Barriers to management of diabetes foot ulcer: Experiential note from a setting with free medical services

Johnson, Eric L.; Bwititi, Phillip; Nwose, Ezekiel Uba

doi:10.1016/j.foot.2019.101658

Cited by 1 publication

(1 citation statement)

References 18 publications

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“…This narrative review utilized pieces of descriptive studies including opportunistic and purposive data [3][4][5]. This evaluation of behavioural change wheel that has been ongoing was premised on the fact that beliefs and intentions are integral to running quality health services, especially in reactivation of PHC services [6]. This is with a view to adequately run diabetes clinicsi.e.…”

Section: Methods Of the Evaluation Of Stakeholdersmentioning

confidence: 99%

Primary Healthcare and diabetes management in the rural communities

Anowa¹,

Nwose²,

Nwajei³

et al. 2020

CMRR

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Primary health care (PHC) was conceptualized to play a ‘central hub’ role in health systems. Diabetes care services are presently unavailable in PHC facilities, except the screening programs that are carried out by non-governmental organizations. This implies there is issue of behavioural change wheel (BCW) of the stakeholders including the quartet of ministry of health, hospital management board, healthcare professionals (HCP) and diabetes patients. This narrative review investigates perception of stakeholders towards scaling-up of a diabetes context of PHC agenda in Delta State Nigeria. The study utilized data from ongoing studies including opportunistic and purposive sampling designs. Data from published literatures on Nigeria were also reviewed. The various stakeholders’ perceptions is that motivation is poor across board. The ministry of health as well as the hospitals management board, but not patients, have the capacity. Suggested ways of improving BCW in the state include increased allocation for the ministry of health, and retraining healthcare professionals. Others improvement measures including tackling socio-cultural beliefs, and taboos are suggested. Scaling-up and sustaining diabetes care program at the PHC level in Delta State is agreed to be the responsibility of all stakeholders. There is need to enhance capacity/knowledge among community members living with diabetes, and opportunity/practice among the HCPs, but most importantly attitude/motivation of all stakeholders.

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Section: Methods Of the Evaluation Of Stakeholdersmentioning

confidence: 99%