Assessment of the Level and Associated Factors with Knowledge and Practice of Diabetes Mellitus among Diabetic Patients Attending at FelegeHiwot Hospital, Northwest Ethiopia
Clinical Medicine Research
Volume 2, Issue 6, November 2013, Pages: 110-120
Received: Aug. 11, 2013;
Published: Sep. 30, 2013
Views 5131 Downloads 754
Solomon Asnakew Feleke, Medicine San Frontiers (MSF), Addis Ababa, Ethiopia
Chalachew Misganaw Alemayehu, Clinical Trial Department, ArmauerHansen Research Institute (AHRI), Ethiopia
Hawult Taye Adane, Clinical Trial Department, ArmauerHansen Research Institute (AHRI), Ethiopia
Introduction: Diabetes mellitus was perceived as the problem of the developed world but currently developing countries like Ethiopia are suffering chronic diseases of which diabetes is the major one.Objective: The aim of this study wasto assess of the level and associated factors with knowledge and practice of diabetes mellitus among diabetic patients attending at FelegeHiwot hospital. Methods: Institution based cross sectional study was conducted using interviewer administered questionnaire among 410 diabetic patients. Systematic sampling technique was used to select study subjects. Data was entered to EPI info 3.5.1 and then transferred to SPSS for analysis. Descriptive and analytical statistics including bivariate and multivariate analysis were applied. Result: Among 410 respondents, Half (49.8%) of them had good knowledge and one hundred fifty four (36.8%) participants had good practice on diabetes. Lower age was significantly associated with good knowledge and practice. Age group 18-32 yrs, 33-41 yrs and 42-50 yrs were 6.2 times, 3.3 times and 3.1 times respectively more likely to had good knowledge compared to individuals who were at the age of 50 yrsand above. Similarly, age group between 18-32 yrs was 6 times more likely to have good practice. Higher educational status was also associated with good knowledge and practice. Participants in grade 1-8, grade 9-12 and higher education and above were 3.4 times, 4.7 times and 7.2 timesrespectively more likely to had good knowledge compared to those who were unable to read and write.Likewise, those in grade 1-8, grade 9-12 and higher education and above were 3.5, 4.3 and5.4 times respectivelyto have good practice.Increased duration of diabetic therapy was positively associated with good knowledge and practice. Increased level of income was positively associated with good practice.Conclusion: This study demonstrated low level of knowledge and practice among DM patients. Age, educational status and duration of DM therapy were associated with good knowledge and practice of participants. Monthly income was also associated with good practice. Improving knowledge and practice of diabetic patient through active education is advisable. Involvement of both governmental and non-governmental organizations is also crucial to help patients receive maximum benefit from the health care service.
Solomon Asnakew Feleke,
Chalachew Misganaw Alemayehu,
Hawult Taye Adane,
Assessment of the Level and Associated Factors with Knowledge and Practice of Diabetes Mellitus among Diabetic Patients Attending at FelegeHiwot Hospital, Northwest Ethiopia, Clinical Medicine Research.
Vol. 2, No. 6,
2013, pp. 110-120.
Fauci, Braunwald, kaiser, Longo, James et al. Harrison’s principles of Internal medicine. 17th ed.United States of America. The McGraw-Hill companies; 2008.
Motala AA, Omar MA, Pirie FJ. Diabetes in Africa. Diabetes micro vascular and macro vascular disease in Africa. J Car-diovascular Risk 2003; 10(2).
Healthcare in Ethiopia, http://www.moh.gov.et/; http://www.ethiomedic.com/(
AlemuS,DessieA,SeidE,BardE,LeePT,TrimpleER,et al.Insulin requiring diabetes in rural Ethiopia, Should we reopen the case for malnutrition –related diabetes?Diabetologia, 2009:52(1842-1845).
Gill GV, Mbanya JC, Ramaiya KL, Tesfaye S.A sub Saharan African prospective of diabetes, Diabetologia, 2009:52(8-16).
Cohen MP et al. High Prevalence of Diabetes in Young Ethiopian Immigrants Israel, Diabetologia 1988; 37:824-827.
Naheed G. Knowledge, Attitudes and Practices of Type 2 Diabetics Mellitus, J Ayub Med Coll Abbottabad. 2010:22(3).
Okolie, Uchenna V, Ehiemere,IjeomaO,Ihanacho,Peacen,etal.Knoweledge of diabetes management and control by diabetic’s patients at Federal Medical Center UmuahiaAbia State Nigeria. International Journal of medicine and Medical sciences.2009:1(9).
Saadia Z Rushdie, Alsheha M, SaeedH, Rajab M.A .study of knowledge, Attitude and Practices of Saudi Women towards Diabetes Mellitus a (KAP) study in Al- Qassim Region, The Internal Journal of Health.2010:11(2)
Maina WK, NdegwaZM,Njenga EW, Muchemi EW. Knoweledge, attitude and Practices related to diabetes among community members in four provinces in Kenya, Pan African Medical Journal.2010:7(2).
Moodley L, Rambiritch V. An assessment of the level of knowledge about diabetes mellitus among diabetic patients in a primary healthcare setting, SA Fam Practice.2007:49(10).
Viral N, Shah P, Kamdar K, Nishit S. Assessing the knowledge, attitudes and practice of type 2 diabetes among patients of Saurashtra region, Gujarat Int J Diabetes Dev. 2009 Jul-Aug; 29(3): 118–122.
Gunay T, Ulusel B, Velipasaoglu S, Unal B, Ucku R, Ozgener N. Factors affecting adult knowledge of diabetes in Narlidere Health District, Turkey, 20(pub.med)
Kheir N, Greer W, Yousif A, Al Geed H, Al Okkah R. Risk factors, knowledge and health status in diabetic patients. Saudi Med J 2003: 24 (11).
Kheir N, Greer W, Yousif A, Al Geed H, Al Okkah R. Knowledge, attitude and practices of Qatari patients with type 2 diabetes mellitus.
Dineshk,subishP,RavisS,Paranaya. Knowledge, attitudes and practice about diabetes among diabetes patient in western Nepal. Rawal Med J 2008; 33:8-11.
Hailu E, Mariam WH, Belachew T, Birhanu Z. Self-care practice and glycemic control amongst adults with diabetes at the Jimma University Specialized Hospital in south-west Ethiopia: A cross-sectional study. Afr J Prm Health Care Fam Med. 2012; 4(1).
Upadhyay DK, Palaian S, Shankar PR, Mishra P. Knowledge, Attitude and Practice about Diabetes among Diabetes Patients in Western Nepal.Rawal Med J 2008; 23(1):1–12.
Rafique G, Azam SI, White F. Diabetes knowledge, beliefs and practices among people with diabetes attending a university hospital in Karachi, Pakistan. East Mediterr Health J 2006; 12(5): 590–8.
Mukhopadhyay, et.al: perceptions and practice of patients with diabetes mellitus type II.Int J DiabDev /July-September 2010/30/3.
Sandeeps,GanesanA,MohanV.Development and updated of the diabetes atlas of India.Madras Diabetes Research foundation,Chennai.
Naglaa MA, Mohamed EM .Effectiveness Of Health Education Program for Type 2 Diabetes Mellitus Patients Attending Zigzag University Diabetes Clinic, Egypt. Egypt Public Health Assoc. Vol. 85 No. 3 and 4,2010.
KhaldonK.,Mohammad H., Fares H ,Ibrahim I. Diabetes Knowledge among Patients with Diabetes Mellitus at King Hussein Hospital .JRMS March 2012; 19(1): 72-77.
Baradaran H, Knill JR .Assessing the knowledge, attitudes and understanding of type 2 diabetes amongst ethnic groups in Glasgow, Scotland PractDiabInt May 2004 Vol. 21 No. 4.
Maxwell O., Cletus N., Chinwe V., Jegberime M, ObinnaP.Diabetes self-care knowledge among type 2 diabetic outpatients in south-eastern Nigeria, IntJ.Drug Dev.& Res. | Sept-December 2009 | Vol. 1 | Issue 1 | 85.
Abera E. Patterns of chronic complications of diabetic patients in Menelik II Hospital, Ethiopia.Ethiop.j.Health dev.2000;14(1):113-116
West JD, Goldberg KL. Diabetes self-care knowledge among outpatients at a veteran’s affairs medical center. Ameri¬can Journal of Health-system Pharmacy 2002; 59 (9):849 –52.
Hu J,GruberK,LiuH,Zaho H, Garcia A.Diabetes knowledge among older chinese adults with diabetes in Beijing,China.Journal of Clinical Nursing,2013,22(1-2),51-60.
Shrestha A, Kosalram K, GopichandranV.Gender Difference in Care of Type 2 Diabetes, .JNMA Nepal Med Assoc, 2013; 52(189):245-50.
AmudhaK.Knoweledge, attitude and practice among diabetic patient in Malysia.International journal of collaborative research on internal medicine and public health.2012.4 (5).