303
Views
0
CrossRef citations to date
0
Altmetric
ORIGINAL RESEARCH

A Mixed Methods Multicenter Study on the Capabilities, Barriers, and Opportunities for Diabetes Screening and Management in the Public Health System of Southern Ethiopia

ORCID Icon, , , ORCID Icon, &
Pages 3679-3692 | Received 01 Oct 2022, Accepted 16 Nov 2022, Published online: 25 Nov 2022

References

  • Habebo TT, Takian A. Retrospective policy analysis of tobacco prevention and control in Ethiopia. Ethiop J Health Sci. 2020;30(3):427–438.
  • Jaafaripooyan E, Habebo TT, Mosadeghrad AM, Foroushani AR, Anshebo DG. The magnitude, types, and roles of social support in diabetes management among diabetics in southern Ethiopia: a multilevel, multicenter cross-sectional study. Diabetes Metabol Syndr Obes. 2021;14:4307. doi:10.2147/DMSO.S332900
  • International Diabetes Federation. IDF Diabetes Atlas. 10th ed. Brussels, Belgium: International Diabetes Federation; 2021. Available from https://www.diabetesatlas.org.
  • Cho NH, Shaw J, Karuranga S, et al. IDF diabetes atlas: global estimates of diabetes prevalence for 2017 and projections for 2045. Diabetes Res Clin Pract. 2018;138:271–281. doi:10.1016/j.diabres.2018.02.023
  • Daar AS, Singer PA, Leah Persad D, et al. Grand challenges in chronic non-communicable diseases. Nature. 2007;450(7169):494–496. doi:10.1038/450494a
  • Abebe N, Kebede T, Addise D. Diabetes in Ethiopia 2000–2016 prevalence and related acute and chronic complications; a systematic review. Afr J Diabetes Med. 2017;25(2):7–12.
  • Habebo TT, Pooyan EJ, Mosadeghrad AM, Babore GO, Dessu BK. Prevalence of poor diabetes self-management behaviors among Ethiopian diabetes mellitus patients: a systematic review and meta-analysis. Ethiop J Health Sci. 2020;30(4):623–638.
  • Alwan A. Global Status Report on Noncommunicable Diseases 2010. World Health Organization; 2011.
  • Institute EPH. Ethiopia health data quality review: system assessment and data verification; 2018. Available from: https://www.ephi.gov.et/images/pictures/download_2011/Ethiopia-Data-Quality-Review-DQR-report--2018.pdf. Accessed September 19, 2022.
  • Hu FB. Globalization of diabetes: the role of diet, lifestyle, and genes. Diabetes Care. 2011;34(6):1249–1257. doi:10.2337/dc11-0442
  • Ethiopia MoH. Addressing the Impact of Noncommunicable Diseases and Injuries in Ethiopia. Addis Ababa, Ethiopia: National NCDI Commission; 2018.
  • Gudina EK, Amade ST, Tesfamichael FA, Ram R. Assessment of quality of care given to diabetic patients at Jimma University Specialized Hospital diabetes follow-up clinic, Jimma, Ethiopia. BMC Endocr Disord. 2011;11(1):1–9. doi:10.1186/1472-6823-11-19
  • Mullan Z. Transforming health care in Ethiopia. Lancet Glob Health. 2016;4(1):e1. doi:10.1016/S2214-109X(15)00300-9
  • FMOH E. Health Sector Transformation Plan (HSTP): 2015/16-− 2019/20. Addis Ababa, Ethiopia: FMOH E; 2015.
  • Nyirenda MJ. Non-communicable diseases in sub-Saharan Africa: understanding the drivers of the epidemic to inform intervention strategies. Int Health. 2016;8(3):157–158. doi:10.1093/inthealth/ihw021
  • Ali EE. Health care financing in Ethiopia: implications on access to essential medicines. Value Health Region Issues. 2014;4:37–40. doi:10.1016/j.vhri.2014.06.005
  • Nigatu T. Epidemiology, complications and management of diabetes in Ethiopia: a systematic review. J Diabetes. 2012;4(2):174–180. doi:10.1111/j.1753-0407.2011.00181.x
  • Kiflie Y, Jira C, Nigussie D. The quality of care provided to patients with chronic non-communicable diseases: a retrospective multi-setup study in Jimma zone, southwest Ethiopia. Ethiop J Health Sci. 2011;21(2):119–130. doi:10.4314/ejhs.v21i2.69052
  • SNNPRS-BoFED. South nation’s nationalities and people’s regional state (SNNPRS) bureau of finance and economic development, budget year plan for 2013 E.C, (2020/21 G.C) Hawassa, Ethiopia (Unpublished); 2020.
  • Bureau S-H. South nation’s nationalities and people’s regional state health bureau (SNNPRS-HB) annual regulatory data of 2013 E.C. (2020/21 G.C), Hawassa, Ethiopia (Unpublished); 2020.
  • Croke K. The origins of Ethiopia’s primary health care expansion: the politics of state-building and health system strengthening. Health Policy Plan. 2020;35(10):1318–1327. doi:10.1093/heapol/czaa095
  • Walshe K, Shortell SM. When things go wrong: how health care organizations deal with major failures. Health Aff. 2004;23(3):103–111. doi:10.1377/hlthaff.23.3.103
  • Mercer SL, DeVinney BJ, Fine LJ, Green LW, Dougherty D. Study designs for effectiveness and translation research: identifying trade-offs. Am J Prev Med. 2007;33(2):139–154. e132. doi:10.1016/j.amepre.2007.04.005
  • Wassertheil-Smoller S, Smoller J. Biostatistics and Epidemiology: A Primer for Health and Biomedical Professionals. Springer; 2004.
  • Kelle U. Combining qualitative and quantitative methods in research practice: purposes and advantages. Qual Res Psychol. 2006;3(4):293–311.
  • Bryman A. Quantitative and qualitative research: further reflections on their integration. In: Mixing Methods: Qualitative and Quantitative Research. Routledge; 2017:57–78.
  • Tong A, Sainsbury P, Craig J. Consolidated criteria for reporting qualitative research (COREQ): a 32-item checklist for interviews and focus groups. Int J Qual Health Care. 2007;19(6):349–357. doi:10.1093/intqhc/mzm042
  • Nader SK, Mohammad RAA, Ali AP, Davod KD. Why does strategic plan implementation fail? A study in the health service sector of Iran. Afri J Bus Manage. 2011;5(23):9831–9837.
  • Naher N, Hoque R, Hassan MS, Balabanova D, Adams AM, Ahmed SM. The influence of corruption and governance in the delivery of frontline health care services in the public sector: a scoping review of current and future prospects in low and middle-income countries of south and South-East Asia. BMC Public Health. 2020;20(1):1–16. doi:10.1186/s12889-019-7969-5
  • Eggleston K, Ling L, Qingyue M, Lindelow M, Wagstaff A. Health service delivery in China: a literature review. Health Econ. 2008;17(2):149–165. doi:10.1002/hec.1306
  • Pomerantz A, Cole BH, Watts BV, Weeks WB. Improving efficiency and access to mental health care: combining integrated care and advanced access. Gen Hosp Psychiatry. 2008;30(6):546–551. doi:10.1016/j.genhosppsych.2008.09.004
  • Feldhaus I, Mathauer I. Effects of mixed provider payment systems and aligned cost-sharing practices on expenditure growth management, efficiency, and equity: a structured review of the literature. BMC Health Serv Res. 2018;18(1):1–14. doi:10.1186/s12913-018-3779-1
  • Conrad DA, Dowling WL. Vertical integration in health services: theory and managerial implications. In: Health Care Management Review. JSTOR; 1990:9–22.
  • Nugent R, Bertram MY, Jan S, et al. Investing in non-communicable disease prevention and management to advance the sustainable development goals. Lancet. 2018;391(10134):2029–2035. doi:10.1016/S0140-6736(18)30667-6
  • Lukas CV, Holmes SK, Cohen AB, et al. Transformational change in health care systems: an organizational model. Health Care Manage Rev. 2007;32(4):309–320. doi:10.1097/01.HMR.0000296785.29718.5d
  • Islam SMS, Purnat TD, Phuong NTA, Mwingira U, Schacht K, Fröschl G. Non‐Communicable Diseases (NCDs) in developing countries: a symposium report. Global Health. 2014;10(1):1–8. doi:10.1186/s12992-014-0081-9
  • World Health Organization. Service Availability and Readiness Assessment (Sara):an Annual Monitoring System for Service Delivery: Reference Manual. World Health Organization; 2013.
  • World Health Organization. Monitoring the Building Blocks of Health Systems: A Handbook of Indicators and Their Measurement Strategies. World Health Organization; 2010.
  • Bekele A, Getachew T, Amenu K, et al. Service availability and readiness for diabetes care at health facilities in Ethiopia. Ethiop J Health Dev. 2017;31(2):110–118.
  • Rabkin M, Melaku Z, Bruce K, et al. Strengthening health systems for chronic care: leveraging HIV programs to support diabetes services in Ethiopia and Swaziland. J Trop Med. 2012;2012:1–6. doi:10.1155/2012/137460
  • Teklegiorgis K, Tadesse K, Terefe W, Mirutse G. Level of data quality from Health Management Information Systems in a resource-limited setting and its associated factors, eastern Ethiopia. South Afri J Inform Manage. 2016;18(1):1–8.
  • Wahlbeck K, Manderbacka K, Vuorenkoski L, Kuusio H, Luoma M-L, Widström E. Quality and equality of access to healthcare services. Health QUEST country report for Finland Helsinki: National Research and Development Centre for Welfare and Health (STAKES); 2008.
  • Habte BM, Kebede T, Fenta TG, Boon H. Ethiopian patients’ perceptions of anti-diabetic medications: implications for diabetes education. J Pharma Policy Pract. 2017;10(1):1–9. doi:10.1186/s40545-017-0101-2
  • Kaba M. Non-communicable diseases: unwelcome in Ethiopia. Ethiop J Health Dev. 2018;32(3):115.
  • Alemu S, Watkins P. Access to diabetes care in northern Ethiopia. Diabetes Voice. 2004;49(1):8–10.
  • Feleke Y, Enquselassie F. An assessment of the health care system for diabetes in Addis Ababa, Ethiopia. Ethiop J Health Dev. 2005;19(3):203–210.
  • Allain TJ, van Oosterhout JJ, Douglas GP, et al. Applying lessons learned from the ‘DOTS’Tuberculosis Model to monitoring and evaluating persons with diabetes mellitus in Blantyre, Malawi. Trop Med Int Health. 2011;16(9):1077–1084. doi:10.1111/j.1365-3156.2011.02808.x
  • Kapur A, Harries AD. The double burden of diabetes and tuberculosis–public health implications. Diabetes Res Clin Pract. 2013;101(1):10–19. doi:10.1016/j.diabres.2012.12.001
  • Marquez PV, Farrington JL. No more disease silos for sub-Saharan Africa. BMJ. 2012;345:e5812–e5812. doi:10.1136/bmj.e5812
  • Levitt NS. Diabetes in Africa: epidemiology, management, and healthcare challenges. Heart. 2008;94(11):1376–1382. doi:10.1136/hrt.2008.147306
  • Beran D, Yudkin JS. Diabetes care in sub-Saharan Africa. Lancet. 2006;368(9548):1689–1695. doi:10.1016/S0140-6736(06)69704-3
  • Hall V, Thomsen RW, Henriksen O, Lohse N. Diabetes in Sub-Saharan Africa 1999–2011: epidemiology and public health implications. A systematic review. BMC Public Health. 2011;11(1):1–12. doi:10.1186/1471-2458-11-564
  • World Health Organization. Everybody’s Business--Strengthening Health Systems to Improve Health Outcomes: WHO’s a Framework for Action. World Health Organization; 2007.
  • Woticha EW, Deressa W, Reja A. Barriers for detection and management of gestational diabetes mellitus in southern Ethiopia: a qualitative study. Diabetes Metabol Syndr. 2019;13(3):1827–1831. doi:10.1016/j.dsx.2019.04.005
  • Sprague MA, Shultz JA, Branen LJ. Understanding patient experiences with goal setting for diabetes self-management after diabetes education. In: Family and Community Health. JSTOR; 2006:245–255.
  • Collinsworth A, Vulimiri M, Snead C, Walton J. Community health workers in primary care practice: redesigning health care delivery systems to extend and improve diabetes care in underserved populations. Health Promot Pract. 2014;15(2_suppl):51S–61S. doi:10.1177/1524839914539961
  • Workneh MH, Bjune GA, Yimer SA. Assessment of health system challenges and opportunities for possible integration of diabetes mellitus and tuberculosis services in South-Eastern Amhara Region, Ethiopia: a qualitative study. BMC Health Serv Res. 2016;16(1):1–11. doi:10.1186/s12913-016-1378-6
  • Fekadu G, Bula K, Bayisa G, Turi E, Tolossa T, Kasaye HK. Challenges and factors associated with poor glycemic control among type 2 diabetes mellitus patients at Nekemte Referral Hospital, Western Ethiopia. J Multidiscip Healthc. 2019;12:963. doi:10.2147/JMDH.S232691
  • Wamai RG. Reviewing Ethiopia’s health system development. Population. 2004;75:279–286.
  • Erku DA, Tesfaye ET. Tobacco control and prevention efforts in Ethiopia pre-and post-ratification of WHO FCTC: current challenges and future directions. Tobacco Induced Dis. 2019;17. doi:10.18332/tid/102286
  • Memirie ST, Metaferia ZS, Norheim OF, Levin CE, Verguet S, Johansson KA. Household expenditures on pneumonia and diarrhea treatment in Ethiopia: a facility-based study. BMJ Glob Health. 2017;2(1):e000166. doi:10.1136/bmjgh-2016-000166
  • World Health Organization. WHO global health expenditure atlas. In: WHO Global Health Expenditure Atlas Switzerland 2014. World Health Organization; 2014.
  • Kitaw Y. Ethiopia Health Care 2050; 2019. Available from: https://ethiopia2050.com/wp-content/uploads/2020/02/Dr_YayehYirad_Kitaw_Eth-Health_Care2050.pdf. Accessed September 19, 2022.
  • Lin Y, Li L, Mi F, et al. Screening patients with diabetes mellitus for tuberculosis in China. Trop Med Int Health. 2012;17(10):1302–1308. doi:10.1111/j.1365-3156.2012.03069.x
  • Mellitus ID. Tuberculosis Study Group: screening of patients with diabetes mellitus for tuberculosis in India. Trop Med Int Health. 2013;18(5):646–654.
  • Shiferaw F, Letebo M, Feleke Y, et al. Non-communicable diseases in Ethiopia: policy and strategy gaps in the reduction of behavioral risk factors. Ethiop J Health Dev. 2019;33(4):120.
  • Mbanya JCN, Motala AA, Sobngwi E, Assah FK, Enoru ST. Diabetes in sub-saharan Africa. Lancet. 2010;375(9733):2254–2266. doi:10.1016/S0140-6736(10)60550-8