Barriers to and facilitators of diabetes self-management practices in Rupandehi, Nepal- multiple stakeholders’ perspective

BMC Public Health

Tomris Cesuroglu¹  Hridaya Raj Devkota²  Mandira Adhikari³ 

[1] Faculty of Science, Vrije University, Amsterdam, The Netherlands;Institute for Social and Environmental Research-Nepal, Pokhara, Nepal;Nepal Development Society, Bharatpur, Nepal;

关键词: Self-management;    Diabetes;    Barriers;    Facilitators;    Nepal;   

DOI  :  10.1186/s12889-021-11308-4

来源: Springer

【 摘 要 】

BackgroundSelf-management of diabetes is associated with glycaemic control and adherence to medication and healthy lifestyle practices. There is lack of information on the barriers to and facilitators of diabetes self-management practices in low income country, Nepal. This study aimed to explore the barriers to and facilitators of Type 2 diabetes self-management practices taking multiple stakeholders’ perspectives in Nepal.MethodsFour focus group discussions and 16 semi-structured interviews with people with Type 2 diabetes, caregivers, health care providers and health managers were conducted from April to May 2018 in Rupandehi district of Western Nepal. They were audio-recorded, transcribed, and analysed using a thematic approach.ResultsFive main themes emerged that influenced diabetes self-management practices: individual factors, socio-cultural and economic factors, health system and policy factors, availability and accessibility of resources, and environmental factors. The important barriers were: lack of knowledge about diabetes self-management practices, cultural practices, insufficient counselling, lack of guidelines and protocols for counselling, and financial problems. The major facilitators were: motivation; support from family, peers, and doctors; and availability of resources in the community.ConclusionBased on our findings, a multilevel approach is needed to address these barriers and facilitators. These findings will help guide strategies to develop programs that impart knowledge and skills to improve the diabetes self-management practices of people with Type 2 diabetes.

【 授权许可】

CC BY