Primary Care Diabetes
Volume 3, Issue 3 , Pages 181-188 , August 2009

Type 2 diabetes management in nurse-led primary healthcare settings in urban and rural Cameroon

  • Andre Pascal Kengne

      Affiliations

    • The George Institute for International Health, The University of Sydney, Australia
    • The Health of Population in Transition (HoPiT) research group, Yaounde, Cameroon
    • Corresponding Author InformationCorresponding author at: The George Institute for International Health, PO Box M201, Sydney, Australia. Tel.: +61 299934597; fax: +61 299934502.
    • ,
  • Leopold Fezeu

      Affiliations

    • The Health of Population in Transition (HoPiT) research group, Yaounde, Cameroon
    • Inserm U780-IFR69, Villejuif, France
    • ,
  • Eugene Sobngwi

      Affiliations

    • The Health of Population in Transition (HoPiT) research group, Yaounde, Cameroon
    • Department of Internal Medicine, Yaounde Central Hospital & Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon
    • ,
  • Paschal Kum Awah

      Affiliations

    • The Health of Population in Transition (HoPiT) research group, Yaounde, Cameroon
    • Department of Anthropology, University of Yaounde I, Cameroon
    • ,
  • Terence J. Aspray

      Affiliations

    • Sunderland Royal Hospital, Sunderland, United Kingdom
    • ,
  • Nigel C. Unwin

      Affiliations

    • Institute of Health and Society, Faculty of Medical Sciences, Newcastle University, United Kingdom
    • ,
  • Jean-Claude Mbanya

      Affiliations

    • The Health of Population in Transition (HoPiT) research group, Yaounde, Cameroon
    • Department of Internal Medicine, Yaounde Central Hospital & Faculty of Medicine and Biomedical Sciences, University of Yaounde I, Cameroon

Received 10 February 2009 ,Revised 9 August 2009 ,Accepted 12 August 2009.

References 

  1. Type 2 clinical practice guidelines for Sub-Saharan Africa. International Diabetes Federation Africa Region; 2006;
  2. Mbanya JC, Kengne AP, Assah F. Diabetes care in Africa. Lancet. 2006;368:1628–1629
  3. Kengne A, Anderson C. The neglected burden of stroke in Sub-Saharan Africa. Int. J. Stroke. 2006;1:180–190
  4. Kengne AP, Amoah AG, Mbanya JC. Cardiovascular complications of diabetes mellitus in Sub-Saharan Africa. Circulation. 2005;112:3592–3601
  5. Alemu S, Watkins VJ, Dodds W, et al. Access to diabetes treatment in Northern Ethiopia. Diabet. Med. 1998;15:791–794
  6. Steyn K, Levitt NS, Hoffman M, et al. The global cardiovascular diseases risk pattern in a peri-urban working-class community in South Africa. The Mamre study. Ethn. Dis. 2004;14:233–242
  7. Anyangwe SC, Mtonga C. Inequities in the global health workforce: the greatest impediment to health in Sub-Saharan Africa. Int. J. Environ. Res. Public Health. 2007;4:93–100
  8. Unwin N, Mugusi F, Aspray T, et al. Tackling the emerging pandemic of non-communicable diseases in Sub-Saharan Africa: the essential NCD health intervention project. Public Health. 1999;113:141–146
  9. Mbanya JC, Bonnici F, Nagati K. Guidelines for the Management of Non-insulin Dependent Diabetes Mellitus (NIDDM) in Africa. A Consensus Document. Vouliagmeni, Greece: Novo Nordisk; 1996;
  10. Gill GV, Price C, Shandu D, et al. An effective system of nurse-led diabetes care in rural Africa. Diabet. Med. 2008;25:606–611
  11. McLarty DG, Kinabo L, Swai AB. Diabetes in tropical Africa: a prospective study 1981–1987. II. Course and prognosis. BMJ. 1990;300:1107–1110
  12. Swai AB, Lutale J, McLarty DG. Diabetes in tropical Africa: a prospective study, 1981–1987. I. Characteristics of newly presenting patients in Dar es Salaam, Tanzania, 1981–1987. BMJ. 1990;300:1103–1106
  13. McLarty DG, Yusafali A, Swai AB. Seasonal incidence of diabetes mellitus in tropical Africa. Diabet. Med. 1989;6:762–765
  14. Mugusi F, Ramaiya KL, Chale S, et al. Blood pressure changes in diabetes in urban Tanzania. Acta Diabetol. 1995;32:28–31
  15. Lester FT. Nutritional status of young adult Ethiopians before onset and after treatment of diabetes mellitus. Ethiop. Med. J. 1990;28:1–7
  16. Lester FT. Clinical status of Ethiopian diabetic patients after 20 years of diabetes. Diabet. Med. 1991;8:272–276
  17. Keeton GR, Smit RZ, Bryer A. Renal outcome of type 2 diabetes in South Africa—a 12-year follow-up study. S. Afr. Med. J. 2004;94:771–775

PII: S1751-9918(09)00084-9

doi: 10.1016/j.pcd.2009.08.005

Primary Care Diabetes
Volume 3, Issue 3 , Pages 181-188 , August 2009

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