**7.3 What need to be done to promote adherence**

Low health literacy of PLWNCDs must be addressed through educating them to understand the treatment and also health instructions. These teachings must be personalized for each patient and for each medication. Teach them on how to interpret medication labels and medication information correctly. This is common even when labelling requires minimal reading skills. For example, instructions to take medicine twice daily (which is vague since 'daily' means once per day) or every 12 hours means individuals must make further decisions about what the words actually mean.

"Take medication as directed" is even more difficult to interpret and the instructions need to be broken down further. Patients are more likely to understand more specific medication administration times such as 08 a.m., 06 p.m. but indicating times may be useful to or suit some individuals better than others. These instructions, advice or education must be clear to PLWNCDs to promote adherence.
