Barriers faced during the management of Diabetic patients with comorbidities at Jinja regional referral Hospital. A cross-sectional study.

Authors

  • Violet Alimwenda Department of Public Health, Jameslind Institute,Switzerland Author
  • Richard Kajubi Department of Public Health, Jameslind Institute,Switzerland Author
  • Hilary Atuhaire Department of Public Health, Jameslind Institute,Switzerland. Author
  • Ali Anahita Department of Public Health, Jameslind Institute,Switzerland. Author

DOI:

https://doi.org/10.51168/h0g0f982

Keywords:

Barriers, Comorbidities, Management of Diabetic patients, Self-care services

Abstract

Background

Patients with comorbidities also require more frequent hospitalizations, emergency department visits, and outpatient appointments. The study aims to assess the barriers faced during the management of patients with comorbidities at Jinja Regional Referral Hospital.

Methodology

A descriptive cross-sectional study that employed quantitative data techniques was used. Simple random sampling was used to select participants in the study. Descriptive statistics was used to assess the frequency distribution of the three risk categories. A Chi-square test assessed the categorical variables and trends in the prevalence of diabetic comorbidities.

Results

Most patients were married 191(67.3%), majority came from rural areas 167(58.8%), majority of the patients were employed 144(50.7%), Patients with type 1 DM were 41(14.4%) and type 2 DM were 243(85.6%). The number of diabetic patients who faced difficulties in transportation to the health facility was 41, those who had limited self-care services were 36, patients who faced a delay in care seeking were 55, patients who could not afford medicines were 103 and lastly, patients who had a poor attitude towards health workers were 54

Conclusion

The barriers faced in the management of patients with diabetes were transport difficulties, limited self-care services, delayed care seeking, unaffordable medical care, and poor attitudes of health workers.

Recommendation

The Ministry of Health through health workers at all levels implements nationwide screening programs for diabetes and its comorbidities, especially among high-risk populations to reduce the risk of developing diabetic comorbidities.

 

References

1. Balasaheb Bansode, Rangasamy Nagarajan (2017) Diabetes: A review of awareness, comorbidities, and quality of life in India Journal of Social Health and Diabetes; DOI: 10.1055/s-0038-1676248

2. Chepulis, L. et al. (2021) ‘Barriers to Diabetes Self-Management in a Subset of New Zealand Adults with Type 2 Diabetes and Poor Glycaemic Control’, Journal of Diabetes Research, 2021, p. e5531146. Available at: https://doi.org/10.1155/2021/5531146.

3. Ghammari, F. et al. (2023) ‘Barriers and facilitators to type 2 diabetes management among slum-dwellers: A systematic review and qualitative meta-synthesis’, Health Science Reports, 6(5), p. e1231. Available at: https://doi.org/10.1002/hsr2.1231.

4. Ghammari F, Jalilian H, Khodayari-Zarnaq R, Gholizadeh M. Barriers and facilitators to type 2 diabetes management among slum-dwellers: A systematic review and qualitative meta-synthesis. Health Sci Rep. 2023 Apr 27;6(5):e1231. doi: 10.1002/hsr2.1231. PMID: 37123550; PMCID: PMC10140644.

5. Sachkouskaya A, Sharshakova T, Kovalevsky D, Rusalenko M, Savasteeva I, Goto A, Yokokawa H, Kumagai A, Takahashi J. Barriers to Prevention and Treatment of Type 2 Diabetes Mellitus Among Outpatients in Belarus. Front Clin Diabetes Healthc. 2022 Jan 6;2:797857. doi: 10.3389/fcdhc.2021.797857. PMID: 36994323; PMCID: PMC10012060.

6. Balasaheb Bansode, Rangasamy Nagarajan (2017) Diabetes: A review of awareness, comorbidities, and quality of life in India Journal of Social Health and Diabetes; DOI: 10.1055/s-0038-1676248

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Published

2026-03-16

Issue

Section

Diabetes Mellitus Research

How to Cite

Barriers faced during the management of Diabetic patients with comorbidities at Jinja regional referral Hospital. A cross-sectional study. (2026). Journal of NCDs & Global Health, 3(3), 7. https://doi.org/10.51168/h0g0f982

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