Pratiques éducatives et diabète : étude auprès des professionnels de santé au Burkina Faso et au Mali

Garanet, Franck; Baguiya, Adama; Sawadogo, Nongoba; Besançon, Stéphane; Traoré, Assa Sidibé; Drabo, Joseph; Mésenge, Christian; Kleinebreil, Line; Delisle, Hélène

doi:10.3917/spub.186.0713

Cited by 2 publications

(1 citation statement)

References 9 publications

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“…Diabetes exclusively represented metabolic diseases [79][80][81][82][83][84][85][86][87][88][89][90][91][92][93][94][95][96][97]. Nurses had varying levels of knowledge about diabetes and its complications ranging from poor associated with the misconception that diabetes was a contagious disease as an example [80] to good knowledge associated with improved diabetes management [83,84,86,91].…”

Section: Results Of the Included Studiesmentioning

confidence: 99%

Role and knowledge of nurses in the management of non-communicable diseases in Africa: A scoping review

Toniolo,

Ngoungou,

Preux

et al. 2024

PLoS ONE

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Background 31.4 million people in low- and middle-income countries die from chronic diseases annually, particularly in Africa. To address this, strategies such as task-shifting from doctors to nurses have been proposed and have been endorsed by the World Health Organization as a potential solution; however, no comprehensive review exists describing the extent of nurse-led chronic disease management in Africa. Aims This study aimed to provide a thorough description of the current roles of nurses in managing chronic diseases in Africa, identify their levels of knowledge, the challenges, and gaps they encounter in this endeavor. Methods We performed a scoping review following the key points of the Cochrane Handbook, and two researchers independently realized each step. Searches were conducted using five databases: MEDLINE, PyscINFO, CINAHL, Web of Science, and Embase, between October 2021 and April 2023. A descriptive analysis of the included studies was conducted, and the quality of the studies was assessed using the Downs and Black Scale. Results Our scoping review included 111 studies from 20 African countries, with South Africa, Nigeria, and Ghana being the most represented. Findings from the included studies revealed varying levels of knowledge. Nurses were found to be actively involved in managing common chronic diseases from diagnosis to treatment. Facilitating factors included comprehensive training, close supervision by physicians, utilization of decision trees, and mentorship. However, several barriers were identified, such as a shortage of nurses, lack of essential materials, and inadequate initial training. Conclusion There is significant potential for nurses to enhance the screening, diagnosis, and treatment of chronic diseases in Africa. Achieving this requires a combination of rigorous training and effective supervision, supported by robust policies. To address varying levels of knowledge, tailored training programs should be devised. Further research is warranted to establish the effectiveness of nurse-led interventions on population health outcomes.

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Section: Results Of the Included Studiesmentioning

confidence: 99%

Role and knowledge of nurses in the management of non-communicable diseases in Africa: A scoping review

Toniolo,

Ngoungou,

Preux

et al. 2024

PLoS ONE

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Formative research to adapt the ‘Diabetes Prevention Program- Power to Prevent’ for implementation in Bamako, Mali

Doumbia,

Findley,

et al. 2024

BMC Health Serv Res

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Background There are few community-level behaviors change interventions for reducing diabetes and hypertension risk in Africa, despite increasing cases of type 2 diabetes and cardiovascular diseases. Thus, this study was designed to adapt the United States Centers for Disease Control and Prevention’s “Diabetes Prevention Program Power to Prevent” (DPP-P2P) for use in low-income urban communities of Bamako, Mali. Methods Feedback was elicited on an initial French PowerPoint adaptation of the DPP-P2P session guidelines from stakeholders at the ministry of health, organizational partners, and medical care providers. Two community health centers in districts with high levels of diabetes or hypertension were selected to assist in developing the Malian adaptation. Focus groups were conducted with 19 community health workers (CHWs) of these centers. Based on feedback from these discussions, more graphics, demonstrations, and role plays were added to the PowerPoint presentations. The 19 CHWs piloted the proposed 12 sessions with 45 persons with diabetes or at-risk patients over a one-month period. Feedback discussions were conducted after each session, and changes in dietary and exercise habits were assessed pre and post participation in the program. This feedback contributed to finalization of a 14-session sequence. Results The DPP-P2P session guidelines were adapted for use by low-literacy CHWs, converting the written English guidelines into French PowerPoint presentations with extensive use of pictures, role plays and group discussions to introduce diabetes, diet, and exercise concepts appropriately for the Bamako context. CHWs recommendations for a strong family-oriented program led to expanded sessions on eliciting support from all adults in the household. The 45 participants in the pilot adaptation were enthusiastic about the program. At the end of the program, there were significant increases in the frequency of daily exercise, efforts to limit fat intake, and goals for more healthy diets and exercise levels. Conclusion This study documents how an iterative process of developing the DPP-P2P adaptation led to the development of a culturally appropriate set of materials welcomed by participants and having promise for reaching the low-income, low-literacy population with or at risk for diabetes in Bamako, Mali.

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Pratiques éducatives et diabète : étude auprès des professionnels de santé au Burkina Faso et au Mali

Cited by 2 publications

References 9 publications

Role and knowledge of nurses in the management of non-communicable diseases in Africa: A scoping review

Role and knowledge of nurses in the management of non-communicable diseases in Africa: A scoping review

Formative research to adapt the ‘Diabetes Prevention Program- Power to Prevent’ for implementation in Bamako, Mali

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