To assess knowledge and self-care practices about Diabetes among patients with type 2 Diabetes Mellitus attending selected tertiary health care institutions. Methods: Cross-sectional study was conducted to assess the knowledge and self-care practices about Diabetes among diagnosed Type 2 Diabetes Mellitus patients attending the outpatient facilities of Medicine Department at selected tertiary healthcare institutions of Udupi Taluk. The data collection occurred from January to March 2017. A total of 166 participants were included in the study and they were selected using consecutive sampling. Knowledge about Diabetes Mellitus was assessed using structured pre-tested questionnaire. Diabetes Self-Management Questionnaire-Revised version was used to assess self-care practices regarding Diabetes Mellitus. Results: Most of the participants (> 65%) had knowledge about different aspects of Diabetes. The Mean total score of self-care practices among participants without and with intensive insulin treatment was 6.25 ± 1.25SD and 6.20 ± 1.01SD respectively. Mean subscales score related to dietary control, glucose management and physician contact was almost the same as that of total mean scale score except for physical activity subscale score in both the group of patients. Conclusion: This study emphasizes the need to strengthen the initiatives related to generating awareness about diabetes and improving self-care practices related to it.
Introduction People affected by leprosy are at increased risk of impairments and deformities from peripheral nerve damage. This mostly occurs if diagnosis and treatment is delayed and contributes to continued transmission within the community. Champa district of Chhattisgarh state in India is an endemic area with the highest national annual case detection and disability rates for leprosy. The Replicability Model is a system strengthening intervention implemented by the Leprosy Mission Trust India in Champa that aims to promote early diagnosis and treatment of leprosy, improve on-going management of the effects of leprosy and improve welfare for the people affected by leprosy. This protocol presents a plan to describe the overall implementation of the Replicability Model and describe the barriers and facilitators encountered in the process. We will also quantify the effect of the program on one of its key aims- early leprosy diagnosis. Methods We have two Work Packages (WPs). In WP1, we will conduct a process evaluation. This will include three methods i) observations of replicability model implementation teams’ monthly meetings ii) key informant interviews (n=10) and interviews with stakeholders (n=30) iii) observations of key actors (n=15).Our purpose is to describe the implementation process and identify barriers and facilitators to successful implementation. WP2 will be a quantitative study to track existing and new cases of leprosy using routinely collected data. If the intervention is successful, we expect to see an increase in cases (with a higher proportion detected at an early clinical stage) followed by a decrease in total cases. Conclusion This study will enable us to improve and disseminate the Replicability Model by identifying factors that promote success. It will also identify its effectiveness in fulfilling one of its aims: reducing the incidence of leprosy by finding and tracking cases at an earlier stage in the disease.
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