The quality of care of diabetic patients in rural Malawi: A case of Mangochi district
Identifieur interne : 003186 ( Ncbi/Merge ); précédent : 003185; suivant : 003187The quality of care of diabetic patients in rural Malawi: A case of Mangochi district
Auteurs : A A Assayed [Malawi] ; A S Muula ; M J Nyirenda [Malawi, Royaume-Uni]Source :
- Malawi Medical Journal [ 1995-7262 ] ; 2014.
Abstract
Diabetes mellitus is a global public health problem. In Malawi, the prevalence of diabetes is 5.6% but the quality of care has not been well studied.
The aim of this study was to assess the quality of care offered to diabetic patients in Mangochi district.
This was a cross sectional descriptive study. Quantitative data were collected using a questionnaire from a sample of 75 diabetic patients (children and adults) who attended the Diabetes Clinic at Mangochi District Hospital between 20012 and 2013. Qualitative data were also collected using semi-structured interviews with eight Key Informants from among the District Health Management Team. Frequencies and cross-tabulation were obtained from the quantitative data. Patients' master cards were checked to validate results. Clinical knowledge about diabetes, care practices and resources were the themes analysed from the qualitative data.
Among the 75 participants interviewed, 46 were females and 29 males. The overall mean age was 48.3 years (45.6 for females and 53.3 for males). More than half of patients had little or no information about diabetes (40.0 % (n=30) and 22.7 (n=17) respectively. The majority of patients were taking their medicines regularly 98.7% (n=74). Only 17.3% (n=13) reported having their feet inspected regularly. Fifty-six percent of patients were satisfied about services provision. Some nurses and clinicians were trained on diabetes care but most of them left. Guidelines on diabetes management were not accessible. There were shortages in medicines (e.g. soluble insulin) and reagents. Information Education and Communication messages were offered through discussions, experiences sharing and posters.
Quality of diabetes care provided to diabetic patients attended to Mangochi hospital was sub-optimal due to lack of knowledge among patients and clinicians and resources. More efforts are needed towards retention of trained staff, provision of pharmaceutical and laboratory resources and health education.
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PubMed: 26167259
PubMed Central: 4325344
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M" first="M J" last="Nyirenda">M J Nyirenda</name><affiliation wicri:level="1"><nlm:aff id="A3"> Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea> Department of Medicine, College of Medicine, University of Malawi, Blantyre</wicri:regionArea><wicri:noRegion>Blantyre</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="A4"> Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea> Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></titleStmt><publicationStmt><idno 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Assayed</name><affiliation wicri:level="1"><nlm:aff id="A1"> Albaraka Charity Trust, Mama Kadija Clinic, Mangochi, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea> Albaraka Charity Trust, Mama Kadija Clinic, Mangochi</wicri:regionArea><wicri:noRegion>Mangochi</wicri:noRegion></affiliation></author><author><name sortKey="Muula, A S" sort="Muula, A S" uniqKey="Muula A" first="A S" last="Muula">A S Muula</name><affiliation><nlm:aff id="A2"> Department of Community Health, College of Medicine, University of Malawi, Blantyre Malawi</nlm:aff><wicri:noCountry code="subfield">Blantyre Malawi</wicri:noCountry></affiliation></author><author><name sortKey="Nyirenda, M J" sort="Nyirenda, M J" uniqKey="Nyirenda M" first="M J" last="Nyirenda">M J Nyirenda</name><affiliation wicri:level="1"><nlm:aff id="A3"> Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi</nlm:aff><country xml:lang="fr">Malawi</country><wicri:regionArea> Department of Medicine, College of Medicine, University of Malawi, Blantyre</wicri:regionArea><wicri:noRegion>Blantyre</wicri:noRegion></affiliation><affiliation wicri:level="3"><nlm:aff id="A4"> Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</nlm:aff><country xml:lang="fr">Royaume-Uni</country><wicri:regionArea> Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London</wicri:regionArea><placeName><settlement type="city">Londres</settlement><region type="country">Angleterre</region><region type="région" nuts="1">Grand Londres</region></placeName></affiliation></author></analytic><series><title level="j">Malawi Medical Journal</title><idno type="ISSN">1995-7262</idno><idno type="eISSN">1995-7270</idno><imprint><date when="2014">2014</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><sec><title>Background</title><p>Diabetes mellitus is a global public health problem. In Malawi, the prevalence of diabetes is 5.6% but the quality of care has not been well studied.</p></sec><sec><title>Objective</title><p>The aim of this study was to assess the quality of care offered to diabetic patients in Mangochi district.</p></sec><sec sec-type="methods"><title>Methods</title><p>This was a cross sectional descriptive study. Quantitative data were collected using a questionnaire from a sample of 75 diabetic patients (children and adults) who attended the Diabetes Clinic at Mangochi District Hospital between 20012 and 2013. Qualitative data were also collected using semi-structured interviews with eight Key Informants from among the District Health Management Team. Frequencies and cross-tabulation were obtained from the quantitative data. Patients' master cards were checked to validate results. Clinical knowledge about diabetes, care practices and resources were the themes analysed from the qualitative data.</p></sec><sec sec-type="results"><title>Results</title><p>Among the 75 participants interviewed, 46 were females and 29 males. The overall mean age was 48.3 years (45.6 for females and 53.3 for males). More than half of patients had little or no information about diabetes (40.0 % (n=30) and 22.7 (n=17) respectively. The majority of patients were taking their medicines regularly 98.7% (n=74). Only 17.3% (n=13) reported having their feet inspected regularly. Fifty-six percent of patients were satisfied about services provision. Some nurses and clinicians were trained on diabetes care but most of them left. Guidelines on diabetes management were not accessible. There were shortages in medicines (e.g. soluble insulin) and reagents. Information Education and Communication messages were offered through discussions, experiences sharing and posters.</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>Quality of diabetes care provided to diabetic patients attended to Mangochi hospital was sub-optimal due to lack of knowledge among patients and clinicians and resources. More efforts are needed towards retention of trained staff, provision of pharmaceutical and laboratory resources and health education.</p></sec></div></front></TEI><pmc article-type="research-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Malawi Med J</journal-id><journal-id journal-id-type="iso-abbrev">Malawi Med J</journal-id><journal-title-group><journal-title>Malawi Medical Journal</journal-title></journal-title-group><issn pub-type="ppub">1995-7262</issn><issn pub-type="epub">1995-7270</issn><publisher><publisher-name>The Medical Association Of Malawi</publisher-name><publisher-loc>Malawi</publisher-loc></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">26167259</article-id><article-id pub-id-type="pmc">4325344</article-id><article-id pub-id-type="publisher-id">jMMJ.v26.i4.pg109</article-id><article-categories><subj-group subj-group-type="heading"><subject>Original Research</subject></subj-group></article-categories><title-group><article-title>The quality of care of diabetic patients in rural Malawi: A case of Mangochi district</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Assayed</surname><given-names>A A</given-names></name><xref ref-type="aff" rid="A1">1</xref></contrib><contrib contrib-type="author"><name><surname>Muula</surname><given-names>A S</given-names></name><xref ref-type="aff" rid="A2">2</xref></contrib><contrib contrib-type="author"><name><surname>Nyirenda</surname><given-names>M J</given-names></name><xref ref-type="aff" rid="A3">3</xref><xref ref-type="aff" rid="A4">4</xref></contrib></contrib-group><aff id="A1"><label>1</label> Albaraka Charity Trust, Mama Kadija Clinic, Mangochi, Malawi</aff><aff id="A2"><label>2</label> Department of Community Health, College of Medicine, University of Malawi, Blantyre Malawi</aff><aff id="A3"><label>3</label> Department of Medicine, College of Medicine, University of Malawi, Blantyre, Malawi</aff><aff id="A4"><label>4</label> Department of Non-communicable Disease Epidemiology, London School of Hygiene and Tropical Medicine, London, United Kingdom</aff><pub-date pub-type="ppub"><month>12</month><year>2014</year></pub-date><volume>26</volume><issue>4</issue><fpage>109</fpage><lpage>114</lpage><permissions><copyright-statement>Copyright © 2014, Malawi Medical Journal</copyright-statement><copyright-year>2014</copyright-year></permissions><abstract abstract-type="executive-summary"><sec><title>Background</title><p>Diabetes mellitus is a global public health problem. In Malawi, the prevalence of diabetes is 5.6% but the quality of care has not been well studied.</p></sec><sec><title>Objective</title><p>The aim of this study was to assess the quality of care offered to diabetic patients in Mangochi district.</p></sec><sec sec-type="methods"><title>Methods</title><p>This was a cross sectional descriptive study. Quantitative data were collected using a questionnaire from a sample of 75 diabetic patients (children and adults) who attended the Diabetes Clinic at Mangochi District Hospital between 20012 and 2013. Qualitative data were also collected using semi-structured interviews with eight Key Informants from among the District Health Management Team. Frequencies and cross-tabulation were obtained from the quantitative data. Patients' master cards were checked to validate results. Clinical knowledge about diabetes, care practices and resources were the themes analysed from the qualitative data.</p></sec><sec sec-type="results"><title>Results</title><p>Among the 75 participants interviewed, 46 were females and 29 males. The overall mean age was 48.3 years (45.6 for females and 53.3 for males). More than half of patients had little or no information about diabetes (40.0 % (n=30) and 22.7 (n=17) respectively. The majority of patients were taking their medicines regularly 98.7% (n=74). Only 17.3% (n=13) reported having their feet inspected regularly. Fifty-six percent of patients were satisfied about services provision. Some nurses and clinicians were trained on diabetes care but most of them left. Guidelines on diabetes management were not accessible. There were shortages in medicines (e.g. soluble insulin) and reagents. Information Education and Communication messages were offered through discussions, experiences sharing and posters.</p></sec><sec sec-type="conclusions"><title>Conclusion</title><p>Quality of diabetes care provided to diabetic patients attended to Mangochi hospital was sub-optimal due to lack of knowledge among patients and clinicians and resources. More efforts are needed towards retention of trained staff, provision of pharmaceutical and laboratory resources and health education.</p></sec></abstract></article-meta></front></pmc><affiliations><list><country><li>Malawi</li><li>Royaume-Uni</li></country><region><li>Angleterre</li><li>Grand Londres</li></region><settlement><li>Londres</li></settlement></list><tree><noCountry><name sortKey="Muula, A S" sort="Muula, A S" uniqKey="Muula A" first="A S" last="Muula">A S Muula</name></noCountry><country name="Malawi"><noRegion><name sortKey="Assayed, A A" sort="Assayed, A A" uniqKey="Assayed A" first="A A" last="Assayed">A A Assayed</name></noRegion><name sortKey="Nyirenda, M J" sort="Nyirenda, M J" uniqKey="Nyirenda M" first="M J" last="Nyirenda">M J Nyirenda</name></country><country name="Royaume-Uni"><region name="Angleterre"><name sortKey="Nyirenda, M J" sort="Nyirenda, M J" uniqKey="Nyirenda M" first="M J" last="Nyirenda">M J Nyirenda</name></region></country></tree></affiliations></record>Pour manipuler ce document sous Unix (Dilib)
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