Diabetes and Its Treatment Quality in Benin (West Africa): Analysis of Data from the STEPS Survey 2015

Abstract

Aims: Diabetes is a major public health problem in low and middle-income countries. This study 1) estimated prevalence and factors associated with hyperglycemia in Benin, and 2) assessed the treatment quality of diabetes. Methodology: A cross-sectional research was conducted with two components. The First component has included 4954 subjects aged (18-69) randomly selected in Mono/Couffo and Donga regions. Data were collected according to WHO's STEPS approach. Capillary blood glucose was measured using the automat Cardiocheck  PA. The Second component considered Public Health Centers (PHCs) within the study regions. Health system established for diabetes control, healthcare practices and the level of involvement of the Public Healthcare Providers and community actors in the management of diabetes have been explored. Findings: A total of 4775 subjects participated in the first component with a predominance of women (56.8%), rural residence and aged (<45 years). Prevalence of hyperglycemia was 9.2%. Age ≥ 30 years, Fon ethnic groups and related, obesity, hypercholesterolemia, and inadequate intake of fruits and vegetables were positively associated with hyperglycemia. The second component has underscored a mismatch of facilities, processes and quality healthcare. Conclusion: Diabetes prevalence goes increasingly in Benin when its management is inadequate in PHCs. Prevention and control actions should be strengthened.

Prevalence and factors associated with hyperglycemia in a rural population of Tanvè and Dékanmey in Benin in 2019

“…Fu et al with 4,506 subjects aged between 18 and 64 concluded that high household income was significantly associated with an increased risk of fasting hyperglycemia in rapidly changing rural Chinese communities (AOR = 1.93 (1.26-2.96); p = 0.002) [23]. On the contrary, Drame et al in Benin in 2015 did not find an association between hyperglycemia and socio-economic status (p = 0.62); which could be explained by the fact that their study area was extended to two administrative departments in Benin [24].…”

Formative Qualitative Research: Design Considerations for a Self-Directed Lifestyle Intervention for Type-2 Diabetes Patients Using Human-Centered Design Principles in Benin

“…MSD program has been evaluated across a culturally diverse and underserved population in Mexico in a cluster-randomized controlled trial that shows the intervention significantly reduces the symptoms of diabetes among patients in the treatment arm after 3 and 12 months of intervention [ 26 ]. We argue that the MSD curriculum is feasible and practical to adapt in Benin, given the country’s low access to health education for people with diabetes [ 6 , 29 ]. Moreover, the community setting in Benin provides a unique opportunity to leverage family and community support for improving self-directed diabetes management.…”

“…The country faces unique challenges in fighting the disease, including inadequate funding, a lack of research and guidelines tailored to the population, and a shortage of medications [ 3 , 4 ]. Few T2D patients followed dietary guidelines (20%), exercised regularly (<40%), and adhered to prescribed treatments (10%) [ 5 , 6 ]. As a result, diabetes-related disabilities increased by 55.8% between 2007 and 2017.…”