Barriers to Accessing Medical Services and Adherence to Recommended Drug Regimens among Patients with Non-Communicable Diseases: A Study at Divisional Hospital Thalangama, Sri Lanka

Noncommunicable diseases (NCDs) are a major global health concern, responsible for 71% of annual deaths, particularly impacting low- and middle-income countries. Medication nonadherence is a significant contributor to poor NCD control. This study, conducted at Divisional Hospital Thalangama in Sri Lanka with 400 NCD patients, reveals barriers to adherence and access to medical services. Participants were primarily female, elderly, and had limited education and income. Prevalent NCDs included type II diabetes, hyperlipidemia, and hypertension. Adherence to dietary guidelines and health-promoting practices was suboptimal. Addressing these barriers is essential for improving NCD management and reducing health disparities.