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A523influenced by the fact that 75% of participants experienced severe period pain. Overall lack of preference for vaginal rings should be interpreted with caution as interviews highlighted patients' lack of awareness of this device. A treatment allowing patients to conceive was appreciated.

benchmarks. Secondary analysis across all metrics indicated engaged patients had higher use of preventive services than patients in the all and enrolled for 1 year or more categories, reflecting the desired aims of the R-Health DPC model. Conclusions: This study provides contemporary, real-world evidence on how DPC may serve as a viable model to support prevention goals set by select AHRQ, CDC, and Healthy People 2020 benchmarks.

Background: Asthma is a chronic inflammatory condition of the airways that affects roughly 358 million people globally. It is a serious global health problem with an increasing prevalence worldwide. Most people affected are in low-and middle-income countries including Ethiopia. The association between non -adherence and poor disease control is clearly stated in different literatures. The main objective of the present study was to assess self-reported non-adherence level and to identify the potential factors associated with non-adherence. Methods: An institution based cross-sectional study was conducted in university of Gondar teaching and referral hospital. The data was collected using a validated tool called Test of Adherence to Inhalers (TAI). Result: Among the total of study participants, higher proportions of patients were female (57.3%). Large number of the respondents (59.1%) were Unable to read and write. 18.3% of inhalational user asthmatic patients were not adherent to inhalational medications. According to this study only 49.4% of the respondents were adherent to inhalations and 32. 3% of them were intermediate adherent to inhalational anti asthmatics medications. Lack of education about the Proper use of inhalational anti-asthmatics medications, poly pharmacy and co-morbidities were statistically significant factors associated with non-adherence. Conclusion: The rate of non-adherence to inhalational anti asthmatics is high. Therefore, promoting optimal medication adherences through education, proper patient consultation is essential to optimize the benefits of treatment. Measurement of the degree of non-adherence to inhaled treatment in each individual patient is important in early interventional practice.