Diabetes management in Guinea Bissau: a situational analysis
Diabetes management in Guinea Bissau: a situational analysis
复制标题
DOI：
10.11604/pamj.2019.34.10.19874
复制
发表时间：
2019-09-04
影响因子：
1.2
通讯作者：
Castellsague, Montserrat Perolini
中科院分区：
文献类型：
--
作者：
Correia, Jorge Cesar;Lopes, Adalgisa;Castellsague, Montserrat Perolini
导言：在认识到糖尿病是一个重要的公共卫生问题后，非洲区域对糖尿病护理的承诺越来越多，需要解决这一问题，以改善人口健康。我们对几内亚比绍的糖尿病护理进行了情况分析，以确定该国在管理糖尿病方面面临的主要问题。方法：研究设计为定性研究，数据收集采用半指导性访谈和焦点小组，对象为几内亚比绍参与糖尿病初级护理和管理的参与者(卫生保健专业人员、非政府组织工作人员、传统治疗师)和患者。使用专题分析框架的五阶段方法对数据进行了分析。结果：确定的主要问题包括：缺乏专家和经过适当培训的医护人员；没有糖尿病患者诊断、治疗、随访和适当管理的标准化护理方案；初级卫生保健环境资源贫乏；没有关于糖尿病患病率和缺乏认识的有效流行病学数据集(在普通人群和医务人员中)。结论：这第一个情况分析可以作为制定行动计划的基线，以解决所确定的主要问题。
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.