Quality of Chronic Disease (Diabetes & Hypertension) Care in Health Care Facilities in High Diseas Burden Areas in Sidama Region: Cross-Sectional Study

Abstract

Abstract Background: Diabetes and hypertension are major synergistic risks factors for microvasculopathy, macroangeophathy and neuropathy problems among patients with chronic disorder. Control of hypertension and diabetes have significant value in delaying these complications. The key for delaying complications in diabetes and hypertension is the quality of care. Objectives: This study explored the quality of diabetes-hypertension care in health care facilities with high disease burden in Sidaama region. Methodology: An institution-based cross-sectional study was carried out. Patients with Diabetes and hypertension were included in the study. A total of 844 patients were included in the study. The Data was collected using the application software Kobocollect. For data analysis, SPSS version 25 was used. Logistic regression was used to identify factors associated with quality of care. To measure quality, we employed patient outcome indicators focusing on long-term complications of the eye, heart, fasting blood pressure, and neuropathic complications. Ethical approval clearance was obtained from Hawassa University, college of medicine and health sciences ethical review board. Result: The mean age of patients was 47.99 + 15.26 years with a range of 18–90 years while. Men make up 62% of the overall number of respondents. In terms of marital status, 700 (82.9%) were married. Concerning place of residence; 433 (51.3%) were from rural area. The primary diagnosis is diabetes for 419(49.6%) patients and nearly 23% of patients have both Diabetes and hypertension. Regarding blood pressure the mean diastolic blood pressure was 82.6 mmhg with mean systolic blood pressure of 129.6 mmhg. Among study participants 391 (46.33%) patients received poor quality of chronic disease care. Patients living alone, patients who have professional work, fasting blood glucose in normal range, patients with higher education and patients with serum creatinine receives relatively good chronic illness care.