Factors Influence Diabetes Mellitus Control at a Primary Health Care Facility in Durban, South Africa

Author Info

Akm Monjurul Hoque Somaya Buckus Maariyah Hoque ME Hoque

Corresponding Author

Akm Monjurul Hoque
Kwadabeka Community Health Centre, Kwadabeka, South Africa

A B S T R A C T

Background: Type-2 diabetes mellitus, a non-communicable disease contributes significantly to morbidity and mortality in South Africa. It is considered a silent epidemic in certain countries in the world with the incidence expected to rapidly escalate due to ageing of the population. Little is known about the treatment outcome from Primary Health Care facilities in SA. The study estimated control and determinants of diabetes control among rural black patients attended a PHC facility. Method: A cross-sectional prospective design was adopted. Chi-square test was carried out to find significant association between dependent and independent variables. Forward stepwise logistic regression was performed to determine the significant predictor for diabetes control. Two-sided statistical tests were performed at 0.05 level of significance. Result: A total of 240 DM patients were recruited and (68.7%) of them had HbA1c level measured) and only 49 (29.7%) were found with glycaemic control. Logistic regression analysis showed that patients those read newspaper daily or almost daily were almost three times (OR=2.6) more likely to have control. Patients those measured the blood sugar at home were 4.4 times more likely to have their diabetes controlled. It was found that knowing normal blood sugar had four times more chances of controlling their diabetes than those did not know. Duration of DM treatment (5-9 years) was 60% less likely to have DM control that those had 10 or more years of DM treatment (p<0.05). Conclusion: Glycaemic control of DM was poor and identified several factors towards diabetes control among DM patient. Training and education to healthcare workers and DM patients may lead to improve DM control.

Article Info

Article Type

Research Article

Publication history

Received: Mon 28, Dec 2020
Accepted: Mon 11, Jan 2021
Published: Thu 18, Feb 2021

Copyright

© 2023 Akm Monjurul Hoque. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Hosting by Science Repository.
DOI: 10.31487/j.JDMC.2021.01.01