The state of diabetes care and obstacles to better care in Aceh, Indonesia: a mixed-methods study

2023-03-20 | journal article. A publication with affiliation to the University of Göttingen.

Jump to:Cite & Linked | Documents & Media | Details | Version history

Cite this publication

​The state of diabetes care and obstacles to better care in Aceh, Indonesia: a mixed-methods study​
Sofyan, H.; Diba, F.; Susanti, S. S.; Marthoenis, M.; Ichsan, I.; Sasmita, N. R. & Seuring, T. et al.​ (2023) 
BMC Health Services Research23(1) art. 271​.​ DOI: https://doi.org/10.1186/s12913-023-09288-9 

Documents & Media

12913_2023_Article_9288.pdf1.06 MBAdobe PDF

License

Published Version

Attribution 4.0 CC BY 4.0

Details

Authors
Sofyan, Hizir; Diba, Farah; Susanti, Suryane S.; Marthoenis, Marthoenis; Ichsan, Ichsan; Sasmita, Novi R.; Seuring, Till; Vollmer, Sebastian 
Abstract
Abstract Background Cardio-metabolic diseases are a major cause of death worldwide, including in Indonesia, where diabetes is one of the most critical diseases for the health system to manage. Methods We describe the characteristics, levels of control, health behavior, and diabetes-related complications of diabetes patients in Aceh, Indonesia. We use baseline data and blood testing from a randomized-controlled trial. We conducted semi-structured interviews with eight health providers from Posbindu and Prolanis programs that target diabetes and other non-communicable diseases (NCDs). We also conducted three focus group discussions with 24 diabetes patients about their experiences of living with diabetes and the existing support programs. Results The blood tests revealed average HbA1c levels indicative of poor glycemic control in 75.8 percent of patients and only 20.3 percent were free from any symptoms. Our qualitative findings suggest that patients are diagnosed after diabetes-related symptoms manifest, and that they find it hard to comply with treatment recommendations and lifestyle advice. The existing programs related to NCDs are not tailored to their needs. Conclusion We identify the need to improve diabetes screening to enable earlier treatment and achieve better control of the disease. Among diagnosed patients, there are widespread beliefs about diabetes medication and alternative forms of treatment that need to be addressed in a respectful dialogue between healthcare professionals and patients. Current diabetes screening, treatment and management programs should be revised to meet the needs of the affected population and to better respond to the increasing burden of this disease.
Issue Date
20-March-2023
Journal
BMC Health Services Research 
Organization
Professur für Entwicklungsökonomie / Centre for Modern Indian Studies 
Language
English
Sponsor
Open-Access-Publikationsfonds 2023

Reference

Citations


Social Media