Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic
Lockdown measures to reduce the spread of coronavirus disease 2019 (COVID-19), may adversely impact on diabetes supplies and metabolic control, especially in type 1 diabetes in low-resource countries. To address this, we conceptualized a service delivery model that incorporated a digitized tool. The...
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| Format: | Article |
| Language: | English |
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PAGEPress Publications
2021-11-01
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| Series: | Healthcare in Low-resource Settings |
| Subjects: | |
| Online Access: | https://www.pagepressjournals.org/index.php/hls/article/view/9799 |
| _version_ | 1797224651261214720 |
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| author | Silver Bahendeka Thereza Piloya Jasper Onono Ronald Wesonga Gerald Mutungi Wenceslaus Sseguya Denis Mubangizi |
| author_facet | Silver Bahendeka Thereza Piloya Jasper Onono Ronald Wesonga Gerald Mutungi Wenceslaus Sseguya Denis Mubangizi |
| author_sort | Silver Bahendeka |
| collection | DOAJ |
| description | Lockdown measures to reduce the spread of coronavirus disease 2019 (COVID-19), may adversely impact on diabetes supplies and metabolic control, especially in type 1 diabetes in low-resource countries. To address this, we conceptualized a service delivery model that incorporated a digitized tool. The digitized tool (UT1D-HIMAS) maintained electronic health records, monitored clinic supplies, patient clinic visits and admissions, and sent automated SMS messages. Delivery of supplies was by motor vehicles, motorcycles, bicycles or patients/caregivers walking to clinics. Metabolic control was assessed by glycated haemoglobin (HbA1c). Monitoring of clinic supplies including emergency restocking, patient clinic visits and admissions, and sending automated SMS by UT1D-HIMAS were successfully achieved. A fall in clinic visits, reaching a nadir (67.9%) in May 2020 was observed. HbA1c (mean ± SD mmol/mol) significantly (p= 0.040) worsened from 79.1 ± 26.8 to 94.9 ± 39.2 and (p=0.002) from 67.1 ± 22.7 to 84.8 ± 39.4 in the rural and urban clinic respectively. The digitized health information system exhibited high practicability in tracking stocks, clinic visits and hospitalisation but failed to improve metabolic control. |
| first_indexed | 2024-04-24T13:56:30Z |
| format | Article |
| id | doaj.art-16cda1ec563a461db31cbc13a8437ee5 |
| institution | Directory Open Access Journal |
| issn | 2281-7824 |
| language | English |
| last_indexed | 2024-04-24T13:56:30Z |
| publishDate | 2021-11-01 |
| publisher | PAGEPress Publications |
| record_format | Article |
| series | Healthcare in Low-resource Settings |
| spelling | doaj.art-16cda1ec563a461db31cbc13a8437ee52024-04-03T17:28:46ZengPAGEPress PublicationsHealthcare in Low-resource Settings2281-78242021-11-019110.4081/hls.2021.9799Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemicSilver Bahendeka0Thereza Piloya1Jasper Onono2Ronald Wesonga3Gerald Mutungi4Wenceslaus Sseguya5Denis Mubangizi6Department of Internal Medicine, Mother Kevin Post Graduate Medical School, Uganda Martyrs University, KampalaDepartment of Paediatrics, Makerere University College of Health Sciences, KampalaIT Department, Diabetes Unit, St. Francis Hospital, NsambyaSchool of Statistics and Planning, Makerere University, KampalaNCD Department, Uganda, Ministry of HealthDiabetes Centre, St. Francis Hospital, Nsambya, KampalaDiabetes Centre, St. Francis Hospital, Nsambya, KampalaLockdown measures to reduce the spread of coronavirus disease 2019 (COVID-19), may adversely impact on diabetes supplies and metabolic control, especially in type 1 diabetes in low-resource countries. To address this, we conceptualized a service delivery model that incorporated a digitized tool. The digitized tool (UT1D-HIMAS) maintained electronic health records, monitored clinic supplies, patient clinic visits and admissions, and sent automated SMS messages. Delivery of supplies was by motor vehicles, motorcycles, bicycles or patients/caregivers walking to clinics. Metabolic control was assessed by glycated haemoglobin (HbA1c). Monitoring of clinic supplies including emergency restocking, patient clinic visits and admissions, and sending automated SMS by UT1D-HIMAS were successfully achieved. A fall in clinic visits, reaching a nadir (67.9%) in May 2020 was observed. HbA1c (mean ± SD mmol/mol) significantly (p= 0.040) worsened from 79.1 ± 26.8 to 94.9 ± 39.2 and (p=0.002) from 67.1 ± 22.7 to 84.8 ± 39.4 in the rural and urban clinic respectively. The digitized health information system exhibited high practicability in tracking stocks, clinic visits and hospitalisation but failed to improve metabolic control.https://www.pagepressjournals.org/index.php/hls/article/view/9799Type 1 diabetesCOVID-19SARS-CoV-2lockdowne-health |
| spellingShingle | Silver Bahendeka Thereza Piloya Jasper Onono Ronald Wesonga Gerald Mutungi Wenceslaus Sseguya Denis Mubangizi Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic Healthcare in Low-resource Settings Type 1 diabetes COVID-19 SARS-CoV-2 lockdown e-health |
| title | Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic |
| title_full | Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic |
| title_fullStr | Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic |
| title_full_unstemmed | Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic |
| title_short | Health service delivery for type 1 diabetes during the lockdown in Uganda following the coronavirus disease 2019 pandemic |
| title_sort | health service delivery for type 1 diabetes during the lockdown in uganda following the coronavirus disease 2019 pandemic |
| topic | Type 1 diabetes COVID-19 SARS-CoV-2 lockdown e-health |
| url | https://www.pagepressjournals.org/index.php/hls/article/view/9799 |
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