Achievement of diabetes care goals at Tikur Anbessa Specialized Hospital, Addis Ababa, Ethiopia
Introduction: Diabetes mellitus (DM) is a major public health problem and responsible for premature death, and chronic disabling complications. Implementation of evidence-based interventions have resulted in improvement in achievement of diabetes care goals in several high-income countries. However, there is limited evidence for this in low-middle-income countries.
Objective: To assess achievement of diabetes care goals in people with diabetes at the Tikur Anbessa Hospital diabetes center in Ethiopia.
Methods: We conducted a cross-sectional hospital-based study (n=421) at Tikur Anbessa Specialized Hospital, in Addis Ababa. The study was done among ambulatory patients with type 2 diabetes and type 1 diabetes of > 5 years duration. We used a structured questionnaire and data abstraction checklist to document demographic characteristics and diabetes-related information. We also conducted physical examination and laboratory tests.
Results: Overall, 421 study participants were included. The mean age was 52.7Â±13 years. Majority was female (55.6%). Sixty-one percent access health care service for free. Majority (81.5%) of the study participants were type 2. The mean duration of diabetes was 12.6Â± 8.9 years. More than 50% of the study participants had diabetes for more than 10 years. 45% were on Insulin, 30% on metformin and 25% on combined oral agents.
Conclusion: The achievement of diabetes care goals is lower as compared to other studies done in Ethiopia. The absence of standardized monitoring tool, inconsistent patient-doctor relationship and follow up by internal medicine residents with little supervision may have contributed for the lower rate of diabetes care goal achievement.
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