Improving the quality of care for patients at increased risk for type 2 diabetes at Onandjokwe Intermediate Hospital, Oshikoto Region, Namibia
| dc.contributor.advisor | Von Pressentin, Klaus B. | en_ZA |
| dc.contributor.author | Kenga, Louis Dikolela | en_ZA |
| dc.contributor.other | Stellenbosch University. Faculty of Medicine and Health Sciences. Dept. of Family and Emergency Medicine. Family Medicine and Primary Care. | en_ZA |
| dc.date.accessioned | 2018-02-13T07:33:13Z | |
| dc.date.accessioned | 2018-04-09T06:54:25Z | |
| dc.date.available | 2018-02-13T07:33:13Z | |
| dc.date.available | 2018-04-09T06:54:25Z | |
| dc.date.issued | 2018-03 | |
| dc.description | Thesis (MFamMed)--Stellenbosch University, 2018. | en_ZA |
| dc.description.abstract | ENGLISH SUMMARY : Type 2 diabetes mellitus accounts for more than ninety per cent of patients with diabetes and its incidence is on the rise in low and middle-income countries. Obesity is the main risk factor for type 2 diabetes mellitus. Aim: The aim of this study was to improve the quality of care provided to patients at increased risk of developing type 2 diabetes. Setting: Medical outpatient clinic; Onandjokwe Intermediate Hospital. Namibia Method: The steps of quality improvement cycle were followed Result: Two hundred and six participants were recruited in the audit. Ninety one % were female and the mean age was 44years. At baseline audit only 2 % of participants had their body mass index (BMI) recorded, one month later after training of staff on importance of documentation of non-invasive risk factors for type 2 diabetes followed by implementation of changes to practice; 65 % of participants had their BMI and additional risk factors for type 2 diabetes recorded during the re-audit and were provided with diet and physical activity counselling. The difference was statistically significant between baseline audit and re-audit (p < 0.001) Conclusion: The quality of care for patients at increased risk of developing type 2 diabetes mellitus in our setting was suboptimal. Simple interventions were designed and implemented to improve the quality of care. A corresponding significant improvement in the documentation of risk factors for type 2 diabetes and provision of diet and physical activity counselling was observed. | en_ZA |
| dc.description.abstract | AFRIKAANSE OPSOMMING : Geen opsomming beskikbaar. | af_ZA |
| dc.format.extent | iii, 21 pages ; illustrations, includes annexures | |
| dc.identifier.uri | http://hdl.handle.net/10019.1/103376 | |
| dc.language.iso | en_ZA | en_ZA |
| dc.publisher | Stellenbosch : Stellenbosch University | |
| dc.rights.holder | Stellenbosch University | |
| dc.subject | Diabetics -- Medical care -- Oshikoto (Namibia) | en_ZA |
| dc.subject | Non-insulin-dependent diabetes | en_ZA |
| dc.subject | Onandjokwe State Hospital -- Oshikoto (Namibia) | en_ZA |
| dc.subject | UCTD | |
| dc.title | Improving the quality of care for patients at increased risk for type 2 diabetes at Onandjokwe Intermediate Hospital, Oshikoto Region, Namibia | en_ZA |
| dc.type | Thesis | en_ZA |