The study aim was to assess medication adherence and adherence to self care among type 2 diabetics in a tertiary care teaching hospital and to identify factors which were associated with medication adherence. A prospective observational study was conducted in RMMCH, in Annamalai Nagar. The study was approved by the Institutional Human Ethics Committee (M18/ RMMC/2015), the information on the data collection form included name, age, sex, social history, laboratory reports, diagnosis and prescribed medication list. Initially 345 patients were enrolled and appointed for our study. After15 days of appointment, pre intervention study was conducted to the patients and immediately patient education and counseling was provided. Follow-up studies were carried out at intervals of 30 days and 45 days since appointment. Among patient-related barriers, forgetfulness were reported by 36.52% of patients followed by low literacy (19.13%), Stopped medications on being well (6.95%), clinical waiting for longer periods (5.12%) and frequent travelling by 2.60% of patients. Among medical related barriers, financial burden was the major factor reported by 13.04% of patients followed by ‘Dependanting on others for purchasing drugs’ (16.52%). In pre intervention 95.65% (95% CI- 0.975-0.027) of patient had low adherence and 4.34% (95% CI- 0.071-0.019) of patient had medium adherence. When comparing with pre intervention, post intervention has good improvement of adherence scale. Only 18.26% (95% CI- 0.227-0.039) of patient had low adherence, medium adherence 76.52% (95% CI- 0.80- 0.48) and high adherence 5.21% (95%CI- 0.081-0.021). Patient medication adherences have improved considerably in the post intervention as compared with pre intervention, due to effective patient education and counseling.
