Coverage of diabetes complications screening in rural Eastern Cape, South Africa: A cross-sectional survey

South African Family Practice


 
 
Field Value
 
Title Coverage of diabetes complications screening in rural Eastern Cape, South Africa: A cross-sectional survey
 
Creator Owolabi, Eyitayo O. Goon, Daniel T. Ajayi, Anthony I. Adeniyi, Oladele V. Chu, Kathryn M.
 
Subject Rural health; primary health care diabetes; primary healthcare; screening; diabetes-related complications; South Africa
Description Background: There is a paucity of data on the coverage of diabetes mellitus (DM) complications screening in primary healthcare facilities in South Africa (SA). This study assesses the extent of screening for DM complications among individuals with type 2 DM attending primary health facilities in rural Eastern Cape (EC), SA.Methods: The study adopted a descriptive, cross-sectional design and obtained data from 372 individuals with type 2 diabetes attending six selected primary healthcare centres (PHCs) in two EC districts. Demographic and clinical data were obtained through questionnaire-based interviews and reviews of medical records. We assessed the extent of screening for estimated glomerular filtration rate (eGFR), fasting lipogram, eye examination, foot examination and glycated hemoglobin (HbA1c) in the past year.Results: Participants mean age was 62 (standard deviation [s.d.] ± 11) years, and their mean duration of diagnosis was 9 (s.d. ± 8) years. In the past year, HbA1c result was available for 71 (19.1%) of the participants; 60 (16.1%) had eGFR results, while only 33 (8.9%) had documented lipid results. In total, 52 (14.0%) had carried out eye examinations, while only 9 (2.3%) had undergone foot examinations in the past year. About two-thirds of the participants (59.9%) had not undergone any form of complication screening in the past year, and none had undergone the complete screening panel.Conclusion: The coverage of screening for DM complications was low across all indicators. Studies to understand barriers to and facilitators of DM complications screening at PHCs are required. Also, interventions to improve diabetes complication screening in the region are needed and should target the primary healthcare providers.
 
Publisher AOSIS
 
Contributor
Date 2022-04-25
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion Peer-reviewed Article Survey
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/safp.v64i1.5447
 
Source South African Family Practice; Vol 64, No 1 (2022): Part 2; 6 pages 2078-6204 2078-6190
 
Language eng
 
Relation https://safpj.co.za/index.php/safpj/article/view/5447/7319 https://safpj.co.za/index.php/safpj/article/view/5447/7320 https://safpj.co.za/index.php/safpj/article/view/5447/7321 https://safpj.co.za/index.php/safpj/article/view/5447/7322
 
Coverage — — Individuals living with diabetes
Rights Copyright (c) 2022 Eyitayo Omolara Owolabi, Daniel Ter Goon, Anthony Idowu Ajayi, Oladele Vincent Adeniyi, Kathryn M. Chu https://creativecommons.org/licenses/by/4.0