Determinants of lost-to-follow-up (LTFU) among National Health Insurance Scheme-insured hypertension and diabetes patients attending accredited health facilities in Ghana
The study found that lack of follow-up awareness, stigmatization, and preference for traditional or herbal treatments are key drivers of lost-to-follow-up behavior among hypertension and diabetes patients. Thus, remedial policies should include increasing patient education on the importance of follow-up visits, ensuring the availability of essential medications, diagnostic equipment, and physicians, expanding the NHIA financial coverage, and integrating traditional medicine into standard healthcare to improve treatment adherence and reduce LTFU rates.
Authors
- Edward Nketiah‐Amponsah (ORCID: https://orcid.org/0000-0002-9754-1983)
- Yaw Nyarko Opoku-Boateng
- Robert Kaba Alhassan (ORCID: https://orcid.org/0000-0003-4227-4854)
- Tobias F. Rinke de Wit (ORCID: https://orcid.org/0000-0002-5876-2564)
- Maxwell Antwi
- Gloria P. Gómez-Pérez (ORCID: https://orcid.org/0000-0001-8555-8596)
- Judith van Andel (ORCID: https://orcid.org/0000-0002-3550-6939)
- Solomon Ahimah-Agyakwah (ORCID: https://orcid.org/0000-0001-5996-0792)
- Bernard Okoe Boye (ORCID: https://orcid.org/0009-0009-9353-2148)
- Alex Yao Israel Attachey (ORCID: https://orcid.org/0000-0002-1121-3381)
- Vivian Addo‐Cobbiah
- Gifty Sunkwa-Mills
Institutions
- University of Ghana (GH)
- University of Health and Allied Sciences (GH)
- PharmAccess Group (NL)
- Amsterdam Institute for Global Health and Development (NL)
- Ghana Health Service (GH)
- University of Amsterdam (NL)
Publication Details
- Journal
- Tropical Medicine and Health
- Published
- 2025-05-06
- DOI
- https://doi.org/10.1186/s41182-025-00743-3
- Primary Topic
- Blood Pressure and Hypertension Studies
- Type
- article
- Field-Weighted Citation Impact
- 0.00