Management of Diabetes Mellitus at the Household Level Using Community Health Strategy in Embu County, Kenya
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Date
2021
Authors
Hussein, Salim Ali
Kithuka, Peter
Otieno, George
Yoos, Alison
Kaugi, Rosaline
Njeru, Cecelia
Journal Title
Journal ISSN
Volume Title
Publisher
Pan African Medical Journal
Abstract
Introduction: diabetes mellitus (DM) causes 1% of
the mortality in Kenya and 2% of the population in
Kenya has diabetes mellitus. Embu County was the
5
th leading county in diabetes mellitus morbidity in
Kenya in 2019. This study aimed at assessing the
management of diabetes mellitus at the household
level using the community health strategy in Embu
County. Community health strategies in the county
is implemented using Community Health
Volunteers. Methods: it was a cross-sectional
study using 422 household participants in Embu
County and 150 community health volunteers´
(CHVs). Key informant interviews were used on
community health strategy managers involved in
diabetes management programmes in the County.
Data was analyzed using SPSS version 25. Results:
factors that were positively associated with
effective management of DM at household level in
the County were financial support and supervision
of community health units, provision of tools and
commodities, use of health information system,
training of level of CHVs in management of
hypertension and diabetes mellitus and
subsequent knowledge on symptoms, defining and
classifying DM, treatment, prescription of drugs,
knowledge of risk factors of DM and prevention of
DM at household level. Conclusion: success of
utilization of community health strategies for
diabetes management will require adequate
training of CHVs in management of hypertension
and diabetes mellitus, financial support of
community health units, adequate supervision of
community health units, financial support of
community health units, provision of tools and
commodities and community health units (CHU)
utilizing health information system.
Description
An Article Published in Pan African Medical Journal
Keywords
Diabetes management, Health system, Knowledge, Community health strategy, Community health volunteers, Community health units, Non-communicable diseases
Citation
Salim Ali Hussein et al. Management of diabetes mellitus at the household level using community health strategy in Embu County, Kenya. Pan African Medical Journal. 2021;39(35). 10.11604/pamj.2021.39.35.27753