Factors Affecting Compliance With Antihypertensive Medication Consumption Among The Elderly In Primary Health Care Facilities Herni Siswati1, Budi Aji2, Suratman3
Master Of Public Health Jenderal Soedirman University Purwokerto, Central Java Indonesia
Abstract
Hypertension is a non-communicable disease often referred to
as a ^silent killer,^ as it typically presents no symptoms until
serious complications arise. Elderly individuals, being a
vulnerable population, require consistent and long-term
medication- however, adherence to antihypertensive treatment
remains a significant challenge in primary health care
facilities. This systematic review aims to analyze the factors
influencing medication adherence among the elderly based on
quantitative studies conducted in Indonesia between 2020 and
2025. A literature search was conducted using Google Scholar
with relevant keywords. From a total of 1,103 articles, 10
studies were selected by the PRISMA guidelines. Findings
indicate that adherence rates ranged from 50% to 75%. The
main influencing factors included the level of patient
knowledge, family support, the role of health care providers,
and intervention programs such as counseling and Prolanis (a
chronic disease management program). In conclusion,
improving medication adherence among the elderly requires
targeted health education, family empowerment, and active
engagement of health professionals within primary care
settings
Keywords: Hypertension- Eldery Medication Adherence- Primary Health Care Facilities
