Diabetes management in Guinea Bissau: a situational analysis

Jorge César Correia, Adalgisa Lopes, Cumba Bispo Iala, N'Boma Adriano Sanca, Augusto Bidonga, Grégoire Lagger, Alain Golay, Montserrat Perolini Castellsague, Jorge César Correia, Adalgisa Lopes, Cumba Bispo Iala, N'Boma Adriano Sanca, Augusto Bidonga, Grégoire Lagger, Alain Golay, Montserrat Perolini Castellsague

Abstract

Introduction: There is an increasing commitment in the African Region towards diabetes care, following acknowledgement that it is an important public health issue which needs to be addressed in order to improve population health. We conducted a situational analysis of diabetes care in Guinea Bissau in order to identify the main issues faced in the management of the disease in this country.

Methods: The study design was qualitative and data collection was done using semi directive interviews and focus groups with participants involved in primary diabetes care and management in Guinea Bissau (health care professionals, non-governmental organization staff, traditional healers) and patients. The data was analyzed using the five-phase approach of the thematic analysis framework.

Results: The major themes identified included: the lack of specialists and properly trained healthcare personnel; no standardized care protocol for diagnosis, treatment, follow up and proper management for diabetic patients; resources poor primary health care settings; no validated epidemiological dataset on prevalence and the lack of awareness about diabetes (in general population and also in medical staff).

Conclusion: This first situational analysis can serve as a baseline to develop an action plan to address the main issues identified.

Keywords: Diabetes care; Guinea-Bissau; chronic disease; health system organization.

Conflict of interest statement

The authors declare no competing interest.

© Jorge César Correia et al.

Figures

Annex 1
Annex 1
Semi directive open-ended questionnaire which served as the interview guide
Figure 1
Figure 1
Identified issues faced in the treatment and management of diabetes in Guinea Bissau

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