Diabetes management in Guinea Bissau: a situational analysis

被引：3
作者：
Correia, Jorge Cesar [1 ,2 ]
Lopes, Adalgisa [3 ]
Iala, Cumba Bispo [4 ]
Sanca, N'Boma Adriano [5 ]
Bidonga, Augusto [6 ]
Lagger, Gregoire [2 ]
Golay, Alain [2 ]
Castellsague, Montserrat Perolini [7 ]
机构：
[1] Geneva Univ Hosp, Who Collaborat Ctr, Dept First Aid Med, Div Trop & Humanitarian Med, Geneva, Switzerland
[2] Geneva Univ Hosp, Who Collaborat Ctr, Dept First Aid Med, Div Therapeut Patient Educ Chron Dis, Geneva, Switzerland
[3] Swiss Assoc Aid Diabet People Guinea Bissau, Geneva, Switzerland
[4] Simao Mendes Natl Hosp, Dept Internal Med, Ave Francisco Mendes Bissau, Bissau, Guinea Bissau
[5] Simao Mendes Natl Hosp, Dept Intens Care Med, Ave Francisco Mendes Bissau, Bissau, Guinea Bissau
[6] Renato Grandi Fdn, Serv Pediat, Bissau, Guinea Bissau
[7] Geneva Univ Hosp, Div Trop & Humanitarian Med, Geneva, Switzerland
来源：
PAN AFRICAN MEDICAL JOURNAL | 2019年 / 34卷
关键词：
Diabetes care; Guinea-Bissau; health system organization; chronic disease; CARE; MOZAMBIQUE; POLICY;
D O I：
10.11604/pamj.2019.34.10.19874
中图分类号：
R1 [预防医学、卫生学];
学科分类号：
1004 ; 120402 ;
摘要：
Introduction: there is an increasing commitment in the African Region towards diabetes care, following acknowledgement that it is an important public health issue which needs to be addressed in order to improve population health. We conducted a situational analysis of diabetes care in Guinea Bissau in order to identify the main issues faced in the management of the disease in this country. Methods: the study design was qualitative and data collection was done using semi directive interviews and focus groups with participants involved in primary diabetes care and management in Guinea Bissau (health care professionals, non-governmental organization staff, traditional healers) and patients. The data was analyzed using the five-phase approach of the thematic analysis framework. Results: the major themes identified included: the lack of specialists and properly trained healthcare personnel; no standardized care protocol for diagnosis, treatment, follow up and proper management for diabetic patients; resources poor primary health care settings; no validated epidemiological dataset on prevalence and the lack of awareness about diabetes (in general population and also in medical staff). Conclusion: this first situational analysis can serve as a baseline to develop an action plan to address the main issues identified.
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页数：9
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