| dc.description.abstract | It is estimated that over 382 million adults are suffering from Diabetes
Mellitus, with a prevalence of 8.3% globally. It is also projected that the number of
patients having Diabetes Mellitus will double by the year 2030, and in 25 years‘ time
the number will have raised to 592 million people. Similarly, in Sub-Saharan Africa,
19.8 million people are diagnosed with Diabetes Mellitus, with a prevalence of 5.1%,
this is expected to double by the year 2035.
To establish the determinants of the quality of care offered to
Diabetes Mellitus Patients receiving care from Kawempe National Referral Hospital,
Kampala-Uganda.
A cross-sectional quantitative study in which an interviewer
administered questionnaire and a checklist were used to collect data from 97 diabetic
patients receiving care from Kawempe National Referral Hospital Diabetes Mellitus
clinic. Consecutive sampling technique was used to select the study participants until
the required sample size was reached. Quality control was done before, during and after
data collection to ensure that the data is free of bias and ensure that there is no
information that is missing. Data entry, storage and analysis was done with Microsoft
excel 2010. Uniformity, accuracy, consistency, comprehensibility, missing data, double
entries to set it ready for analysis and data was later imported to STATA version 13 for
data analysis.
It was found out that only 40.2% of the patients received good quality care
and the factors associated with the quality of care included Marital status
(aOR=4.0,95%CI: 1.2-13.0, p=0.020), Occupation (aOR=20.6; 95%CI:2.4-175.8,
p=0.006), Family support (aOR=1.9; 95%CI:1.74-13.8, p=0.023), distance to health
facility (aOR=13.8; 95%CI; 1. 87-21.80, p=0.02). Provision of counseling to the
patients (aOR=4; 95%CI; 1.4-40.0, p=0.024), giving reminders on appointment date
(aOR=2.2; 95%CI; 1.6-8.4, p=0.03) health education compared to the ones that were
not health educated (aOR=0.04; 95%CI; 0.01-0.22, p=0.000) and drug stock out
(aOR=3; 95%CI; 0.1-0.72, p=0.081).
The study concludes that the quality of the care
provided to the DM patients at Kawempe National Referral Hospital was generally poor
and the determinants associated with the quality of care provided to DM patients
included: marital status, occupation, family support and the distance from home to
health facility, counseling, health education to the patients, giving reminders on the
appointment dates and drug stock outs. The study therefore, recommends that
Continuous in-service training for health-care workers on Diabetic client‘s quality of
care, professionalism, giving reminders to the patients, family support, counseling and
health education could be done to improve the quality of care. | en_US |
