Background
Diabetes is an important health burden in Indonesia. However, diabetes management and treatment remain poor, with most people with diabetes in Indonesia not achieving the recommended blood glucose levels. Peer education may have particular potential in low-income settings in complementing diabetes care without being a large additional strain on the health system.
Methods/design
This cluster randomized controlled trial aims to identify the effect of the implementation of peer education for patients with type 2 diabetes on diabetes-related outcomes in Aceh, Indonesia, which will complement the diabetes treatment provided at primary-care health posts (
puskesmas
). Altogether, 29
puskesmas
were recruited in Banda Aceh and Aceh Besar, each of which was randomly assigned to either the control or the intervention group. Then, 534 people with diabetes were identified and recruited through their respective
puskesmas
. The intervention consists of up to two peer education groups per
puskesmas
, which are led by previously trained people with diabetes. Peer education sessions are held every month for 18 months, with follow-up data being collected 9 and 18 months after the first peer education session.
The main objective is to improve diabetes management and the health behavior of participants receiving peer education to reduce their average blood glucose levels as measured by glycated hemoglobin (HbA1c) levels. Secondary outcomes are the effects of peer education on lipid levels, waist circumference, blood pressure, quality of life, treatment adherence, diabetes knowledge, physical activity, and dietary diversity. Data sources for the measurement of outcomes include patient and health facility surveys and biomarker measurements. An economic evaluation will be conducted to assess the cost-effectiveness of the intervention.
Discussion
This trial will contribute to the evidence on the effectiveness and cost-effectiveness of peer education in improving diabetes management in a low-income setting in Indonesia and in other comparable contexts.
Trial registration
ISRCTN registry,
ISRCTN68253014
. Registered on 18 February 2019.
Electronic supplementary material
The online version of this article (10.1186/s13063-019-3656-1) contains supplementary material, which is available to authorized users.
Background: Urinary tract infections (UTI) in pregnant women are very common, due to physiological and anatomical conditions during pregnancy, which predispose to their development of urinary tract infections (UTI), and the early diagnosis and treatment of UTI is very important for avoid complications during pregnancy, being associated with abortion and premature birth. Objectives: To identify the prevalence of urinary infections in pregnant women attended at a Basic Health Unit (BHU) in Jaraguá do Sul -SC. Methods: The study was carried out through retrospective data collection with the
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