Establishment of diabetes association to enhance peer-education and self-management: perceptions of residents from Ogwashi-Uku and Ubulu-Unor communities in Delta state, Nigeria

Establishment of diabetes association to enhance peer-education and self-management: perceptions of residents from Ogwashi-Uku and Ubulu-Unor communities in Delta state, Nigeria

Background: Diabetes epidemic is an evolving phenomenon in Nigeria and sub-Saharan Africa. Most African governments are showing strong desire to reversing the current trend. However, information on the perception and readiness of rural and suburban community dwellers towards managing this disease need to be gathered.

Methods: This was mixed methods including descriptive observational study and survey regarding establishment of a diabetic network in the rural and suburban localities. Quantitative screening data were collected to assess prevalence of diabetes or prediabetes, as well as investigate the perceptions of diabetic and non-diabetic residents. Establishment of diabetes register was initiated. 180 complete questionnaires were included for analysis, though 199 consented to participate. In the qualitative phase of the research, a convenience sampling questionnaire and focus group discussion on their perception about diabetes association or network. Their perceived response and opinions were then documented.

Results: Among the participants, approximately 12% prevalence of diabetes and 10% prediabetes were observed. 19/25 cases of diabetes were entered in the register. Over 43% of the population never heard about diabetes association/network, but 72% of the diabetes cohort are willing to join diabetes network. A greater fraction of the suburban patients seems more aware, but willingness to accept diabetes is higher in the rural community.

Conclusions: Most of the persons living with diabetes, and their relatives, are willingly to join diabetes network as well as encourage such organisation in their communities. Given the level of unawareness, there is need to establish diabetic association and advance the benefits.