Perspectives for glycaemic control in type 2 diabetes in Kinshasa, Democratic Republic of the Congo

Author:

Lubaki Jean-Pierre Fina12ORCID,Francis Joel Msafiri3ORCID,Omole Olufemi Babatunde3

Affiliation:

1. Department of Family Medicine and Primary Care, University of the Witwatersrand , Phillip V Tobias Health Sciences Building, 29 Princess of Wales, Parktown, Johannesburg 2193 , South Africa

2. Department of Family Medicine and Primary Care,Protestant University of Congo, Croisement des Avenues Libération et Triomphale , Commune de Lingwala, Kinshasa , Democratic Republic of the Congo

3. Department of Family Medicine and Primary Care,University of the Witwatersrand , Phillip V Tobias Health Sciences Building, 29 Princess of Wales, Parktown, Johannesburg 2193 , South Africa

Abstract

Abstract Glycaemic control is a significant problem in the Democratic Republic of the Congo (DRC), the perspectives associated with glycaemic control are not fully known as previous studies rarely explored patients’ perspectives and lived experiences. This qualitative study described the perspectives regarding glycaemic control among persons with type 2 diabetes in Kinshasa, DRC. A total of 23 participants were purposively selected in seven health centres in Kinshasa. In-depth interviews were used for data collection. The study used a phenomenology approach, and deductive, constructionist and thematic analysis. Data analysis was performed using the MAXQDA 2022. Five themes were identified as perspectives for glycaemic control in Kinshasa: financial constraints, limited social and relational support, difficulties with lifestyle changes, beliefs and practices about diabetes and ability to adapt for caring for the illness. Themes were integrated using social cognitive theory. Participants expressed that they were unable to achieve better glycaemic control due to financial constraints, limited social and relational support and difficulty in changing their lifestyle. Their beliefs and practices about diabetes also constituted a barrier. Our results showed that lack of adequate funding is a major determinant of glycaemic control and therefore it is crucial to integrate a consistent and reliable funding system for care of people living with diabetes. Persons with diabetes must be empowered to successfully adapt to the requirements of diabetes care. In this process, support for people living with type 2 diabetes is also essential and should involve their families as well as healthcare providers.

Publisher

Oxford University Press (OUP)

Subject

Public Health, Environmental and Occupational Health,Health (social science)

Reference50 articles.

1. Cross-sectional study of patients with type 2 diabetes in OR Tambo district, South Africa;Adeniyi;BMJ Open,2016

2. Diabetic patients’ perspectives on the challenges of glycaemic control;Adeniyi;African Journal of Primary Health Care & Family Medicine,2015

3. Social support, treatment adherence and outcome among hypertensive and type 2 diabetes patients in ambulatory care settings in southwestern Nigeria;Adisa;Ghana Medical Journal,2017

4. Clinical inertia is the enemy of therapeutic success in the management of diabetes and its complications: a narrative literature review;Andreozzi;Diabetology & Metabolic Syndrome,2020

5. Barriers and strategies to lifestyle and dietary pattern interventions for prevention and management of TYPE-2 diabetes in Africa, systematic review;Bekele;Journal of Diabetes Research,2020

Cited by 2 articles. 订阅此论文施引文献 订阅此论文施引文献,注册后可以免费订阅5篇论文的施引文献,订阅后可以查看论文全部施引文献

同舟云学术

1.学者识别学者识别

2.学术分析学术分析

3.人才评估人才评估

"同舟云学术"是以全球学者为主线,采集、加工和组织学术论文而形成的新型学术文献查询和分析系统,可以对全球学者进行文献检索和人才价值评估。用户可以通过关注某些学科领域的顶尖人物而持续追踪该领域的学科进展和研究前沿。经过近期的数据扩容,当前同舟云学术共收录了国内外主流学术期刊6万余种,收集的期刊论文及会议论文总量共计约1.5亿篇,并以每天添加12000余篇中外论文的速度递增。我们也可以为用户提供个性化、定制化的学者数据。欢迎来电咨询!咨询电话:010-8811{复制后删除}0370

www.globalauthorid.com

TOP

Copyright © 2019-2024 北京同舟云网络信息技术有限公司
京公网安备11010802033243号  京ICP备18003416号-3