Patient History, Attitude, Background and Diagnosis Rate Of Diabetes Mellitus in Akaki Kality Sub City Health Centers
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Date
2017-10-05
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Addis Ababa University
Abstract
Diabetes mellitus is a growing world health problem due to various reasons. The main objective
of this study was to document the prevalence of diabetes as related to age,sex, educational and
economic status, diabetic complications, causes of diabetes and to know diabetes medication
problems in three health centers around Addis Ababa. Different sources of information and
database were reviewed. The study was conducted in Akaki, Selamfre and Serti Health Centers
found in Akaki Kaliti sub city. The primary data sources were 120 diabetic patientsselected from
the three Health Centers through systematic non-probability sampling method and in addition six
volunteer physicians. The data were collected by interview and questionnaire. Medical
documents of diabetic patients those recorded by the Health Centers from 2013 to 2016 were
reviewed as a secondary data source. The data collected from the sources were analyzed both
qualitatively and quantitatively using appropriate statistical method. The results of the study
showed 24.17% of the study subjects were males and 75.83% were females. The highest number
of male subjects was found in the age range of 65- 74 years while the females’ was in the range
of 35 - 44 years. From the female subjects 45 % of them have monthly income less than Birr
1000 while all male subjects get more than Birr 1000 per month. About 72.5 % (19 males and 68
females) patients developed different diabetic complications like hypertension and kidney
problem; 80.83% of the study subjects (24 males and 73 females) did not know the risk factors
of diabetes. According to the respond of the physician type of foods consumed, heredity and
certain female contraceptive methods are the causes of diabetes in the Health Centers.
Expensiveness of medicine and lack of diagnosis instruments were the main problems of the
diabetic patients. There was no particular support provided from the Health Centers according to
90% of the subjects’ (28 males and 80 females) respond. Among the study subjects 95% of them
treated with oral medicine while 5% are insulin dependent. The results of document review show
46.74%:53.26% male and female diabetes level respectively; from this result 0.375% male and
0.625% females were under the age of 18 years. Fasting blood sugar test was the onlymethod
used by the Health Centers to diagnose diabetes. From this it can be recommended that health
education to make aware the patients about the main risk factors of diabetes, special attention for
females and the necessary diagnosis instruments and medicine should be fulfilled in the Health
Centers.
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Keywords
Diabetes Mellitus, Prevalence, Health Centers, Akaki