P318 Cout de la prise en charge du diabète de type 2 a l’hopital central de yaounde

Ngassam, Eliane; Nguewa, J.-L.; Ongnessek, S.; Foutko, A.; Mendane, F.; Balla, Vanessa; Limen, S.; Orr-Walker, Brandon; Sobngwi, Eugène; Mbanya, Jean Claude

doi:10.1016/s1262-3636(12)71420-9

Cited by 5 publications

(1 citation statement)

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“…In this study, we showed that the management of diabetes has many difficulties: a lack of awareness of the magnitude of the problem, the cost of drugs, a socioeconomic context that is not conducive to the diabetic diet, insufficient health facilities and personnel [44] and sometimes certain glucoselowering drugs are unavailable on the market. A study carried out at the national obesity center at the Central Hospital of Yaoundé revealed that the cost of managing type 2 diabetes was 4.8 times the minimum wage [45]. In some sub-Saharan countries such as Mali for example, a family spends up to 38% of its income on caring for the sick.…”

Section: Discussionmentioning

confidence: 99%

Socio-demographic, Economic and Health Profile of Diabetic Patients Attending Some Primary Care Units in the City of Bukavu, Democratic Republic of Congo

Aladin

Rachel

Florentin

et al. 2020

IJTDH

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Introduction: Diabetes is a serious health problem; its prevalence is increasing in developing countries. This study aims to describe the socio-demographic, economic and health profile of diabetics attending the primary care units for the management of diabetes mellitus (DM). Methods: We carried out a cross-sectional study in 2019 on 257 diabetics in seven primary care units (Maendeleo, Funu, Uzima, CBCA-Nyamugo, 8th Cepac-Buholo, Lumu and Charles-Mbogha).To collect the data, we used the survey questionnaire, medical tools and documents; anthropometric tools and statement of the prices (for drugs, laboratory exams and public transport). Results: Most of respondents were female (79.4%), aged ≥ 45 years old (90.27%), with a level of study below secondary education (63.0), without paid employment (71.1 %) with a monthly income < $ 37.5 US (59.92%). Most of them had type-2 diabetes mellitus (93.3%). With family history (48.25%) and comorbidities (hypertension and stroke). All participants were on medication (77.0% on oral glucose-lowering drugs). Once a week glycemic control was assessed in six primary care units, we noted hyperglycemia in the majority of female 68.5% (OR = 2.25; P = 0.02); aged 55 or older 54.9% (OR = 2.62; P = 0.02), not respecting the diet 45.5% (OR = 2.09; P = 0.04) and ate the family meal on a common plate 40.5% (OR = 2.32; P = 0.007). Their monthly expenses covered the assessment of fasting blood sugar, medication, and food purchases. Body Mass Index has represented the increased (31.5% with overweight) and high (23.8% with obesity) disease risk. The waist circumference represented the abdominal obesity mainly in women. Conclusion: Diabetes is an economic and health burden for the patient, family and community. Primary care units lacked human, material and financial resources to care for diabetics.

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Section: Discussionmentioning

confidence: 99%