4. Poverty to continue with prescribed medications

Dear Saeed:

Thank you for your answer.

And what about the developed countries?

Sincerely.

Diana from Perú.

Dear Diana

Thanks for your encouraging response. Converse of the factors in developing countries could be true for the developed ones.

Best regards

Saeed

Dear Saeed:

I found this interesting article.

Joana A Cayla and Angels Orcau.

Control of Tuberculosis in large cities in developed countries: An organizational problem.

BMC Medicine 2011, 9:127

http://www.biomedcentral.com/1741-7015/9/127

Best wishes.

Diana from Perú.

Could you give examples of efficient adherence programs?

Dear Marcel:

I think this is one of them.

Dr T Jefferson, FFPHM, D Rivetti, MD, A Rivetti, BSc, M Rudin, BSc, C Di Pietrantonj, MSc, V Demicheli, MD

Efficacy and effectiveness of influenza vaccines in elderly: A systematic review.

The Lancet volume 366, No 9492, p1165- 1174, 1 October 2005.

Best wishes.

Diana from Peru.