Healthcare system factors hindering effective utilization of diabetic medications among patients aged 45 years and above attending the DM clinic at Mpigi HCIV in Mpigi district. A cross-sectional study.
DOI:
https://doi.org/10.70572/agp.v2i7.19Keywords:
Effective utilization of diabetic medications, DM clinic at Mpigi HCIV, Healthcare system-related challengesAbstract
Background
Limited access to healthcare services can significantly impact medication utilization among older patients with diabetes. The study aims to assess the healthcare system factors hindering the effective utilization of diabetic medications among patients aged 45 years and above attending the DM clinic at Mpigi HCIV in the Mpigi district.
Methodology
The study employed a cross-sectional observational study design. Simple random sampling was used to select participants the study involved simple random sampling. A sampling frame was prepared, consisting of eligible patients attending the diabetic clinic at Mpigi HCIV. Quantitative data was analyzed using appropriate statistical techniques such as descriptive statistics like frequencies, percentages, means, and standard deviations, which were calculated to describe
Results
Most of the 27 participants were married, accounting for 54%, 14 participants reported having a high income, comprising 38%, and the majority that is 31 participants had a low income, making up 62% of the group. 34% that is 17 of the participants mentioned the distance from the health facility was a challenge, 24% that 12 of the participants mentioned the availability of drugs at a health facility as a challenge, 42% that is 21 of the participants mentioned that the waiting time is too long at the facility.
Conclusion
The study also highlights the healthcare system-related challenges, including limited access to healthcare services. Addressing these barriers is crucial to improving medication utilization and overall diabetes management.
Recommendations
Encourage family involvement and peer support groups to provide a strong social support network, which can positively impact medication utilization.
References
Arcury, T. A., Stafford, J. M., & Bell, R. A. (2021). Access to healthcare for older adults with diabetes: A rural-urban comparison. The Gerontologist, 61(4), 499-507.
Chew, L. D., Bradley, K. A., & Boyko, E. J. (2019). Brief questions to identify patients with inadequate health literacy. Family Medicine, 36(8), 588-594.
International Diabetes Federation (IDF). (2021). IDF Diabetes Atlas. Retrieved from https://www.diabetesatlas.org
McHorney, C. A., Gadkari, A. S., & McCoy, R. H. (2018). Medication non-adherence: Exploring its comprehensive conceptualization and its measurement in older adults. Patient Preference and Adherence, 12, 251-264.
Ministry of Health (MOH), Uganda. (2019). Uganda National Non-Communicable Diseases Risk Factor Survey Report 2019.
Turchin, A., & Matheny, M. E. (2018). Strategies to overcome therapeutic inertia in diabetes mellitus: An ongoing challenge.
Downloads
Published
How to Cite
Issue
Section
License
Copyright (c) 2024 Precious Bronia N Matovu, Jimmy Okwany , Dr. Jane Frank Nalubega

This work is licensed under a Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License.
The Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International (CC BY-NC-ND 4.0) license allows for the following terms:
-
Attribution: You must give appropriate credit, provide a link to the license, and indicate if changes were made. You may do so in any reasonable manner, but not in any way that suggests the licensor endorses you or your use.
-
NonCommercial: You may not use the material for commercial purposes. Commercial use is any use primarily intended for commercial advantage or monetary compensation.
-
NoDerivatives: If you remix, transform, or build upon the material, you may not distribute the modified material. The work must be shared in its original form.
-
No Additional Restrictions: You may not apply legal terms or technological measures that legally restrict others from doing anything the license permits.

