Improving Diabetes Management and Cardiovascular Risk Factors Through Peer-Led Self-management Support Groups in Western Kenya

Park, Paul H.; Wambui, Charity; Atieno, Sabina; Egger, Joseph; Misoi, Lawrence; Nyabundi, Jack S.; Pastakia, Sonak D.; Bloomfield, Gerald S.; Kamano, Jemima H.

doi:10.2337/dc15-0353

Cited by 29 publications

(37 citation statements)

References 2 publications

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“…The immediate and sustained success further reinforces the efficacy of peer-based group education, especially among women, as seen within multiple other studies. [22][23][24][25] Of equal importance is the access to capital and financial liquidity that participants receive through the microfinance component of this model, as it not only improves their ability to pay for their healthcare but also promotes income-generating activities that help reduce the overarching effects of poverty. Poverty and lack of finances have been described as dominant barriers to care-seeking and transportation in this setting.…”

Section: Discussionmentioning

confidence: 99%

Impact of Bridging Income Generation with Group Integrated Care (BIGPIC) on Hypertension and Diabetes in Rural Western Kenya

et al. 2016

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Section: Discussionmentioning

confidence: 99%

Impact of Bridging Income Generation with Group Integrated Care (BIGPIC) on Hypertension and Diabetes in Rural Western Kenya

et al. 2016

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“…This is a major challenge for many sub-Saharan countries in the wake of the rising prevalence of diabetes [1, 11, 12] because sub-Saharan Africa is faced with inadequate facilities/resources, inadequately skilled staff, and lack of resources for diabetes education [11–13, 1]. …”

Section: Introductionmentioning

confidence: 99%

Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana

et al. 2017

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BackgroundPrevious research has failed to examine more than one self-care behaviour in type 2 diabetes patients in Ghana. The purpose of this study is to investigate adult Ghanaian type 2 diabetes patients’ adherence to four self-care activities: diet (general and specific), exercise, self-monitoring of blood glucose (SMBG) and foot care.MethodsConsenting type 2 diabetes patients attending diabetes outpatient clinic appointments at three hospitals in the Tamale Metropolis of Ghana completed a cross-sectional survey comprising the Summary of Diabetes Self-Care Activities Measure, and questions about demographic characteristics and diabetes history. Height and weight were also measured. Multiple linear regression analyses were conducted to identify the factors associated with adherence to each of the four self-care behaviours.ResultsIn the last 7 days, participants exercised for a mean (SD) of 4.78 (2.09) days and followed diet, foot care and SMBG for a mean (SD) of 4.40 (1.52), 2.86 (2.16) and 2.15 (0.65) days, respectively. More education was associated with a higher frequency of reported participation in exercise (r = 0.168, p = 0.022), following a healthy diet (r = 0.223, p = 0.002) and foot care (r = 0.153, p = 0.037) in the last 7 days. Males reported performing SMBG (r = 0.198, p = 0.007) more frequently than their female counterparts.ConclusionAdherence to diet, SMBG and checking of feet were relatively low. People with low education and women may need additional support to improve adherence to self-care behaviours in this type 2 diabetes population.

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“…These projects addressed locally relevant cardiovascular issues, including hypertension in rural populations (28), peripheral arterial disease among diabetics, and task shifting the use of hand-held cardiac ultrasound (29). Moreover, a number of Kenyan and North American trainees and faculty received numerous awards from Fogarty International Center of the National Institutes of Health, the Fulbright Program, and the Doris Duke Foundation to work with the COE, resulting in >30 scientific presentations and manuscripts (30–34). Sixteen trainees have completed a 6-month individually mentored online course in clinical research methodology offered by Duke, and 1 trainee completed the Fogarty International Center’s distance-based international research coordinator training.…”

Section: Experience To Datementioning

confidence: 99%

Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya

Binanay

Akwanalo

Aruasa

et al. 2015

Journal of the American College of Cardiology

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Cardiovascular disease deaths are increasing in low- and middle-income countries and are exacerbated by health care systems that are ill-equipped to manage chronic diseases. Global health partnerships, which have stemmed the tide of infectious diseases in low- and middle-income countries, can be similarly applied to address cardiovascular diseases. In this review, we present the experiences of an academic partnership between North American and Kenyan medical centers to improve cardiovascular health in a national public referral hospital. We highlight our stepwise approach to developing sustainable cardiovascular services using the health system strengthening World Health Organization Framework for Action. The building blocks of this framework (leadership and governance, health workforce, health service delivery, health financing, access to essential medicines, and health information system) guided our comprehensive and sustainable approach to delivering subspecialty care in a resource limited setting. Our experiences may guide the development of similar collaborations in other settings.

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Improving Diabetes Management and Cardiovascular Risk Factors Through Peer-Led Self-management Support Groups in Western Kenya

Cited by 29 publications

References 2 publications

Impact of Bridging Income Generation with Group Integrated Care (BIGPIC) on Hypertension and Diabetes in Rural Western Kenya

Impact of Bridging Income Generation with Group Integrated Care (BIGPIC) on Hypertension and Diabetes in Rural Western Kenya

Adherence to and factors associated with self-care behaviours in type 2 diabetes patients in Ghana

Building Sustainable Capacity for Cardiovascular Care at a Public Hospital in Western Kenya

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