Evidence map›Paper›PMID 41162442›Full record

SynthesisScientific reports2025

Non-adherence with the treatment regimen and its associated factors among patients with schizophrenia in Sub-Saharan Africa: a systematic review and meta-analysis.

Zenaw Debasu Addisu, Desalegn Getnet Demsie, Chernet Tafere, Ebrahim Abdela Siraj, Taklo Simeneh Yazie, Eyob Getaneh Yimer, Nigus Getaneh Alemu, Yonas Zewdu Milikit, Bamlak Nigussu Wabela, Malede Berihun Yismaw and 2 more

Abstract readSystematic ReviewMeta-Analysis
In one paragraph

Synthesis in Scientific reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed.

  1. Trial
  2. Review
  3. Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

12 authors.

Zenaw Debasu AddisuDepartment of Clinical Pharmacy, College of Medicine and Health Sciences, Bahir University, Bahir Dar, Amhara, Ethiopia. zenawdebasu@yahoo.co.uk.
Desalegn Getnet DemsieDepartment of Pharmacology, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Amhara, Ethiopia.
Chernet TafereDepartment of Pharmaceutics, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Amhara, Ethiopia.
Ebrahim Abdela SirajDepartment of Pharmaceutics, College of Medicine and Health Sciences, Bahir Dar University, Bahir Dar, Amhara, Ethiopia.
Taklo Simeneh YaziePharmacology and Toxicology Unit, Department of Pharmacy, College of Health Sciences, Debre Tabor University, Debre Tabor, Ethiopia.
Eyob Getaneh YimerSchool of Medicine, College of Health Sciences, University of Gondar, Gondar, Ethiopia.
Nigus Getaneh AlemuSchool of Medicine, College of Health Sciences, University of Gondar, Gondar, Ethiopia.
Yonas Zewdu MilikitSchool of Medicine, College of Health Sciences, University of Gondar, Gondar, Ethiopia.
Bamlak Nigussu WabelaSchool of Medicine, College of Health Sciences, University of Gondar, Gondar, Ethiopia.
Malede Berihun YismawDepartment of Clinical Pharmacy, College of Medicine and Health Sciences, Bahir University, Bahir Dar, Amhara, Ethiopia.
Melese Alemnew AyalBahir Dar Health Science Collage, Bahir Dar, Amhara, Ethiopia.
Dessale Abate BeyeneDepartment of Pharmacy, Asrat Woldeyes Health Sciences Campus, Debre Berhan University, Debre Berhan, Amhara, Ethiopia.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Schizophrenia is among the serious mental illness affecting about 1% of the global population and ranking among the top ten causes of long-term disability. It is a major contributor to global disability and requires consistent adherence to antipsychotic medication for effective management. However, treatment non-adherence remains a significant challenge, particularly in Sub-Saharan Africa (SSA), where systemic barriers and cultural stigma further exacerbate the issue. This systematic review and meta-analysis aim to estimate the pooled prevalence of antipsychotic non-adherence among patients with schizophrenia in SSA and to identify the factors associated with treatment non-adherence. A systematic search was conducted across multiple databases, including PubMed, Cochrane, Scopus, African Index Medicus, and Google Scholar, for studies published before February 2025. This review has been registered with PROSPERO (registration number: CRD420251038674). Data were extracted using standardized forms, and study quality was assessed using the Joanna Briggs Institute (JBI) tools. A random-effects model was employed to estimate the pooled prevalence, with subgroup analyses and meta-regression conducted to explore sources of heterogeneity. This meta-analysis, which was conducted in SSA, included 16 full-text articles encompassing a total of 5,994 participants. The pooled prevalence of antipsychotic non-adherence was 45.30% (95% CI: 29.57-61.04%), with substantial heterogeneity observed (I

Indexed as

Antipsychotic AgentsMedication AdherenceSchizophreniaAfrica South of the SaharaHumansPrevalenceAntipsychotic AgentsAntipsychoticsNon-adherenceSchizophreniaSub-Saharan Africa

Identifiers

PMID41162442
PMCPMC12572252

What OpenQuestion holds

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LicenceCC BY-NC-ND
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.