A national diabetes care and education programme: the Ghana model

Amoah, Albert; Owusu, Samuel; Acheampong, Joseph; Agyenim-Boateng, Kofi; Asare, H.R; Owusu, Abigail; Mensah-Poku, M.F; Adamu, Fatima; Amegashie, R.A; Saunders, J. Terry; Fang, Wei; Pastors, Joyce Green; Sanborn, Cindi; Barrett, Eugene J.; Woode, Moses K.

doi:10.1016/s0168-8227(00)00140-6

Cited by 22 publications

(35 citation statements)

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“…The majority are funded and led by Euro-American institutions. Some chronic disease partnerships in Africa have focused on single chronic conditions in single countries, for example diabetes in Ghana [17] or Cameroon [18]. Others have focused on single conditions across a number of African countries or across the global context with representative African countries.…”

Section: Introductionmentioning

confidence: 99%

Establishing and sustaining research partnerships in Africa: a case study of the UK-Africa Academic Partnership on Chronic Disease

et al. 2012

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This paper examines the challenges and opportunities in establishing and sustaining north–south research partnerships in Africa through a case study of the UK-Africa Academic Partnership on Chronic Disease. Established in 2006 with seed funding from the British Academy, the partnership aimed to bring together multidisciplinary chronic disease researchers based in the UK and Africa to collaborate on research, inform policymaking, train and support postgraduates and create a platform for research dissemination. We review the partnership’s achievements and challenges, applying established criteria for developing successful partnerships. During the funded period we achieved major success in creating a platform for research dissemination through international meetings and publications. Other goals, such as engaging in collaborative research and training postgraduates, were not as successfully realised. Enabling factors included trust and respect between core working group members, a shared commitment to achieving partnership goals, and the collective ability to develop creative strategies to overcome funding challenges. Barriers included limited funding, administrative support, and framework for monitoring and evaluating some goals. Chronic disease research partnerships in low-income regions operate within health research, practice, funding and policy environments that prioritise infectious diseases and other pressing public health and developmental challenges. Their long-term sustainability will therefore depend on integrated funding systems that provide a crucial capacity building bridge. Beyond the specific challenges of chronic disease research, we identify social capital, measurable goals, administrative support, creativity and innovation and funding as five key ingredients that are essential for sustaining research partnerships.

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Section: Introductionmentioning

confidence: 99%

Establishing and sustaining research partnerships in Africa: a case study of the UK-Africa Academic Partnership on Chronic Disease

et al. 2012

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“…In the Sub-Saharan countries, it is more likely that female will be overweight or obese than male, this makes female to have higher prevalence of diabetes, compared with men, women in Uganda [16] were found to have higher prevalence of diabetes. However, in Nigeria [17] and Ghana [18], women were found to have lower prevalence of diabetes compared to men in the same areas. The results of a present meta-analysis showed that men living in low income countries in the Sub-Saharan region were more likely to be diagnosed with diabetes than women in those countries [19].…”

Section: Literature Reviewmentioning

confidence: 90%

Modeling Diabetes Risk Factors (A Case Study of Focus Medical Centre in Kiambu, Kenya 2016)

Mageto¹

2018

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This study sought to model risk factors of diabetes (A case study of Focus Medical Center in Kiambu, Kenya) for the year 2016. We considered sample of size 181 patients and carried descriptive statistics, bivariate analysis, Chi-Square test and Hosmer and Lemeshow test. The independence test between response variable (diabetes) and predictor variables (age, obesity, alcohol, smoking and hypertension) was carried. The variables age, obesity, alcohol and hypertension were found to be statistically significant at α =0.05 level of significant. A multiple logistic regression model was fitted and the fitted regression model indicated that the predictor variables age, obesity and alcohol were statistically significant. The results of the odds ratios show that age, obesity and alcohol consumption are positively associated with diabetes. The fitted reduced multiple logistic regression model was subjected to an overall goodness-of-fit test and results indicate that there is no significant difference between the observed and predicted probability. Based on the results of this study, we recommend that special attention should be given to individuals advanced in age, consume alcohol or who are obese for screening as there is a high possibility of testing positive for diabetes for health care givers to monitor and manage the condition. Further, healthy lifestyles should be promoted among the general population and in particular, the diabetic patients to increase the chance of properly managing the condition. A further study ought to be conducted to assess treatment interventions of diabetes to ascertain the effectiveness and recommend the best medication for patients suffering from diabetes.

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“…The use of standardized practical clinical protocols optimizes existing resources and makes convenient and effective treatment feasible [38,49]. The implementation of standardized guidelines and treatment algorithms has the potential to vastly improve medical care by informing health care professionals what is expected of them and ensuring more reproducible care of patients by different health care workers [40,63,64]. Another key element of diabetes care in low-resource settings is task shifting to reduce the burden on a limited physician workforce [44,64,65].…”

Section: Discussionmentioning

confidence: 99%

“…Large-scale capacity building initiatives (e.g., certified course on evidence-based diabetes management, diabetes retinopathy, and others) have trained a large number of physicians, diabetes counselors, and other care providers in India (for example, see [39]), but data is not yet available on program impact at the patient level. (b) Primary care nurses: Nurse-run chronic disease clinics and team-based care involving physicians, nurses, and dieticians have been used in numerous diabetes programs in Ghana [40], South Africa [41,42], and Ethiopia [43]. In these programs, primary care nurses diagnosed new patients, made decisions on initial treatment regimens, modified treatment in non complex cases, and referred complex cases to specialists.…”

Section: Personnel-case Managementmentioning

confidence: 99%

International Models of Care that Address the Growing Diabetes Prevalence in Developing Countries

et al. 2016

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Diabetes care involves a complex interaction between patients, physicians, the health care system, and society. In low- and middle-income countries (LMICs), where the majority of individuals with diabetes live, there is a shortage of resources and infrastructure for diabetes care. Translation of proven interventions for diabetes prevention and care from experimental settings to the real world is a major challenge, and there is limited evidence from LMICs. To curtail the diabetes burden in LMICs, it is crucial to develop and execute innovative diabetes care models that improve access to care, knowledge, and outcomes. Additionally, adequate training of local health professionals and community engagement can help LMICs become self-sufficient in delivery of diabetes care. In this paper, we reviewed the existing models of diabetes care and prevention in LMICs and provided recommendations to guide the development of a comprehensive and effective future model for diabetes care in LMICs.

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A national diabetes care and education programme: the Ghana model

Cited by 22 publications

References 1 publication

Establishing and sustaining research partnerships in Africa: a case study of the UK-Africa Academic Partnership on Chronic Disease

Establishing and sustaining research partnerships in Africa: a case study of the UK-Africa Academic Partnership on Chronic Disease

Modeling Diabetes Risk Factors (A Case Study of Focus Medical Centre in Kiambu, Kenya 2016)

International Models of Care that Address the Growing Diabetes Prevalence in Developing Countries

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