Factors influencing management and control of diabetes mellitus in health projects: a case of Bungoma county hospital in Bungoma county, Kenya
Diabetes mellitus is among the top four leading non communicable diseases after cardiovascular diseases, cancer and respiratory diseases; and has been increasing worldwide with its prevalence increasing in Kenya as well. Diabetes mellitus has been described by WHO (2014) as a chronic disease which occurs when the pancreas does not produce enough insulin or when the body cannot effectively use insulin it produces leading to increased glucose in the blood. Poorly managed diabetes mellitus leads to complications such as kidney failure, blindness and limb amputations due to poor blood circulation to the heart and limbs. Diabetes mellitus is one of the common public health issues facing the world with its management and premature mortality affecting the total health care expenditure in several countries, especially in less developed and poor ones. The purpose of this study was to investigate Factors Influencing Management and Control of diabetes mellitus in Health Projects: A case of Bungoma County Hospital in Bungoma County, Kenya. The study was guided by three objectives that is: To determine how professionalism of health workers influence management and control of diabetes mellitus in health projects.; To assess the extent to which medical facilities and infrastructure influence the management and control of diabetes mellitus in health projects and; To establish how networking and partnership linkages influences management and control of diabetes mellitus in health Projects. A descriptive cross sectional survey study was used to a target population of 117 respondents. Stratified proportionate sampling was used to select a sample of 91 respondents that consisted of 76 patients and 15 health workers. A questionnaire was used to collect primary data. The quantitative data collected was analyzed by descriptive analysis using frequencies, percentages, means and standard deviations. Tables were used to summarize responses for interpretations and further analysis and to facilitate comparison. In addition, a content analysis was used to give in depth observations, ideas and attitude to determine the effects of some variables conducted. The results of data analysis were presented in form of frequency tables for interpretation. The study found that professionalism of health workers influence management and control of diabetes mellitus in health projects. The study further established that medical facilities and infrastructure influenced management and control of diabetes mellitus in health projects. Equally, networking and partnership linkages were essential in improvement of service delivery. The study hence concluded that better management and control of diabetes mellitus in health projects was influenced by professionalism of health workers, medical facilities and infrastructure and networking and partnership linkages. The study recommends the need for free oral medications and insulin drugs for diabetes patients as is with the case of HIV and AIDS and tuberculosis to prevent complications related to diabetes mellitus. The government of Kenya through the Ministry of health should provide adequate screening and diagnostic equipment at subsidized screening charges levied to enhance early detection of diabetes mellitus to the general public. The study also recommended that the government of Kenya through Ministry of Health should ensure adequate capacity building and training of diabetes specialists. This will help curtail the continuous increase in the incidence of diabetes in the country and the management of the complications associated with diabetes mellitus in people who live with diabetes.