Development of diabetes register in low-mid income country: survey of healthcare professionals’ behavioural change wheel

Abstract

Background: There has been and ongoing research and development on diabetes care in Ndokwa community of Nigeria, and one of the items to be addressed is development of diabetes register in some of the health facilities. This study assesses the behavioural change wheel of the healthcare professionals to address the willingness of the primary healthcare providers willing to scale up and sustain the diabetes register; and how glycaemic control and metabolic syndrome factors in diabetes patients were assessed.Methods: The study adopted clinical observational approach and survey questionnaires. A descriptive cross sectional method evaluated how glycaemic control among diabetes patients (n=42) was assessed. Clinical observations were at Catholic Hospital Abbi, while the survey of healthcare professionals (n=71) included health facilities in other communities. Data from questionnaire and test results was analysed using Microsoft Excel Data Analysis Toolpak 2010.Results: It is observed that 62% wished they had a diabetes register. Over 50% of the patients showed presence of >2 metabolic syndrome indices. Further, ≈52% disagreed that diet, exercise, medication, quitting smoking and less stress contributed to effective control and management of diabetes.Conclusions: Most of the respondents thought that their practice did not have a special interest in diabetes. There is prevalence of metabolic syndrome, but the majority of healthcare professionals did not view lifestyle as effective to control diabetes. These observations highlight the need for diabetic education on healthcare professionals and patients.

Gestational diabetes management postpartum in primary healthcare facilities: Mini review update on Delta State Nigeria

“…The report also indicated that while knowledge and attitude appear a little more, poor practice was higher (Figure 2). This report is in agreement with our previous report that the healthcare providers including ministry of health, hospital management board and the frontline staff healthcare professionals have capacities but poor in practice [15,21]. [20].…”

“…However, more of the healthcare providers admitted that healthcare facility is the major militating factor relative to religion and sociocultural practice (Figure 3). In one of the reported surveys from preliminary studies [15,21], 77% of the respondents did agree that patients in the community have poor capacity while 73% believe that the opportunity is there (Figure 4).…”

Primary Healthcare and diabetes management in the rural communities

“…This narrative review utilized pieces of descriptive studies including opportunistic and purposive data [3][4][5]. This evaluation of behavioural change wheel that has been ongoing was premised on the fact that beliefs and intentions are integral to running quality health services, especially in reactivation of PHC services [6].…”

“…The data collection were based on a standard questionnaire that assessed perceptions of 'capacity, motivation and opportunity' on Likert scale of 'poor, fair or good'. Verbal responses of the respondents in the workshop group discussions were documented[4]. Purposive survey involved 'N = 85' who attended 'training the trainers' workshops at five health facilities from 18/12/2018 -15/01/2019.…”