Jorge César Correia1, Adalgisa Lopes2, Adramane Nhabali3, Victor Madrigal4, Carlos Reguera Errasti4, Emer Brady5, Michelle Hadjiconstantinou5, Montserrat Castellsague Perolini6. 1. Unit of Patient Education, Division of Endocrinology, Diabetology, Nutrition and Patient Education, WHO Collaborating Center, Department of Medicine, Geneva University Hospitals and University of Geneva, Geneva, Switzerland. 2. Association Suisse d´Aide aux Personnes Diabétiques en Guiné-Bissau, Geneva, Switzerland. 3. Department of Internal Medicine, Hospital Nacional Simão Mendes, Bissau, Guinea-Bissau. 4. Aida Ayuda Intercambio y Desarrollo (AIDA), Bissau, Guinea-Bissau. 5. Leicester Diabetes Centre, University Hospitals of Leicester, NHS Trust, UK. 6. Division of Tropical and Humanitarian Medicine, Geneva University Hospitals, Geneva, Switzerland.
Abstract
INTRODUCTION: diabetes care in Guinea-Bissau (GB) is characterized by a lack of properly trained healthcare professionals (HCPs) and guidelines for diagnosis, treatment and follow up of patients. To address these issues, this project was launched with the objective to train HCPs in the management of diabetic patients and establish a specialized diabetes clinic in the Hospital Nacional Simão Mendes, a public tertiary care hospital in Bissau, capital of GB. This project is led by the Geneva University Hospitals (HUG) in collaboration with the Swiss Association for the Aid to Diabetic People in Guinea-Bissau, with the support of the International Solidairty Office (SSI) of the State of Geneva, and AIDA (Ayuda, Intercambio y Desarrollo). METHODS: specialists from the HUG in collaboration with local experts in GB developed and delivered a culturally and contextually adapted training course pertaining to diabetes care to HCPs in this hospital. Pre and post training tests were conducted to assess differences in knowledge and practices. Following the training program, a diabetes clinic was set up and an audit was conducted to assess its performance. RESULTS: a total of 24 HCP attended the training program and exhibited statistically significant improvements in their knowledge pertaining to diabetes care (mean difference between pre and post-test = 14.53, SD 11.60, t=-4.8, p < 0.001). The diabetes clinic was established and provided consultations 2 days per week. A total of 63 patients consulted at this clinic, of which 49 had type two diabetes treated with oral antidiabetic drugs and 14 were type 1 diabetics treated with insulin. Patients had blood glucose measurements and received therapeutic, dietary and physical activity counselling. Several barriers leading to occasional interruptions of service were encountered, including a political instability in the country and strikes of healthcare staff demanding better wages and working conditions. CONCLUSION: this study delineates the feasibility of setting up a diabetes consultation clinic in GB despite important barriers. To ensure successful running of such consultation clinics, continued buy-in and support from stakeholders should be ensured. Diabetes training should be incorporated in pre-and post-graduate training curriculums of all HCP to help shape a better workforce. Copyright: Jorge César Correia et al.
INTRODUCTION: diabetes care in Guinea-Bissau (GB) is characterized by a lack of properly trained healthcare professionals (HCPs) and guidelines for diagnosis, treatment and follow up of patients. To address these issues, this project was launched with the objective to train HCPs in the management of diabetic patients and establish a specialized diabetes clinic in the Hospital Nacional Simão Mendes, a public tertiary care hospital in Bissau, capital of GB. This project is led by the Geneva University Hospitals (HUG) in collaboration with the Swiss Association for the Aid to Diabetic People in Guinea-Bissau, with the support of the International Solidairty Office (SSI) of the State of Geneva, and AIDA (Ayuda, Intercambio y Desarrollo). METHODS: specialists from the HUG in collaboration with local experts in GB developed and delivered a culturally and contextually adapted training course pertaining to diabetes care to HCPs in this hospital. Pre and post training tests were conducted to assess differences in knowledge and practices. Following the training program, a diabetes clinic was set up and an audit was conducted to assess its performance. RESULTS: a total of 24 HCP attended the training program and exhibited statistically significant improvements in their knowledge pertaining to diabetes care (mean difference between pre and post-test = 14.53, SD 11.60, t=-4.8, p < 0.001). The diabetes clinic was established and provided consultations 2 days per week. A total of 63 patients consulted at this clinic, of which 49 had type two diabetes treated with oral antidiabetic drugs and 14 were type 1 diabetics treated with insulin. Patients had blood glucose measurements and received therapeutic, dietary and physical activity counselling. Several barriers leading to occasional interruptions of service were encountered, including a political instability in the country and strikes of healthcare staff demanding better wages and working conditions. CONCLUSION: this study delineates the feasibility of setting up a diabetes consultation clinic in GB despite important barriers. To ensure successful running of such consultation clinics, continued buy-in and support from stakeholders should be ensured. Diabetes training should be incorporated in pre-and post-graduate training curriculums of all HCP to help shape a better workforce. Copyright: Jorge César Correia et al.
Entities:
Keywords:
Diabetes mellitus; Guinea-Bissau; consultation clinics; training programs
Authors: Rifat Atun; Justine I Davies; Edwin A M Gale; Till Bärnighausen; David Beran; Andre Pascal Kengne; Naomi S Levitt; Florence W Mangugu; Moffat J Nyirenda; Graham D Ogle; Kaushik Ramaiya; Nelson K Sewankambo; Eugene Sobngwi; Solomon Tesfaye; John S Yudkin; Sanjay Basu; Christian Bommer; Esther Heesemann; Jennifer Manne-Goehler; Iryna Postolovska; Vera Sagalova; Sebastian Vollmer; Zulfiqarali G Abbas; Benjamin Ammon; Mulugeta Terekegn Angamo; Akhila Annamreddi; Ananya Awasthi; Stéphane Besançon; Sudhamayi Bhadriraju; Agnes Binagwaho; Philip I Burgess; Matthew J Burton; Jeanne Chai; Felix P Chilunga; Portia Chipendo; Anna Conn; Dipesalema R Joel; Arielle W Eagan; Crispin Gishoma; Julius Ho; Simcha Jong; Sujay S Kakarmath; Yasmin Khan; Ramu Kharel; Michael A Kyle; Seitetz C Lee; Amos Lichtman; Carl P Malm; Maïmouna N Mbaye; Marie A Muhimpundu; Beatrice M Mwagomba; Kibachio Joseph Mwangi; Mohit Nair; Simon P Niyonsenga; Benson Njuguna; Obiageli L O Okafor; Oluwakemi Okunade; Paul H Park; Sonak D Pastakia; Chelsea Pekny; Ahmed Reja; Charles N Rotimi; Samuel Rwunganira; David Sando; Gabriela Sarriera; Anshuman Sharma; Assa Sidibe; Elias S Siraj; Azhra S Syed; Kristien Van Acker; Mahmoud Werfalli Journal: Lancet Diabetes Endocrinol Date: 2017-07-05 Impact factor: 32.069
Authors: Pouya Saeedi; Inga Petersohn; Paraskevi Salpea; Belma Malanda; Suvi Karuranga; Nigel Unwin; Stephen Colagiuri; Leonor Guariguata; Ayesha A Motala; Katherine Ogurtsova; Jonathan E Shaw; Dominic Bright; Rhys Williams Journal: Diabetes Res Clin Pract Date: 2019-09-10 Impact factor: 5.602
Authors: K Ogurtsova; J D da Rocha Fernandes; Y Huang; U Linnenkamp; L Guariguata; N H Cho; D Cavan; J E Shaw; L E Makaroff Journal: Diabetes Res Clin Pract Date: 2017-03-31 Impact factor: 5.602
Authors: Thorny L Haraldsdottir; Frauke Rudolf; Morten Bjerregaard-Andersen; Luis Carlos Joaquím; Kirstine Stochholm; Victor F Gomes; Henning Beck-Nielsen; Lars Ostergaard; Peter Aaby; Christian Wejse Journal: Trans R Soc Trop Med Hyg Date: 2015-04-26 Impact factor: 2.184
Authors: Neil W Schluger; Charles B Sherman; Amsalu Binegdie; Tewedros Gebremariam; Dawit Kebede; Aschalew Worku; E Jane Carter; Otto Brändli Journal: BMJ Glob Health Date: 2018-09-17