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Table 3 Self-reported factors negatively affecting the patient’s ability of taking medication at home as prescribed during COVID-19 lockdown (N = 171)

From: Barriers and coping mechanisms to accessing healthcare during the COVID-19 lockdown: a cross-sectional survey among patients with chronic diseases in rural Rwanda

Variables Reduced ability to take medication at home as prescribed,
n (%)
Feeling sad or depressed,
n (%)
Ran out of medication,
n (%)
Unwilling to take medication in the sight of other family/household members,
n (%)
Forgetting,
n (%)
Overall 89 (52.1) 61 (35.7) 42 (24.6) 27 (15.8) 22 (12.9)
Clinical program (p = 0.920) (p = 0.487) (p = 0.022) (p = 0.080) (p = 0.232)
 HIV/AIDS 25 (51.0) 18 (36.7) 6 (12.2) 14 (28.6) 9 (18.4)
 Non-communicable diseases 26 (54.2) 20 (41.7) 11 (22.9) 4 (8.3) 3 (6.3)
 Mental health 22 (51.2) 15 (34.9) 13 (30.2) 5 (11.6) 7 (16.3)
 Pediatric Development Clinic 3 (75.0) 2 (50.0) 3 (75.0) 0 (0.0) 1 (25.0)
 Oncology 13 (48.2) 6 (22.2) 9 (33.3) 4 (14.8) 2 (7.4)
Estimated time (hours) from home to the health facility of usual health care (p = 0.317) (p = 0.482) (p = 0.557) (p = 0.891) (p = 0.549)
  < 1 h 24 (43.6) 16 (29.1) 13 (23.6) 8 (14.6) 6 (10.9)
 1–2 h 45 (55.6) 31 (38.3) 18 (22.2) 14 (17.3) 13 (16.1)
  > 2 h 20 (57.1) 14 (40.0) 11 (31.4) 5 (14.3) 3 (8.6)
District of residence (p < 0.001) (p < 0.001) (p < 0.001) (p < 0.001) (p = 0.002)
 Kayonza 15 (27.8) 6 (11.1) 7 (13.0) 1 (1.9) 3 (5.6)
 Kirehe 45 (77.6) 35 (60.3) 26 (44.8) 18 (31.0) 15 (25.9)
 Burera 29 (49.2) 20 (33.9) 9 (15.3) 8 (13.6) 4 (6.8)
Socio-economic status (Ubudehe category)a (p = 0.863) (p = 0.892) (p = 0.613) (p = 0.485) (p = 0.324)
 1 17 (53.1) 12 (37.5) 7 (21.9) 3 (9.4) 3 (9.4)
 2 34 (54.0) 23 (36.5) 13 (20.6) 12 (19.1) 11 (17.5)
 3 37 (49.3) 25 (33.3) 21 (28.0) 11 (14.7) 7 (9.3)
Living with someone who could help remind the patient to take medication or accompany the patient to the health facilityb (p = 0.598) (p > 0.999) (p = 0.288) (p = 0.336) (p = 0.440)
 No 24 (55.8) 15 (34.9) 12 (27.9) 9 (20.9) 7 (16.3)
 Yes 64 (50.4) 46 (36.2) 29 (22.8) 18 (14.2) 15 (11.8)
  1. aTwo patients didn’t have data on socio-economic status
  2. bFour patients had missing data on whether they were living with someone who could remind the patient to take medication/accompany the patient to the health facility or not