Bar chart showing pooled adherence proportions (%) with 95% confidence intervals (error bars) across the three treatment pillars and for overall self-care adherence. The medication adherence panel shows anti-diabetic and anti-hypertensive medication adherence; the lifestyle guidance panel shows adherence to dietary recommendations, physical activity, alcohol abstinence, and smoking cessation; the self-monitoring panel shows adherence to blood glucose and blood pressure self-monitoring; and the overall self-care panel shows pooled adherence across all three pillars combined, separately for diabetes and hypertension. Pooled estimates were derived from random-effects logistic-normal generalized linear mixed models (GLMM) using the logit transformation. I2, heterogeneity statistic representing the percentage of variation attributable to between-study heterogeneity; k, number of studies contributing to the pooled estimate; N, total number of participants contributing to the pooled estimate; p, p-value for heterogeneity from Cochran’s Q test.