scholarly journals Knowledge regarding medicines management of type 2 diabetes amongst patients attending a Community Health Centre in South Africa

2019 ◽  
Vol 10 (1) ◽  
pp. 13-28 ◽  
Author(s):  
Afsana Moosa ◽  
Selente Bezuidenhout ◽  
Johanna C. Meyer ◽  
Brian Godman
Keyword(s):  
South Africa ◽  
Type 2 Diabetes ◽  
Community Health ◽  
Health Centre ◽  
Community Health Centre ◽  
Medicines Management

scholarly journals Treatment Gaps Found in the Management of Type 2 Diabetes at a Community Health Centre in Johannesburg, South Africa

2017 ◽  
Vol 2017 ◽  
pp. 1-6 ◽  
Author(s):  
Yacob Pinchevsky ◽  
Neil Butkow ◽  
Tobias Chirwa ◽  
Frederick Raal
Keyword(s):  
Type 2 Diabetes ◽  
Public Sector ◽  
Community Health ◽  
Resource Constraints ◽  
Health Centre ◽  
Community Health Centre ◽  
Cross Sectional ◽  
Number Of Patients ◽  
Increased Risk

Aims. The management of cardiometabolic goals or “ABCs” (HbA1c, blood pressure (BP), and cholesterol) ultimately determines the morbidity and mortality outcomes in patients with type 2 diabetes mellitus (T2DM). We sought to determine if patients with T2DM attending an urbanized public sector community health centre (CHC) were having their ABCs measured, were treated with appropriate cardioprotective agents and finally, were achieving guideline-based targets. Methods and Results. A cross-sectional record review of 519 patients was conducted between May and August 2015. The mean age was 54 years (SD: ±11.5) and 54% (n=280) were females. Testing of ABCs occurred in 68.8% (n=357) for HbA1c, 95.4% (n=495) for BP, and 58.6% (n=304) for LDL-C. Achievement of ABC targets was as follows: 19.3% (HbA1c < 7%), 22.0% (BP < 140/80 mmHg), and 56.3% (LDL-C < 2.5 mmol/l). Conclusion. There were a significant number of patients who were not tested nor received adequate pharmacotherapy or achieved their ABC targets. This places these patients at an increased risk for the development of diabetes-related complications. Although the realities of resource constraints exist in South Africa’s public sector settings, a wider implementation of evidence-based guidelines must be instituted in order to ensure better patient outcomes.

scholarly journals Pandemic 2020: Economic pressure and evaluation of a primary health care innovation programme for type 2 diabetes mellitus treatment

2021 ◽  
pp. 132-142
Author(s):  
Fransiskus Samuel Renaldi ◽  
Rani Sauriasari ◽  
Woro Riyadina
Keyword(s):  
Diabetes Mellitus ◽  
Type 2 Diabetes ◽  
Type 2 Diabetes Mellitus ◽  
Community Health ◽  
Health Centre ◽  
Patient Treatment ◽  
Economic Pressure ◽  
Community Health Centres ◽  
Health Centres

Background: The COVID-19 pandemic has affected two vital sectors: the economy and health. Subsequently, people with type 2 diabetes mellitus (T2DM) face the dilemma of risking having a severe prognosis or non-compliance treatment. Objective: This study determines the relationship problems between the economic aspects and compliance behaviour in T2DM patients during the pandemic and how community health centres solve them. Methods: Data were collected from interviews with 20 T2DM patients and nine health workers in the Central Bogor region. The data were transcribed verbatim and analysed thematically. Results: Most patients tended to prioritise their economic condition. Besides, the community health centre has innovated an internet-based health service with particular policies to solve the problems. Conclusion: Economic pressure due to the COVID-19 pandemic has changed patients’ mindsets. Community health centres respond with particular policies to sustain patient treatment adherence.

scholarly journals Reasons women terminate their pregnancies legally and their contraceptive practices at Soshanguve 3 Community Health Centre, Tshwane district, South Africa

2020 ◽  
Vol 62 (1) ◽  
Author(s):  
David K.K. Masanabo ◽  
Indiran Govender ◽  
Tombo Bongongo
Keyword(s):  
South Africa ◽  
Community Health ◽  
Health Centre ◽  
Cross Sectional Study ◽  
Community Health Centre ◽  
Cross Sectional ◽  
North West ◽  
The North ◽  
Financial Difficulties ◽  
Rural Zone

Background: Various reasons have been cited in studies conducted in South Africa on why women legally terminate their pregnancies. We sought to determine the reasons for women to terminate their pregnancies legally and their contraceptive practices. This study was conducted at Soshanguve 3 Community Health Centre (CHC), located in a semi-rural zone in the north-west of Pretoria, Gauteng province of South Africa.Method: A cross-sectional study design was adopted in this study.Results: Of the 250 respondents, high participation (23.2%) was noted amongst women aged 18–20 years. Eighty-three (33.2%) respondents did not have children, 108 (43.2%) had completed their secondary school education and 226 (90.4%) were Christian. Of the participants, 80% were single and 62.8% were unemployed. About 85.6% (214) of respondents had not had a previous abortion. A total of 24% of respondents requested abortion because they wanted to focus on their education, while 23.1% were not ready to be parents and 21.7% experienced financial difficulties. With regard to practice, all respondents had already used contraception and the most used contraceptive was the male condom (43.5%), followed by an injectable contraceptive (7.1%).Conclusion: While academic reasons, not being ready to be a parent and financial difficulties were named as the main reasons for terminating a pregnancy legally, the selected pregnant women at Soshanguve 3 CHC demonstrated an unsatisfactory practice of contraceptive measures.

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