Browsing by Author "William, Reuben"

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    Assessment of knowledge, attitude and practices related to diabetes among patients with type 2 diabetes mellitus in Mwanza region - Tanzania
    (The University of Dodoma, 2018) William, Reuben
    Introduction; Prevalence of diabetes mellitus is increasing globally and the rate of increase is higher in the developing countries than developed countries. The aim of this study was to assess the Knowledge, attitude and practices related to Diabetes among Patient with Type 2 Diabetes Mellitus in Mwanza Region- Tanzania. Methods; The study was descriptive cross-sectional study. A total of 330 respondents were interviewed conveniently from OPD - diabetic unit in Mwanza region. Results; About 189 (57.3%) of the respondents were females and 182 (55.2%) of all respondents were from urban residence. All respondents responded that diabetic medication should continue for life and that both diet and medicine are equally important in management of diabetes. About 84.5% said that exercise has benefits to patients with diabetic mellitus. All respondent said that, the patient herself/himself is responsible for taking care of own condition together with the family and health care provider. About 99.7% of the respondents measured their blood pressure once per month last month and about 67.3% had glucometer at home. Conclusion; Knowledge and practices related to management of diabetes mellitus was good among respondents. However, time for consultation is still unsatisfactory to the respondents. It is therefore important for the healthcare providers to take this into consideration so that the patient-healthcare provider will be satisfactory hence it motivate more the patients in managing their condition and improve their well being.
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    Clinical characteristics and health care received among patients with type 2 diabetes attending secondary and tertiary healthcare facilities in Mwanza region,Tanzania: a cross-sectional study
    (Springer Nature, 2020) Munyogwa, Mariam J.; William, Reuben; Kibusi, Stephen M.; Gibore, Nyasiro S.
    Background: Tanzania is among the sub-Saharan African countries facing a tremendous increase in the burden of type 2 diabetes mellitus. In order to provide diabetes health care services, the government has established diabetes care clinics in secondary and tertiary healthcare facilities. However, previous studies have demonstrated a disparity in the availability of supplies and equipment for the provision of diabetes health care services at these healthcare facilities. This study aims to assess the clinical characteristics and health care received among patients with type 2 diabetes attending secondary and tertiary healthcare facilities in Mwanza Region, Tanzania. Methods: A cross-sectional study was conducted in Mwanza Region from June to September 2018. Three hundred and thirty patients were selected by systematic random sampling from three healthcare facilities. A structured questionnaire was utilized to collect information on patient characteristics, health care received and patient perception of care. Patient blood pressure, blood glucose, weight and height were measured during the study. Percentages, chi-square tests and multivariable analyses were conducted to obtain the proportions, make comparisons and determining the correlates of a tertiary-level healthcare facility. Results: Approximately half of the respondents (54.5%) were from secondary healthcare facilities. The prevalence of hypertension (63.3%), hyperglycemia (95.8%) and obesity (93.3%) were high. The prevalence of hyperglycemia was slightly higher at a secondary-level healthcare facility (p= 0.005). The proportion of respondents recently diagnosed with diabetes (≤10 years) was significantly higher at a tertiary-level healthcare facility (p= 0.000). The prevalence of diabetes-related complications was higher at a tertiary-level healthcare facility (80.7% versus 53.3%,p= 0.000). Assessments of body weight, blood pressure, blood glucose, feet and eye examination were conducted on a monthly basis at all facilities. None of the respondents had undergone lipid profile testing. All of the respondents(100%) received care from a nurse during diabetes clinic visits and half of the respondents (49.7%) also received care from a clinician. Relatively young patients, married and recently diagnosed patients were more likely to attend the clinic at tertiary facilities. Tertiary-level healthcare facilities were more likely to have patients with complications and to have a dietitian available at the clinic.