Diabetes is a seriously chronic disease
which occurs with the pancreas failure to produce enough insulin (hormone
regulating blood sugar content, or glucose), or when the body fails to use
insulin properly that it produces. It has been a major public health problem in
low and middle-income countries. Some studies have shown that the
implementation of simple lifestyle and adoption of obesity control
interventions, healthy and balanced diet, and regular physical activity may
significantly reduce the magnitude of this chronic disease. In this study, the
authors estimated prevalence and factors associated with hyperglycemia in
Benin, and 2) assessed the treatment quality of diabetes.
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.
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.
In conclusion, hperglycemia
prevalence is high and continues to escalate in Mono, Couffo and Donga regions.
It increases along age line and is associated with ethnicity, inadequate fruits
and vegetables consumption, obesity and hypercholesterolemia. The currently
provided treatment by the system is not adequate. There is also a low awareness
and lack of involvement of the population who are not equipped to take charge
and participate fully in the organization of a formal system of early detection
of diabetes. It is therefore essential to rethink the response in order to
strengthen the local health system with a view to effectively tackling diabetes.
Article by Mohamed
Lamine Dramé, et al, from Portugal, Benin and Germany.
Full access: http://mrw.so/4qCrWe
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