Evaluation of a Multi-faceted Diabetes Care Program Including Community-based Peer Educators in Takeo Province, Cambodia, 2007-2013

Overview

Journal PLoS One

Specialties General Medicine
Science

Date 2017 Sep 26

PMID 28945753

Citations 15

Authors

Dawn Taniguchi

James LoGerfo

Maurits van Pelt

Bessie Mielcarek

Karin Huster

Mahri Haider

Bernadette Thomas

Affiliations

Soon will be listed here.

Abstract

Introduction: Early detection and treatment for diabetes are essential for reducing disability and death from the disease. Finding effective screening and treatment for individuals living with diabetes in resource-limited countries is a challenge. MoPoTsyo, a Cambodian non-governmental organization, addressed this gap by utilizing a multi-pronged approach with community-based peer educators, access to laboratory procedures, local outpatient medical consultation, and a revolving drug fund. This study evaluated outcomes of MoPoTsyo's diabetes program in Takeo Province by assessing glycemic and blood pressure outcomes for individuals diagnosed with diabetes over a 24-month follow-up period between 2007-2013.

Methods: This is a retrospective cohort analysis of records without a comparison group. We calculated the mean fasting blood glucose (FBG) and blood pressure (BP) at regular intervals of follow-up. The proportion of patients reaching recommended treatment targets for FBG and BP was assessed.

Results: Of the 3411 patients enrolled in the program, 2230 were included in the study. The cohort was predominantly female (68.9%) with a median age of 54 years. Median follow-up time in the program was 16 months (4.9-38.4 months). Mean FBG decreased 63.9 mg/dl in mean FBG (95% CI 58.5 to 69.3) at one year of follow-up (p<0.001). After one year, 45% (321/708) of patients achieved goal FBG < 126. Of the 41.6% (927/2230) with elevated BP at enrollment, systolic and diastolic BP levels significantly decreased (p<0.001) by 16.9 mmHg (95% CI 1.2 to 22.9) and 10 mm Hg (95% CI 0.7 to 12.9) respectively between enrollment and one year of follow-up. At one year of follow-up, 51.1%% (183/355) of these patients reached the BP goal < 140/90.

Conclusion: The improved outcome indicators of diabetes care for MoPoTsyo's Takeo program evaluation showed promise. The program demonstrated a reasonable and practical approach to delivering effective diabetes care in a rural area and may serve as a model for other low-income communities. Future prospective evaluations with more complete data are necessary for longer-term outcomes.

Citing Articles

An in-depth Analysis of the Degree of Implementation of Integrated Care for Diabetes in Primary Health Care in Cambodia.

Te V, Long S, Van Damme W, Ir P, Wouters E, van Olmen J Int J Integr Care. 2024; 24(4):11.

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Hypertension in Adults With Diabetes in Southeast Asia: A Systematic Review.

Wong W, Van Nguyen T, Ahmad F, Vu H, Koh A, Tan K J Clin Hypertens (Greenwich). 2024; 27(1):e14936.

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Peer Support for Type 2 Diabetes Management in Low- and Middle-Income Countries (LMICs): A Scoping Review.

Sherifali D, da Silva L, Dewan P, Cader F, Dakhil Z, Gyawali B Glob Heart. 2024; 19(1):20.

PMID: 38404615 PMC: 10885823. DOI: 10.5334/gh.1299.

Healthcare usage and expenditure among people with type 2 diabetes and/or hypertension in Cambodia: results from a cross-sectional survey.

Chhim S, Te V, Buffel V, van Olmen J, Chham S, Long S BMJ Open. 2023; 13(1):e061959.

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